Thanks for your query at DoctorSpring.
I can understand that you are very agonized. I presume that your Hemoglobin, kidney functions, sugars, Thyroid functions have been tested and are fine.
As your testosterone levels are normal, and you do seem to get adequate response to Cialis, but have libido issues, you need to consider a Mood disorder like depression. It may or may not be due to a precipitating factor.
If you have had a recent viral infection, fever etc, it may be a part of Chronic fatigue syndrome. You need to consult a Psychiatrist and that will help.
Please feel free to discuss further.
Dr J Muthukrishnan, SM
Senior Consultant (Med & Endocrinology)
Patient replied :
I assume that those things are good. It has been a year or so since I last had them tested. The past couple months I have felt really good but it seems to have hit me again this last week or so. I have been to a Psychiatrist and he said that there is no sign of depression or mood disorder. It seems that one profession continues to say its the other. I have not had any recent viral or any other infection. I look at the list of symptoms of low testosterone and it seems to fit all of those but when they tested it was in the low 500's. Just not sure what else it could be. I am wanting to find and fix the problem and not continue to mask it with meds that make me feel worse. I am sure you can't really help me over text chat without doing a workup but I just need some direction on if and what kind of specialist I should consult.
You must not assume anything and carry out tests as suggested. A good Internal Medicine specialist with a broad view of the subject should be the right person to consult.
Let me know if you have any other doubts.