Well, I've been to 3 urologists by now, and still no progress. The first 2 were highly regarded with great credentials, and they didn't even examine me. After 5 minutes in the office, I was done with each appointment and told to go get an implant. The 3rd urologist is a woman who specializes in implants. I've been taking topical Androgel 1.62 (one gel pulse per shoulder per day) for 2 months now, and although it has raised my total testosterone to a high level near the top of the range, I feel no increase in libido, no matter how small of a touch of it. I am now seeing an endocrinologist because I still think the is still something hormonal that is off with me, like lack of free testosterone or high estrogen levels in my body (I do have a high out of range level of estradiol). My free testosterone levels are well below the lower end of the range, have been that way for a very long time. I've read where that may or not be a factor with libido. So, maybe there will be trials with antiestrogen meds, although I'd like supplements testosterone, either tablets or injections to see if they could increase my zero libido. I met with a physician assistant (PA-C) endocrinologist who spent a lot of useful time with me. He siad I shold consider getting the book written by Dr. Aaron Spitz, titled "The Penis Book". So, I have at least one blood test for hormones to come, then I will see the doctor above the PA-C and see what else could be tried.