Guest guest Posted July 16, 2006 Report Share Posted July 16, 2006 Thanks to everyone who's taken time to answer my query. Dan, Phil, and manraj2005 Appreciate it >Looking at your results it looks like you could be secondary >hypogonadal as your FSh is low. >I would ask the doctor to find out if you are primary or secondary >hypo by >doing a stimulation test for example USing HCG injection and then >retesting to see if your levels come up and if they do then your >testes are ok but your pituitary isn't functioning properly. >I would find out if primary or secondary before starting any >treatment. My doctor didn't and now I am having a hell of a time to >get everything checked out but found a good doctor on the right path >finally after 5 years. >You want to find a doctor who specializes in sex hormone problems >and preferably treats lots of male patients >that are hypogonadal. >Hope this makes your journey easier ! >In ><mailto: %40> , >Bassam Bussal <bbussal@...> wrote: > > > > Hello everyone, > > > > I just had my tests result in (shown below with reference ranges), > > and I would like some pointers to discuss with the doctor I'm >going to see. > > > > I can see that I have borderline total testosterone, but what >makes > > it worse is that I have much lower free T, as a general rule it > > should be around 2% of the total, in my case it's less than 0.5%, >I'm > > only 30, added to that upper margin Estradiol and very low FSH. > > > > Anyone could help, I'm already suffering very low libido, muscle > > loss, obesity, low energy, and depression. > > > > FSH 1.3 mIU/mL (5-15) > > LH 4.2 mIU/mL (1-9) > > Prolcatin 5.3 ng/mL (<15) > > Estradiol 45 pg/mL (10-50) > > T (total) 3.3 ng/mL (3-10) > > T (free) 15 pg/mL (50-210) > > > > > > Regards, > > Bassam > > Regards, Bassam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 15, 2006 Report Share Posted September 15, 2006 I am 41 years old male and started having problem with libido and erection about two years ago after quiting Paxil. I took Paxil for about 3 months for premature ejaculation, 1st month 10mg/day and then 5mg/day for another two months. I waited for side effect to go away, but had extreme hangover and my sex drive went to zero. I stopped taking Paxil, but my hangover and other side effect did not go away. That was two years ago. Since then, I have seen many Drs and all sort of test, everything seems to be normal, except the percentage of free testosterone. My Total T is about 600ng/dL and free T is about 1.2ng/dL. The percentage is about 0.2%, the normal range is from 0.33% to 0.48%. Many Drs felt my Testosterone were normal and did not put me on TRT. No one could explain the role of Paxil. I was put on Antidepressant, Wellbutrin, for about 6 months thinking this might be some sort of depression or I needed a boost. Did not help with my ED. Came off Wellbutrin, and after few months seeing a new Dr, he put me on Clomid. It boosted my Total T to 980 and my free T to 2.3. I felt normal again and did not have to use any medication for ED and my sex drive went back to normal. After about two months, I felt loss of libido and problem with ED returned. I felt fatigue and tired, and other sympthom of low T. The blood test showed my Total T had gone up to 1120ng/dL, but my free T is back to 1.4. (percentage T less than 0.13% !!!). Somehow my body is downregulating the amount of my free T. Currently due to Clomid, my LH is high, 13.2. My SHBG is in normal range. Please advise. Why my free T is falling. What other test I could do? -- Steve Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 It can be that the Clomid is doing this you need to be off it to get a good reading on E2 and this effects Free T. Phil stevejohn_1965 <stevejohn1965@...> wrote: I have question and I need advise on Low Testosterone. Although my Total Testosterone is high, close to 900ng/dL, my free testosterone is about 1ng/dL. I understand 1ng/dL is within the normal range and perhaps on the low side. What is out of normal is I have difficulty maintaining an erection and I suffer from being tired most of the time. Libido is on the low side. Also percentage of Free Testosterone is way too low. Mine is about 0.1% while the range is within 0.3~0.48%. I am curretly on Clomid to boost the testosterone. During the 1st month the both total and free testosterone went up, but the then free T started to fall back with in 1ng/dL range. The blood work was done many times, the SHBG is on the low, but normal range. So, if my total T is high, then what happened to my free T? They are not bonded to SHBG, since the SHBG is on the low side. Drs, keep telling me they can not explain why the percentage is low, but the and T and free T are within normal range and they are surprised at my problem with Erection and Libido. Can someone explain how the free T could be so low, while the total is so high? Steve --------------------------------- We have the perfect Group for you. Check out the handy changes to . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Welcome back, Phil. Its been pretty quiet around here wihout you. Rich > I have question and I need advise on Low Testosterone. > > Although my Total Testosterone is high, close to 900ng/dL, my free > testosterone is about 1ng/dL. I understand 1ng/dL is within the > normal range and perhaps on the low side. What is out of normal is I > have difficulty maintaining an erection and I suffer from being tired > most of the time. Libido is on the low side. Also percentage of Free > Testosterone is way too low. Mine is about 0.1% while the range is > within 0.3~0.48%. > > I am curretly on Clomid to boost the testosterone. During the 1st > month the both total and free testosterone went up, but the then free > T started to fall back with in 1ng/dL range. > > The blood work was done many times, the SHBG is on the low, but > normal range. > > So, if my total T is high, then what happened to my free T? They are > not bonded to SHBG, since the SHBG is on the low side. > > Drs, keep telling me they can not explain why the percentage is low, > but the and T and free T are within normal range and they are > surprised at my problem with Erection and Libido. > > Can someone explain how the free T could be so low, while the total > is so high? > > Steve > > > > > > > --------------------------------- > We have the perfect Group for you. Check out the handy changes to . > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 I was curious what your Clomid regimine is?? 50 mgs. 3x week?? I also think you need to check E2 and prolactin, as all looks good, but obviously something is going on in conversion. Have you ruled out other issues of ED and low libido - glucose level, thyroid, stress, cortisol, etc?? Best, Bill > > I have question and I need advise