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Cheddarhead

Depression And Testosterone, Anybody Have Any Insite To My Issue?

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Hi everyone, I'm unsure if this is the proper place to ask this. I know this isn't really a place to ask medical advise but I'm getting more and more frustrated and thought perhaps someone has been down this road before. I'm a 42 year old married male and I've had dysthymia since my early twenties. I've been on Zoloft for twenty years now and found that it is the best med I've ever used for my depression. It has had very little side effects and keeps my mood extemely stable. It's been a godsend for half my life. I've been happily married for 14yrs, have a fantastic job, am pretty healthy/active and think life is extemely good for the most part. Now you probably ask why would I even be on this forum if things are so good? Well, in the last couple years my sex drive has gone to almost nothing, have had low energy levels and I've been experiencing other minor sexual dysfunction. I've always had a STRONG sex drive in my twenties and thirties even with taking zoloft, so I keep asking myself what has changed now that I'm 42? My depression has not gotten any worse with age and remain happy on my current dose. I can't accept NOT having a sex drive at 42, it's having an adverse affect on my marrage. My doctor checked me for thyroid and testosterone levels and she says that everything is "normal". Now this is where I'm getting frustrated. My thyroid is slightly on the fast side, but I already knew this. My total "T" level came back at 370 and she thinks this is not an issue. Testosterone is such a controversial issue and every doc seems to have a diff take on what "normal" is for a guy. From everthing I've read, this appears low for a 42yr old healthy male and am almost convinced that this is the reason for my issues. I've never had a reason to be tested for this in the past so I have nothing to compare it to. Most things I have read say around 600 is where I should be. My general doc, my med doc and my therapist all think that this is NOT the issue surrounding my problem. In the last year "they" have had me try three diff anti-depressants trying to solve my issues and all of them haven't done anything. They have only had bad side effects of differing natures. I initially wanted to see an endocrinologist about this but I can't if my doctor won't give me a referal because "everything is normal". What the heck is a guy to do? Nobody want's to look at my testosterone seriously due to the fact that they all think it's about my depression and nothing else. I'm at my wits end, anybody have any advise? Thanks if you made it all the way through this.

Rob:)

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Just my opinion, but if the only thing they're doing to try and help you is put you on one AD after another, maybe you should consider finding another doctor. In my experience sometimes doctors can develop 'tunnel vision' with us and if we've been depressed they'll automatically attribute every medical issue we have to depression. If the charts say you should be at 600 then you're obviously low! Have you asked the doc why she feels such a low level is normal for your age? I guess you have health insurance that requires specialist referals, bummer. So why can't she give you one, just so you can have an expert second opinion? Yeah, change doctors. That's ridiculous. You also might try the suppliment DHEA in the meantime. I've read it helps some men. Good luck!

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Thanks memyself, I'm going to find another doctor and get another opinion. Although my test level(370) is within the acceptable range (241-800), it is far from optimal. What doctors consider acceptable and treatable are apparently two different things. My level is on the lower end, but my doctor told me staight out that she doesn't believe in hormone replacement. I could have tested out at 242 and as long as it's still in the magical range she still wouldn't have done anything about it. That's whats so controversial about testosterone, no two doctors can agree on what's optimal for a given age and some will only go by the guidlines that are set for them. It's frustrating when doctors look at your health history and automatically zero in on depression or the meds as the cause for everything. I certainly am not looking to get wild off testosterone by any means, I only want someone to look at this a little closer to see if this is a valid cause of my symptoms instead of automatically dumping it on depression or medication side effects. I'll hop off my soapbox now..

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I want to thank you for posting this. I'm a 32 year old woman and I've had my issues with low sex drive from meds, however, the most concerning is that my husband who is 30 has NO sex drive and he is not medicated. We've been to 2 doctors, one said his testosterone was fine, the other said it was very low but offered no help. My husband is known for low energy and outburst of anger at times (directly to me). I wasn't sure if we should see a regular doctor or an endocrinologist. I would like to hear what the doctor thinks in your case. It's rare that a man my husbands age would have problems but it's put a huge wedge in our marriage. I've had thoughts there's someone else, he's gay, but what concerns me is that he does not care at all about any type of sex...nothing. Youre not alone.

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rapunzel, thank you for the information. I just ordered the book, I'll give it a close read.

@Danyellmcc, no thanks needed...I just need to find some answers. Things just aren't adding up and changing meds, working out and eating right isn't really doing much, so I'm on a quest to find out more about what's going on. I'm very similiar to your husband in regards to sex drive. I thought at first it was just the ho hum, in a rut, boredom thing, but to be offered sex when ever I want it and not have much interest is just plain crazy in my eyes. I can look at a hot woman and appreciate her beauty but don't get aroused like I used to. Most of the time I would just rather watch the science channel and that was never me in my 20's and 30's. I hope we both can find the answers were looking for. I'll let you know what I find.

Rob:)

Edited by Cheddarhead

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I'm glad and I really hope this book helps.

psychiatry nowadays does NOT look at brain and body connection, but there are so many things in the body that can go wrong and influence the brain.

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Can't really help you, but thought I'd chime in with a "me to". My testosterone is at the low end of the normal range. I wanted to try it since ony of my symptoms is very low energy and other antidepressants haven't worked, but my doctor told me that my health insurance won't allow him to prescribe it as long as my testosterone is within what they consider the normal range.

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