If you have symptoms and haven't already had multiple tests this is essential. Your tests should include SHBG and Albium so that free and bioavailable testosterone can be calculated in addition to total testosterone. Your tests should be done at 8am or as close to this as can be arranged and at a time when your life is a normal as possible (. not at a time of high stress or other transient medical conditions). I not a doctor but personally I would also request other HPA axis tests before making a decision about starting HRT. These include LH, FSH, GnRH, ATCH, 24h cortisol. This is especially the case if there are no obvious issues with your testicles.
A survey of 28,000 users found that many Italian males started an "excessive consumption" of porn sites as early as 14 years old. After daily use in their early to mid-20s, they become inured to "even the most violent" images. The effects of developing their sexuality largely divorced from real-life relationships are gradual and devastating. "It starts with lower reactions to porn sites, then there is a general drop in libido and in the end it becomes impossible to get an erection," Carlo Foresta, head of the Italian Society of Andrology and Sexual Medicine (SIAMS), told reporters. However, the condition is not irreversible and a proper recovery is possible within just a few short months.
The key to masculinity and vitality is the human growth hormone that separates the boys from the men. It plays a vital role in the creation of muscle mass and strong bones. It contributes to deep voice and even sex drive. Low testosterone in men is known as hypogonadism. As a product of a modern world made for convenience the male body does not go through nearly as much rigorous activity. The lack of daily exercise contributes to the decrease in male testosterone. It can hit as early as the mid 20s and steadily decrease each subsequent year.