Guest guest Posted January 2, 2004 Report Share Posted January 2, 2004 Hi again all, I just got my test results back from my doc that I requested. Thanks to this group, I knew what questions to ask and what tests to ask for. My T levels have been between 117 and 190 for the last 4 months. I have gone from AG to Testim and I feel better with the Testim (and my balls are shrinking). Here are the results I got back: I am 34 Yr. T 96 Lab range of 280 - 1300 Free T 26.8 Lab range of 47 - 244 LH .3 Lab range of 1.5 - 9.3 FSH .4 Lab range of 1.4 - 14.6 Prolactin 9.6 Lab range of 2.1 - 17.7 E2 21 Lab range of 18 - 67 I am glad to see that my Prolactin and E2 are ok, but what is going on with my T. I would also say that boy's are OK, and can prob produce T, but it looks like they are not getting the signal to make any T. Where to go from here? Thanks, Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2004 Report Share Posted January 2, 2004 I think your assesment is right on. The fact you have any T what so ever with such low LH and FSH is testiment to being able to at least produce something. Have you ever had the Clomid stim test described in the AACE guidelines? (see links or files section of the board). That would tell you for sure. First comment on your results is that by these you really can't see one absolute cause. Assuming secondary (which it may be primary) I would think you will need to have your cortisol numbers in hand. Your E2 seems fine so that's likely not providing any negative feedback to the hypothalimus but you did not show any E1 (estrone) numbers and E1 can also provide negative feedback tot he hypothalimus. Hagh levels of E1 can be derived from abnormally highfuntioning adrenal producing high levels of DHEA. DHEA is aromatized (via the aromatase enzyme) into E1. Outside of that, high levels of cortisol, use of glucocortisoids (cortisone shots, creams), or use of prohormones and/or steroids are all circumstances where your HPTA can shut down. Your body's natural production of cortisol may be out of wack so I would ask to have this tested if you have not already. Exercise can induce high levels of cortisol shutting down your HPTA. Outside of any of these, your next step is to have a pititary MRI done to verify the absense of any pituitary lessions. While your prolactin looks fine, you could still have a non-cancerous growth there that is interfering with your axis. As far as next steps go, if it were me, I would seek a pituitary MRI, testign of my cortisol levels, and a Clomid Stimulation test. Good luck. y > Hi again all, I just got my test results back from my doc that I > requested. > Thanks to this group, I knew what questions to ask and what tests to > ask for. > > > My T levels have been between 117 and 190 for the last 4 months. I > have gone from AG to Testim and I feel better with the Testim (and my > balls are shrinking). > > Here are the results I got back: > I am 34 Yr. > T 96 Lab range of 280 - 1300 > Free T 26.8 Lab range of 47 - 244 > LH .3 Lab range of 1.5 - 9.3 > FSH .4 Lab range of 1.4 - 14.6 > Prolactin 9.6 Lab range of 2.1 - 17.7 > E2 21 Lab range of 18 - 67 > > I am glad to see that my Prolactin and E2 are ok, but what is going > on with my T. > I would also say that boy's are OK, and can prob produce T, but it > looks like they are not getting the signal to make any T. > > Where to go from here? > > > Thanks, Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2004 Report Share Posted January 2, 2004 Thanks for the info, it is driving me crazy that my T levels are now down to 97, it it normal for the T level to drop during TRT? I will look into the Clomid stim test and the others you mentioned. I do know that I am normally under large amounts of stress from work and also had a new son 2 days ago. I have an appt with an endo at the end of this month. Thanks again. Nickso > > Hi again all, I just got my test results back from my doc that I > > requested. > > Thanks to this group, I knew what questions to ask and what tests > to > > ask for. > > > > > > My T levels have been between 117 and 190 for the last 4 months. I > > have gone from AG to Testim and I feel better with the Testim (and > my > > balls are shrinking). > > > > Here are the results I got back: > > I am 34 Yr. > > T 96 Lab range of 280 - 1300 > > Free T 26.8 Lab range of 47 - 244 > > LH .3 Lab range of 1.5 - 9.3 > > FSH .4 Lab range of 1.4 - 14.6 > > Prolactin 9.6 Lab range of 2.1 - 17.7 > > E2 21 Lab range of 18 - 67 > > > > I am glad to see that my Prolactin and E2 are ok, but what is > going > > on with my T. > > I would also say that boy's are OK, and can prob produce T, but it > > looks like they are not getting the signal to make any T. > > > > Where to go from here? > > > > > > Thanks, Nick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2004 Report Share Posted January 2, 2004 Congratulations on the birth on your Son. Being there for our kids and loved ones is another great motivator for all of us to get and keep healthy. Stress will certainly do it. I'm in sales, very stressful at times, so that may have been a factor for me as I am sure it is for you. Regarding if T levels can drop while on TRT, an article I just read when makign my decision to go on the compounded T mentions that in many cases where a patient still has moderate function/production of T, TRT will often show a reduction in levels in the second and third week after therapy begins. The article says that this is caused by the body recognizing the new T and shutting down the current production. In cases where the patient has only mild to moderate hypogonadism, many times the dosages will be increased to compensate. Specifically with topically applied testosterone. Articles from my doctor's site are here: http://www.natural-hrt.com/artman/publish/cat_index_65.shtml Hope all of my wanderings makes sense. y > > > Hi again all, I just got my test results back from my doc that I > > > requested. > > > Thanks to this group, I knew what questions to ask and what tests > > to > > > ask for. > > > > > > > > > My T levels have been between 117 and 190 for the last 4 months. > I > > > have gone from AG to Testim and I feel better with the Testim > (and > > my > > > balls are shrinking). > > > > > > Here are the results I got back: > > > I am 34 Yr. > > > T 96 Lab range of 280 - 1300 > > > Free T 26.8 Lab range of 47 - 244 > > > LH .3 Lab range of 1.5 - 9.3 > > > FSH .4 Lab range of 1.4 - 14.6 > > > Prolactin 9.6 Lab range of 2.1 - 17.7 > > > E2 21 Lab range of 18 - 67 > > > > > > I am glad to see that my Prolactin and E2 are ok, but what is > > going > > > on with my T. > > > I would also say that boy's are OK, and can prob produce T, but > it > > > looks like they are not getting the signal to make any T. > > > > > > Where to go from here? > > > > > > > > > Thanks, Nick Quote Link to comment Share on other sites More sharing options...
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