I am sorry to hear about your symptoms. Unfortunately, these symptoms have a variety of potential causes. In order to determine the cause in your case, you will need to undergo a complete review of your medical history as well as a detailed physical exam. Additionally, you will need to undergo some blood work. Therefore, I recommend you schedule an appointment with a primary care doctor
to determine the best course of action.
Testosterone deficiency is a controversial topic. There is disagreement about what constitutes a normal level of testosterone, and the testosterone can vary quite a bit on repeat measurement. Testosterone supplementations has many risks, including increased risk of coronary artery disease and a theoretical increased risk of prostate cancer
. Your poor energy could be due to a variety of issues, including thyroid disease, anemia
, lung disease, or heart disease. Erectile dysfunction is more commonly caused by impaired blood flow to the penis, such as with patients with diabetes or peripheral vascular disease, or psychologic issues rather than testosterone deficiency. For these reasons, I recommend you schedule an appointment with a primary care doctor. After reviewing your symptoms, they can determine the appropriate tests to further evaluate your symptoms.