Update:
I’ve just come back from a very unproductive meeting with the Doctor. He’s essentially made his mind up that all this is psychological. I explained that, if it was, I’d still be waking up with morning erections, and certainly wouldn’t have lost them for 2 months. He said that this isn’t the case, and that he knows what he’s doing.
All I got was a blood test for SHBG, and through that I can get some idea of what my free testosterone level is (bizarrely, the local lab doesn’t offer a free testosterone lab test). But it doesn’t seem to be going anywhere other than that, and unless free testosterone comes back catastrophically low it’ll no doubt be classed as ‘normal’.
I can’t get a referral to an endo, because my Doctor is convinced there isn’t a problem. I pointed out that my estradiol is actually below range, and that most labs would have a lower as well as an upper reference range. But since my tests didn’t have this, I was told that this was bunk as well. If I had zero estradiol in my blood, he’d still be telling me I was fine. It’s just ridiculous.
I feel very, very helpless right now. I don’t know what SHBG will come back as, but I expect that - even if it’s in the high range - it’ll be classed as OK.
The problem is, my hormonal results aren’t completely normal. My testosterone, while OK, was very low in the reference range for my age. Estradiol was off the scale on the low-side. And yet I can’t get so much as a referral.
Now perhaps I’m making all this up, the changes I’ve felt in the last two months are just nothing, and the fact that I’m waking up with no morning erections, have no nocturnal erections, and have no spontaneous erections is just a coincidence. But perhaps there’s a genuine problem.
The problem is, if the latter is the case then I don’t have much of an avenue for getting help anymore. The way the National Health Service is structured here, if you can’t get a referral, you can’t get a referral. And I don’t have the cash to see a private specialist.
So I’m at a bit of a loss right now. I thought about throwing in the towel with the health system and treating this myself, but it’s too risky and ultimately I don’t have the resources for that. I also don’t want to try and treat something when I don’t yet have a full hormone panel.
So what am I planning to do? For now, I’m going to have to try and live life as normal as possible, get some viagra as a backup, and generally carry on with things as much as I can. If my SHBG comes back abnormal, then great - I can get a referral. If it doesn’t, at least I have another element of my blood profile together.
Assuming the latter, when I get some money together (hopefully some time in April) I can book a set of blood tests privately. The test costs £365, and I might need to take out a credit card to do it, but it’s quite comprehensive. It will test for testosterone, free testosterone, SHBG, estradiol, FSH, and LH. For good measure, they also take a sperm sample, and they measure TSH, T3 and T4 also. It might not be everything, but I consider this a fairly comprehensive panel.
And if these come back normal, then I’ll have to discard the idea that I have a hormonal problem. But if they don’t, then I’ll have enough evidence to go in and challenge my doctor’s theory that everything is OK, and from that I’ll hopefully be able to get a referral. And if I can’t, at least I’ll have a solid basis from which to treat myself.
Still, I’m not in a good way, and I’ll take any advice I can get right now. If anyone’s get any other ideas to help me out of this situation, they’re most welcome.
Cheers again,
Gim