Avatar universal

19 y/o Testosterone issue??

im 19 and It seems i should be in my "prime" but instead I have zero energy, zero motivation, I generally just don't care about most things. I have no sex drive hardly ever (I have a hot gf). I thought I must be gay at some point and experimented, but that didn't help things, although did reaffirm my attraction to girls only haha. I am grumpy a lot, and I have to lay in bed for hours before I fall asleep, no matter how exhausted I am. I constantly feel like theres a fog in my mind like I have to take time to sort through what Im trying to say. I definitely have abnormally high anxiety about everything, I have a serious social anxiety, I hate the idea of talking to new people, I feel like they're judging everything about me and I feel really insecure.

The main reason Im so insecure is because of my weight. I am 6' and only weigh 120lbs.... its crazy. I can't seem to gain weight. I have too much of a social anxiety to go to the gym, but Ive been trying to lately and that hasn't really helped either.

I was wondering if this could possibly be due to a low testosterone level? I have no idea. I just don't feel the things and desires I feel like a "man" normally feels.
The only thing that doesn't line up with a low testosterone level from what i researched is that I do have facial hair growth pretty well and hair is starting the beginning stages of filling in on my chest.
I definitely feel depressed more times than not, but antidepressants would lower my sex drive even more, which I also desperately want to improve. You have no idea how bad I just want to WANT to f**k something haha.

I want to go to a doctor, but I just stopped seeing my pediatrician and my new "real" doc I have only been to once and I don't even remember their name, so Im not super comfortable with them and I don't want to go in there naming off things I think might be wrong with me.

So I have a couple of questions...
1- Could it be a testosterone imbalance? If not, what do you think?
2- What kind of doctor would I talk to about this??

Thank you for any and all help/advice!!

This discussion is related to Lack of Energy. Low Sex Drive. Depression-Anxiety. Low Testosterone?.
3 Responses
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5856747 tn?1403348682
Testosterone |Replacement Therapy would not be my first thought for getting you right although it might be my second.

My first though for you would be for you to have a few sessions of psychotherapy to see if that might ease some of your anxieties and mood swings.
My very last thought for you would be for you to go see a doctor (and I'm a doctor) They will only offer you drugs and that's a road to nowhere. Good luck.
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Avatar universal
It sounds like you either have anxiety, depression, or a hormone problem.  I have low testosterone.  I am in my 30s, and I have always had low testosterone.  Happily, I am being treated with testosterone injections, and it changed my life in a good way.

You need to get a primary care physician to refer you to an endocrinologist.  Be very honest about your psychological issues (anxiety and/or depression).  They will test your blood for both "total testosterone" and "free testosterone."  Free testosterone is the most important number.  If the endocrinologist sees that you need hormone replacement therapy ("HRT"), she or he will talk to you about the pros and cons.

When it comes to testosterone replacement therapy, your options are patches, gels, creams, and injections.  Injections are the most effective.  If you start HRT, you will need regular follow-up visits with blood draws to check your blood levels for various things.  HRT can, in some people, cause unpleasant side effects, such as raising estrogen too high, raising hematocrit too high, etc.

I never had a good sex drive until I was in my late 20s--when I started HRT.  You are definitely not alone.  

Helpful - 0
1340994 tn?1374193977
It might be a thyroid issue.  That would explain the anxiety.  You could get blood tests.  

It could be adrenal fatigue.  

I will send you an article.  Check your messages.  

Also read about personalities if you have time.  It is okay to be an introvert.  You might read The Color Code by Hartman.  It can help to figure out your own personality and how you can get along with other personalities and realize each has its strengths and weaknesses, and you are okay.  20-somethings tend to have a lot more social anxiety than older people anyway, and it's so unfortunate.  Now that I'm older, through FB I am talking to all the people I was scared of in school, and they aren't scary anymore.  
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