The problem is likely hypogonadism, which manifests itself by fatigue, depression, weight gain, elevated cholesterol,high blood pressure, and can eventually lead to osteoporosis in men, and other hormonal problems. If you are not ejaculating regularly, then you also may be subject to recurring Prostatis. My doctor advised at least once a week.
Are you having any problems with ability to get and maintain an erection? If you are over 50, I would clearly get the testosterone levels drawn. In my case total was 179/280 is LOW normal;free 146/350 normal. Prolactin ok. You should also get the estrogen level drawn because the body somehow converts the testosterone into an estrogen type(I don't understand the process.) Some guys in their thirties also have the problem, and do not realize there is a problem.
As a result of these levels, our sex life was nothing for over ten years because I could not get an erection. As a result, the prostatic fluid backed up and infected itself.
Most doctors will treat the symptoms without going further, and we have to take the initiative. I imagine that he put you on repeated courses of antibiotics, only to have the prostatitis recur, which did not address the problem. Some men were placed on anti-depressants, when that was not the problem.
Hope this information helps; let me know what other questions I can answer.
GK
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