For the last 20 months I have taken melatonin in spurts to help with falling asleep. Over the last 6 months I have taken melatonin almost nightly in 3 mg doses. 4 months ago I started noticing some sexual changes (no morning erection, poor erection quality, decrease in libido). I was able to ignore these changes until last month, when I found myself looking for libido increasing drugs online. In a moment of clarity I realized a physically active, healthy 27 year old male (6'1", 185 lbs) who has had strong libido shouldn't need help in that department.
A week ago I pegged melatonin as the cause and immediately ceased use. Two days after stopping use I received an overall testosterone test. The reading was 348 ng/dl, approx half of the expected value for someone of my age.
All studies I have read reinforce melatonin as the reason for the decline. Melatonin acts on the pituitary by raising levels of the GnRH inhibiting hormone, effectively lowering output of GnRH, leading to reduction in LH/FSH which means less testosterone. In a 3 month study of 8 men, two had drastic decreases in sperm levels from daily 3 mg melatonin dosing. 1 of the 2 men returned to normal 6 months after treatment.
My question is:
Should I expect these levels to return to normal after such long term use?
Am I destined for TRT from melatonin use?
Is there a way to jump start my pituitary gland to return to normal production?
I know for a fact 6 months ago everything was working as it should.
Thanks for any advice! This is quickly taking over my life.