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primary hypo gonadism from medication or genetics?

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I've had low Testosterone since I was 13. As of late, I've been experiencing a lot of fatigue and lack of energy (especially in the evenings). It seems normal to have that, but I get a wave of fatigue that hits so hard it almost makes me feel like I'm a zombie if you will at that time. I get very groggy and absurdly tired in the evenings. I got my testosterone checked this past summer and it was "good" approximately 450 ng/dL or something, but now my insurance recently declined my ability to receive androgel for the past week, so I have felt like utter crap. They have been spoken to by my doctor, and finally approved me having the medication again for testosterone gel packets. Is there something wrong with my testosterone normally that I need these packets for? My doctor says I have primary hypo gonadism, but is that something from my medication Lexapro and Hydroxyzine Paomate, or is that just from genetics? Is there a way to know for sure here? My free T/Total is 152 ng/dL .

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replied September 18th, 2017
Mens Conditions Answer A62237
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. Your primary hypogonadism is the cause. YOu will need these testosterone gels and supportive care for the fatigue in guise fo good antidepressants, multivitamin supplements and some medications for asthenia like sibutiamine. Stay in touch with your endocrinologist and let them decide what is best for you.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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