on Low Testosterone. > > Although my Total Testosterone is high, close to 900ng/dL, my free > testosterone is about 1ng/dL. I understand 1ng/dL is within the > normal range and perhaps on the low side. What is out of normal is I > have difficulty maintaining an erection and I suffer from being tired > most of the time. Libido is on the low side. Also percentage of Free > Testosterone is way too low. Mine is about 0.1% while the range is > within 0.3~0.48%. > > I am curretly on Clomid to boost the testosterone. During the 1st > month the both total and free testosterone went up, but the then free > T started to fall back with in 1ng/dL range. > > The blood work was done many times, the SHBG is on the low, but > normal range. > > So, if my total T is high, then what happened to my free T? They are > not bonded to SHBG, since the SHBG is on the low side. > > Drs, keep telling me they can not explain why the percentage is low, > but the and T and free T are within normal range and they are > surprised at my problem with Erection and Libido. > > Can someone explain how the free T could be so low, while the total > is so high? > > Steve > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Phil - Welcome back. Why do you need to get off Clomid to get a good E2 read?? I can understand for a baseline read, but I am now confused... Thanks, Bill > I have question and I need advise on Low Testosterone. > > Although my Total Testosterone is high, close to 900ng/dL, my free > testosterone is about 1ng/dL. I understand 1ng/dL is within the > normal range and perhaps on the low side. What is out of normal is I > have difficulty maintaining an erection and I suffer from being tired > most of the time. Libido is on the low side. Also percentage of Free > Testosterone is way too low. Mine is about 0.1% while the range is > within 0.3~0.48%. > > I am curretly on Clomid to boost the testosterone. During the 1st > month the both total and free testosterone went up, but the then free > T started to fall back with in 1ng/dL range. > > The blood work was done many times, the SHBG is on the low, but > normal range. > > So, if my total T is high, then what happened to my free T? They are > not bonded to SHBG, since the SHBG is on the low side. > > Drs, keep telling me they can not explain why the percentage is low, > but the and T and free T are within normal range and they are > surprised at my problem with Erection and Libido. > > Can someone explain how the free T could be so low, while the total > is so high? > > Steve > > > > > > > --------------------------------- > We have the perfect Group for you. Check out the handy changes to . > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2006 Report Share Posted November 7, 2006 Here is a cut and paste of a post on this subject by Dr. nco here is the link to the thread. http://forum.mesomorphosis.com/mens-health-forum/how-after-many-days-134247017.h\ tml Everyone would do better to usderstand this stuff if they went and read all of Dr. nco's posts. To read all of his posts just click on his nick and click on all his posts then they all will come up. Phil Re: how after many days who can check free and total testosterone --------------------------------- Quote: Originally Posted by DAVID When you take a new HRT like androgel, how after many days who can check free and total testosterone with estradiol ? Changes in total testosterone and estradiol are fairly rapid. They can be checked in a week to two weeks if one uses a gel. They can be checked in days after an injection - the number of days after an injection depends on the purpose of the test (e.g. checking for peak or trough values, etc.). However, changes in free testosterone depends on changes in the activity or production of multiple hormones - thyroid, estrogens, progesterone, testosterone, growth hormone, DHEA, insulin, etc. Changes in these hormones may take months. Free testosterone would thus be a moving target. If testing for free testosterone, the earliest would be about a month out from starting. But in reality, it may be best to check it three months to 6 months later, once the effects of testosterone replacement are more stable. For example, if one has significant abdominal fat resulting in insulin resistance (and high insulin levels), then it will take a while for the abdominal fat to disappear with testosterone replacement. It may be prudent then to check free testosterone after 3-6 months. Nonetheless, the cost of total testosterone alone is about the same as a free and total testosterone panel (which includes SHBG and albumin). Thus, free testosterone can come along as an almost freebie. __________________ Any statement I make on this site is for educational purposes only and will change as medical knowledge progresses. It does not constitute medical advice, does not substitute for proper medical evaluation from physician, does not create a doctor/patient relationship or liability. If you would like medical advice, please make an appointment. Thank you. j89 <john8888889@...> wrote: Phil, thanks for all your help, much appreciate it. I was also wondering if Free Androgen Index is the same as Bioavailable Testosterone? > > > I have question and I need advise on Low Testosterone. > > > > > > Although my Total Testosterone is high, close to 900ng/dL, my free > > > testosterone is about 1ng/dL. I understand 1ng/dL is within the > > > normal range and perhaps on the low side. What is out of normal is > > I > > > have difficulty maintaining an erection and I suffer from being > > tired > > > most of the time. Libido is on the low side. Also percentage of > > Free > > > Testosterone is way too low. Mine is about 0.1% while the range is > > > within 0.3~0.48%. > > > > > > I am curretly on Clomid to boost the testosterone. During the 1st > > > month the both total and free testosterone went up, but the then > > free > > > T started to fall back with in 1ng/dL range. > > > > > > The blood work was done many times, the SHBG is on the low, but > > > normal range. > > > > > > So, if my total T is high, then what happened to my free T? They > > are > > > not bonded to SHBG, since the SHBG is on the low side. > > > > > > Drs, keep telling me they can not explain why the percentage is > > low, > > > but the and T and free T are within normal range and they are > > > surprised at my problem with Erection and Libido. > > > > > > Can someone explain how the free T could be so low, while the > > total > > > is so high? > > > > > > Steve > > > > > > > > > > > > > > > > > > > > > --------------------------------- > > > We have the perfect Group for you. Check out the handy changes to > > . > > > > > > Quote Link to comment Share on other sites More sharing options...
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