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Hormonal Problem?

I am 36 yrs old and measure at 6'0, 160 lbs. I work as a truck driver and my duties include some heavy labor. I also workout regularly w/weights 5x/wk and do a lil cardio 3x/wk. In December, I had blood work that showed my TSH level to be at 6.37 mIU/L (high), as well as ACTH to be at 75 pg/mL (high). My symptoms during this time was constantly feeling sleepy, as well as sensitive to cold temperatures and a lack of sex drive. My sister and father both had been diagnosed w/low thyroid conditions and take meds for it everyday. I was put on 25 mcg Levothyroxine and after about 6 wks, my blood work came back normal for TSH at 1.30, ACTH at 27, and Testosterone at 302. Even though my levels seem to be in normal range, I still feel sleepy a lot and still have a lack of sex drive and 0 morning erections. I have tried 3 different type of sleeping pills that did not work for me at all. I would constantly get my sleep in about 2 hr shifts. I could go to sleep at 10pm and be awake at midnight, only to fall back asleep maybe hrs later. Also, when I do get erect, it seems as if it is a soft erection and not hard. I am starting to wonder if my testosterone level is low for my age or if maybe there is something wrong w/my pituitary gland. Any help or advice would be greatly appreciated.
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Avatar universal
Thank you for your insight. My doctor had actually prescribed me some sleeping pills back then to experiment and see if they would bring me better and longer sleep. I 1st was on zolpidem tartrate 5mg, which is the generic brand of ambien. I tried that out for a month and it didnt help me at all. He then prescribed for me to try out melatonin, which I did for a few days, 9mg before sleep and still no effect. I knew 2 people who were taking trazodone for their sleep issues and they both said it works. I tried that for like 3 days and that didnt work as well. At this point I told my doctor I was fine w/my sleep pattern b/c I didnt want to be constantly trying a bunch of pills nor do I want to be taking sleeping pills for the rest of my life.
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Avatar universal
MEDICAL PROFESSIONAL
Hi,
How are you?It is good that the present thyroid and testosterone levels are okay.  Normal testosterone levels in males is  300 -1,000 ng/dL, results vary slightly in each laboratory. This suggests that your symptoms may be attributed to other issues such as sleep disorders or underlying medical conditions. It is best that you discuss the symptoms with your attending physician also for proper management. Additional diagnostic tests may be indicated. Take care and do keep us posted.
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