Guest guest Posted May 7, 2003 Report Share Posted May 7, 2003 Well you didn't indicate the reference ranges. But both the t and lh somewhat low. Secondary is one possibility, yes. > > > I saw an Endo at my HMO today. They ran Testosterone, LH and > > > Prolactin levels. > > > > > > Testosterone was 343 > > > prolactin 6 (3-17) > > > LH 2 (anything less than 11 o.k.??) > > > > > > We had a long talk about whether T replacement would help me > feel > > > better. Basically he admitted no consensus on when to treat > exists. > > > That he has no idea if my level of 343 is a contributing factor > in > > > my ongoing battle against fatigue/depression. (I'm sure he > doubts > > > it, most doctors do) > > > > > > He talked about Testosterone prescriptions being more tightly > > > scrutinized and T now being a controlled substance. Given these > > > facts he did not agree for a trial of T, yet, but will follow up > > > with some " local " experts and make a decision. It's possible he > > > could decide to do it in the next month. I see my head doc in > a > > > couple weeks, I'll prod him for a trial also. > > > > > > I believe he is sincere, but is sort of bound by the guidelines > set > > > forth by our HMO..blah blah blah. > > > > > > So, I'm in the grey area. My Testosterone is low enough that it > > > might be causing me mood and fatigue problems, however it's not > low > > > enough they will agree to treat:) > > > > > > Any ideas what to do now? I hate to say it, but this is one > test > > > I'd like to FAIL so I could get a trial of T. The doc, did > snicker > > > that there are ways you can lower your Testosterone, but > wouldn't > > > elaborate on it. > > > > > > He put in an order for another T test, in about a month or so. > > > > > > Take Care, > > > > > > Jerry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2003 Report Share Posted May 7, 2003 My report listed the range as <11 being good. So much for HMOs. > > > > I saw an Endo at my HMO today. They ran Testosterone, LH and > > > > Prolactin levels. > > > > > > > > Testosterone was 343 > > > > prolactin 6 (3-17) > > > > LH 2 (anything less than 11 o.k.??) > > > > > > > > We had a long talk about whether T replacement would help me > > feel > > > > better. Basically he admitted no consensus on when to treat > > exists. > > > > That he has no idea if my level of 343 is a contributing factor > > in > > > > my ongoing battle against fatigue/depression. (I'm sure he > > doubts > > > > it, most doctors do) > > > > > > > > He talked about Testosterone prescriptions being more tightly > > > > scrutinized and T now being a controlled substance. Given these > > > > facts he did not agree for a trial of T, yet, but will follow up > > > > with some " local " experts and make a decision. It's possible he > > > > could decide to do it in the next month. I see my head doc in > > a > > > > couple weeks, I'll prod him for a trial also. > > > > > > > > I believe he is sincere, but is sort of bound by the guidelines > > set > > > > forth by our HMO..blah blah blah. > > > > > > > > So, I'm in the grey area. My Testosterone is low enough that it > > > > might be causing me mood and fatigue problems, however it's not > > low > > > > enough they will agree to treat:) > > > > > > > > Any ideas what to do now? I hate to say it, but this is one > > test > > > > I'd like to FAIL so I could get a trial of T. The doc, did > > snicker > > > > that there are ways you can lower your Testosterone, but > > wouldn't > > > > elaborate on it. > > > > > > > > He put in an order for another T test, in about a month or so. > > > > > > > > Take Care, > > > > > > > > Jerry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2003 Report Share Posted May 7, 2003 That's appropriate for a reference range. There is a difference between a reference range and an interpretation/medical opinion. If one agrees that your t level is too low (and this seems to be the open question) then 10 or 11 would be " bad " because, in the context of low total t, it would suggest primary. > > > > > I saw an Endo at my HMO today. They ran Testosterone, LH > and > > > > > Prolactin levels. > > > > > > > > > > Testosterone was 343 > > > > > prolactin 6 (3-17) > > > > > LH 2 (anything less than 11 o.k.??) > > > > > > > > > > We had a long talk about whether T replacement would help me > > > feel > > > > > better. Basically he admitted no consensus on when to treat > > > exists. > > > > > That he has no idea if my level of 343 is a contributing > factor > > > in > > > > > my ongoing battle against fatigue/depression. (I'm sure he > > > doubts > > > > > it, most doctors do) > > > > > > > > > > He talked about Testosterone prescriptions being more > tightly > > > > > scrutinized and T now being a controlled substance. Given > these > > > > > facts he did not agree for a trial of T, yet, but will > follow up > > > > > with some " local " experts and make a decision. It's > possible he > > > > > could decide to do it in the next month. I see my head doc > in > > > a > > > > > couple weeks, I'll prod him for a trial also. > > > > > > > > > > I believe he is sincere, but is sort of bound by the > guidelines > > > set > > > > > forth by our HMO..blah blah blah. > > > > > > > > > > So, I'm in the grey area. My Testosterone is low enough > that it > > > > > might be causing me mood and fatigue problems, however it's > not > > > low > > > > > enough they will agree to treat:) > > > > > > > > > > Any ideas what to do now? I hate to say it, but this is one > > > test > > > > > I'd like to FAIL so I could get a trial of T. The doc, did > > > snicker > > > > > that there are ways you can lower your Testosterone, but > > > wouldn't > > > > > elaborate on it. > > > > > > > > > > He put in an order for another T test, in about a month or > so. > > > > > > > > > > Take Care, > > > > > > > > > > Jerry Quote Link to comment Share on other sites More sharing options...
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