I am 41 years old male and started having problem with libido and erection about two years ago after quiting Paxil. I took Paxil for about 3 months for premature ejaculation, 1st month 10mg/day and then 5mg/day for another two months. I waited for side effect to go away, but had extreme hangover and my sex drive went to zero. I stopped taking Paxil, but my hangover and other side effect did not go away. That was two years ago.
Since then, I have seen many Drs and all sort of
test, everything seems to be normal, except the percentage of free
testosterone. My Total T is about 600ng/dL and free T is about 1.2ng/dL. The percentage is about 0.2%, the normal range is from 0.33% to 0.48%.
Many Drs felt my
Testosterone were normal and did not put me on
TRT. No one could explain the role of Paxil. I was put on Antidepressant, Wellbutrin, for about 6 months thinking this might be some sort of depression. Did not help with my ED.
Came of Wellbutrin, and after few months seeing a new Dr, he put me on
Clomid. It boosted my Total T to 980 and my free T to 2.3. I felt normal again and did not have to use any medication for ED and my sex drive went back to normal.
After about two months, I felt loss of libido and problem with ED returned. I felt fatigue and tired, and other symthom of low T. The blood
test showed my Total T had gone up to 1120ng/dL, but my free T is back to 1.4. (percentage T less than 0.13% !!!). Somehow my body is downregulating the amount of my free T.
Currently due to
Clomid, my LH is high, 13.2. My SHBG is in normal range. Please advise. Why my free T is falling. What other
test I could do?
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SteveJohn