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What Causes Low Libido Post Testosterone Replacement Therapy?
Question: In early February I went off Testosterone Replacement Therapy.
Since that time I have experienced no sex drive whatsoever, no morning erections and no sex with my wife of 46 yrs. I have never gone this long not having sex with my wife. While on Testosterone, everything was great!
Is this normal??
Since that time I have experienced no sex drive whatsoever, no morning erections and no sex with my wife of 46 yrs. I have never gone this long not having sex with my wife. While on Testosterone, everything was great!
Is this normal??
Brief Answer:
Possible
Detailed Answer:
If you used Testosterone for a number of years it tens to shut down the body's natural testosterone production through a complex mechanism.
So if you need to be sure if your low sexual function is a result of low testosterone levels then the levels will need to be checked.
Prefer to do a morning test.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Total Testosterone
Prolactin
FSH
LH
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day.
You will be best served by seeing an endocrinologist in-person who will examine your testicles, besides a general physical assessment
Possible
Detailed Answer:
If you used Testosterone for a number of years it tens to shut down the body's natural testosterone production through a complex mechanism.
So if you need to be sure if your low sexual function is a result of low testosterone levels then the levels will need to be checked.
Prefer to do a morning test.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Total Testosterone
Prolactin
FSH
LH
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day.
You will be best served by seeing an endocrinologist in-person who will examine your testicles, besides a general physical assessment
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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