Guest guest Posted September 15, 2004 Report Share Posted September 15, 2004 A brief history: Vasecotomy with left testicle infection 6 months later ED sets in Since that time yearly T levels have been around 500 ng/dl (241-827) In June T was 308 and Free T was 46.9 (47-244), FSH was 0.3 mIU/ML (0.9-15.0), LH was 3.3 (1.3-12.9) Went to endo yesterday. He says testicles are fine or FSH would be high so T issue must stem from message sent from brain (i.e., pituitary gland). He wants to draw T again to see if reading was anamolous and if it comes back in 300 range will call for MRI of pituitary. That was about it - he did say T replacement is needed if it is still low. Nothing about Clomid, etc. but we haven't gotten very far yet. Any comments from you more experienced sorts? Does he sound like he is following appropriate protocol? Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 15, 2004 Report Share Posted September 15, 2004 On Wed, 15 Sep 2004 16:31:17 -0000, you wrote: > >Subject: First endo visit >From: " devo101 " <edeaver@...> >Date: Wed, 15 Sep 2004 16:31:17 -0000 > >A brief history: > >Vasecotomy with left testicle infection >6 months later ED sets in >Since that time yearly T levels have been around 500 ng/dl (241-827) >In June T was 308 and Free T was 46.9 (47-244), FSH was 0.3 mIU/ML >(0.9-15.0), LH was 3.3 (1.3-12.9) > >Went to endo yesterday. He says testicles are fine or FSH would be >high so T issue must stem from message sent from brain (i.e., >pituitary gland). He wants to draw T again to see if reading was >anamolous and if it comes back in 300 range will call for MRI of >pituitary. > >That was about it - he did say T replacement is needed if it is >still low. Nothing about Clomid, etc. but we haven't gotten very >far yet. > >Any comments from you more experienced sorts? Does he sound like he >is following appropriate protocol? His position sounds reasonable to me. If the 2nd T tests come back lower see he does ferritin, and prolactin tests. And I'd probably push for an E2 test also before that. - - - - Just another albino black sheep Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 15, 2004 Report Share Posted September 15, 2004 Hi , Sounds like he knows what he's doing. He's tested for more than T, and has = found something interesting. He considers T low " in range " as requiring treatment. These are good indications of his competence. He's describing secondary hypogonadism, so Clomid or HCG are an option. TRT may be okay, since fertility isn't an issue. The following is a list of tests from the s Hopkins Mens Health Guide: AFP, DEXA, DHEA, DHEA-S, Estradiol (E2), FSH, HCG, IGF-1, LH, Prolactin, PSA, Semen Analysis and SHBG. Not all are appropriate at this point. There = are explanations of the tests and interpretation of results at: http://www.hopkins-menshealth.org/labs_article.php3 Here's my GUESS at what he'll do next (or soon): order an MRI of your hypothalamus and pituitary. The former sends FRH to the latter, telling it = to make FSH. That ain't happening. He should rule out a tumor in one of those.= This MRI is pretty much standard practice for endos. No cause for alarm. If= there is one, it's probably benign and treatable. Best, Bruce > A brief history: > > Vasecotomy with left testicle infection > 6 months later ED sets in > Since that time yearly T levels have been around 500 ng/dl (241-827) > In June T was 308 and Free T was 46.9 (47-244), FSH was 0.3 mIU/ML > (0.9-15.0), LH was 3.3 (1.3-12.9) > > Went to endo yesterday. He says testicles are fine or FSH would be > high so T issue must stem from message sent from brain (i.e., > pituitary gland). He wants to draw T again to see if reading was > anamolous and if it comes back in 300 range will call for MRI of > pituitary. > > That was about it - he did say T replacement is needed if it is > still low. Nothing about Clomid, etc. but we haven't gotten very > far yet. > > Any comments from you more experienced sorts? Does he sound like he > is following appropriate protocol? > > Thanks, > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 14, 2006 Report Share Posted December 14, 2006 You need a better Dr. but I can give you links is she an Endo if so don't waste your time find a better Dr. in the files section that is a file " Finding a Male Hormone Dr. " here are some links. After all I was on TRT for 22 yrs. my testis were the size of small grapes and they came back on HCG. Go to this link and print out Dr. 's HCG update. http://www.allthingsmale.com/Publications.html And then show her this link. http://jcem.endojournals.org/cgi/content/abstract/90/5/2595 Show her his on Arimidex for high E2. http://www.medibolics.com/ArimidexBoostsTestosterone.htm And this. http://jcem.endojournals.org/cgi/content/full/89/3/1174 http://www.smart-drugs.com/ias-estrogen.htm Phil Hugh <hcarr2002@...> wrote: Phil, Had my first visit with an endo today, she said having been on Androgel for 5 years, I was more than likely sterile as a result. She doesn't want me on HCG unless I was looking for fertility help, and said that she doubted she could " bring them back " from the atrophy state they are in as a result of being on TRT for 5 years. I brought up E2, Arimidex, Clomid, etc., but she shrugged them off for now. Said I just need to live with " small ones " unless it was an extreme barrier for me. I go for blood tests tomorrow to give her a baseline on where I stand. Got any suggestions on discussions with her on my second visit? Hugh --------------------------------- Have a burning question? Go to Answers and get answers from real people who know. Quote Link to comment Share on other sites More sharing options...
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