New here and problem with libido, desire sexual

[u/Hitz0r]

First of all sorry if its not allowed post here this! ☺️

35M. I've been struggling for around 3 years with low libido, very few sexual thoughts or fantasies, weaker erections, reduced penile sensitivity and a general lack of sexual desire. These symptoms have been persistent and haven't improved over time.

I also used to wake up with strong morning erections almost every day, but now it only happens once or twice a week at most. I've also noticed a significant reduction in nocturnal erections compared to how things were before my symptoms started.

One of the things that worries me the most is that I basically have no erotic or sexual thoughts anymore. I can see an attractive woman and feel almost nothing sexually, with no spontaneous desire, fantasies or sexual interest. This wasn't always the case.

My wife and I are also trying to conceive, so I'm concerned that whatever is causing these symptoms could also affect fertility.

Recent hormone-related bloodwork:

* Total Testosterone: 4.05 ng/mL

* Free Testosterone (calculated): 9.32 ng/dL

* Bioavailable Testosterone: 209.09 ng/dL

* SHBG: 27.5 nmol/L

* LH: 4.0 mIU/mL

* FSH: 3.0 mIU/mL

* Estradiol (E2): 34.7 pg/mL

* Prolactin: 22.4 ng/mL

* Prolactin (20 min repeat): 15.0 ng/mL

* TSH: 2.38

* Free T4: 1.39

* Vitamin D: 14 ng/mL

Additional info:

* 35 years old

* 180 cm, 85 kg

* Non-smoker

* Rarely drink alcohol

* Symptoms started gradually about 3 years ago

I'm currently waiting for my urologist appointment to discuss the results and decide on the next steps, but I'd like to hear other opinions in the meantime.

Do any of these values stand out as a possible explanation for the low libido, erectile issues, reduced frequency of morning and nocturnal erections, lack of sexual thoughts, reduced sexual sensation and almost complete absence of sexual attraction? Would you investigate anything else, especially considering that we're trying to conceive?

Thanks.

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[u/life_full_of_stress]

All numbers are within the range. But for me whenever the testosterone to E2 ratio increases my libido drops.

[u/Fabulous_Recover_263]

Maybe high cortisol? Also prolactin is a little high.

Also vitamin d is completely deficient. Try getting a 50,000 iu weekly supplement Ur testosterone is still a little a low