I had this same problem but your not on
TRT anyway it is your high Estradiol levels. I had bad ED and could not reach an orgasm and if I did could not feel it. I got my Estradiol tested and it was dam high I needed to go on
Arimidex .5mgs eveyday for 6 weeks to get it down. The labs you had done are a new one that just came out the range is <OR=29 at the time of my
test my range was 13 to 54 pg/ml I was 90. Your at 48 so if 29 = 54 your 48 is just under 100 compared to my
test.
With Estradiol this high it will mess with your Thyroid levels and your Cortisol your Aldosterone at 13 is dam low and getting your Estradiol levels down can change this. Your Free T will come back up and your SHBG should go down.
I would not worrry about your LH and FSH with a total T this high. You brain is just not asking for more.
This first thing that happened to me getting my Estradiol down was a big loss of water weight. Then come morning and night time wood. I was then able to have sex with my wife and reach an orgasm for the first time in 10 yrs.
Now you dam young to have this high Estradiol do you eat or drink a lot of SOY in your diet this will do this.
I would first get this down and then retest to see how things changed.
You still could have this problem I posted to you some days ago.
Congenital Adrenal Hyperplasia: Not Really a Zebra - March 1, 1999 - American Academy of Family Physicians Pituitary Network Association - Disorders - Prolactinomas