Those labs were done in what protocol?
Those are labs after being on 200 mg test cyp IM once a week for four weeks and then going without the shot for two weeks in order to get more than just total T checked. Systemlord was correct and my LH and FSH were suppressed already and had not yet recovered as it seems. That is to say they werenāt already low to begin with. I guess I wonāt know until I see if clomid can raise them.
You can def try clomid. It should raise your LH and fsh. If testes working you will make testosterone. You should become very fertile. When a couple can get pregnant they sometimes give clomid to the man.
Then after 6-8 weeks check LH fsh
Total and free t. Estradiol.
Then you can decide what to do from there and see how you feel. Being you want to have a baby soon you may have to sacrifice and feel Just ok while on clomid. You need to see.
BTW if you do another injection you are just prolonging the clomid waking up your hpta. Clomid should start working pretty quick.
Initially you can do 25 mg ed for a week. Then eod. Some even long term go e3d
The urologist finally called me back today and told me that they would like to do an MRI of the pituitary because of the fact that my T, E, FSH, and LH were all suppressed even though my prolactin was normal. They want me to take a repeat T and prolactin blood draw and then do the MRI. I asked if the low levels would be because I was on injections for 4 weeks and that shut down LH and FSH production, and they said that they shouldnāt have all been as low as they were. Is this true? Or am I correct in assuming that those should all have been suppressed after T injections even though there was a 2 week break from the injections at the time of my last blood draw?
1 Like
yes they are low because your on Trt it starts about week 3 for most. Docs an idiot if he doesnāt relieze that. What weāre the values pre trt? Mind boggling man.
You did trt for 4 weeks? What dose. And then stopped for 2 weeks? Sure LH and FSH will be low Iād you just stopped Trt after 4 weeks. Iād wait a month or two months to see where they end up naturally after stopping trt for 4 weeks.
I saw another guy who took bloods 4 weeks after starting trt and his LH:FSH were near zero. So thatās why I am saying this.
My GP put me on injections just based on Total T. I had no idea at the time that would lead all of this. I just took him at his word and now I am having to wait to see if FSH and LH levels will even slightly start to come up on their own or find a pituitary issue before they will let me even try clomid or Nolva. If they will even prescribe it to me at all. I feel like I have been let down by people who should know better. I am suffering and they are dragging this out to the point to where I am starting to feel like I am losing my mind.
My advice is get your diagnosis and then seek private care from a true specialists or your suffering will continue. The guidelines suggest 200mg every 2-3 weeks which is likely what your inexperienced doctors will prescribe, only clinical studies show these protocols are horrible for the patient.
Take charge of your own health and use docs as a tool to achieve better health. Do not walk into there office hoping they can fix you because all the do today is treat symptoms and prod you until they think they found the answer.
Get your blood test and learn how to decipher the good and bad. Use the forums to ask questions as you have been; but spend more time educating yourself: many of the questions you have asked can be answered by reading a few articles and posts here and there .
Strange I also really crashed a couple of years ago after losing 30lbs in 3 months. Thatās when I started to feel āoffā a lot.
For what itās worth I was diagnosed with Secondary due to a pituitary adenoma. TT was 280, LH and FSH were 3.
I quit TRT back in December, and quit Clomid two months ago(only did a little bit but quit due to side effects). My TT was 460, LH of 9 and FSH of 4.4. So unless the little bit of Clomid I took was still working 2 months later, I may actually be above baseline. Planning to retest soon.
1 Like
@stepbystep I hope your results come back favorably. It would be nice to be at normal levels on your own. I will be interested to hear back from you when you do get the results.
With regards to the adenoma. What lead to getting an MRI for this diagnosis? Did you have an elevated prolactin? Another indication? Or just got an MRI just to make sure?
In your case, was the weight loss intentional? Diet and excersice? Or likely from the hormonal imbalance? That is about how much weight I lost, but i did it over 5-6 months.
You definitely need an MRI. It is standard practice to have an MRI for secondary
Hypogonadism regardless of prolactin levels. Pituitary tumors can cause a wide spectrum of problems, or none at all.
The weight loss was intentional, and I lost it through diet only. Iāve always been able to lose weight easily, even with low T.
1 Like
Also, sorry to say but your most recent labs are absolutely useless. You had way too much test in your system still, youāre clearly still suppressed. Iād give it another 2-3 weeks minimum IMO.
Thatās what I tried to explain before they ordered the first set of tests but the NP was so confident she knew that it had been enough time. She ate her words when the results cam back but only my wallet and wasted time was hurt by it.
They wanted to do an MRI but changed their mind after prolactin came back normal. I asked if they could cause other problems and not just prolactin and the Dr.,Who is now in charge of my case, said itās usually just prolactin. Now I am stuck waiting to retest and see if my numbers come up any. Wonāt prescribe clomid until we get results. Again, my primary care doctor really screwed me over. The worst part is having to deal with feeling awful for weeks/months before action is taken.
At first, I was convinced my weight loss had caused the hypogonadism, but the more I study up on it, I see that more than just T would have been affected if malnutrition was the cause. I didnāt think I went that far with the weight loss but itās hard not to try to pinpoint a cause.
I would try to push for an MRI. I hate to say it but your T levels are some of the lowest Iāve seen in these boards. There are different types of tumors. Some secret hormones, some donāt.
If anything the prolonged caloric deficient caused our already low T to drop even lower. It didnāt make sense that I felt awful after losing weight and cleaning up my diet.
Iām sorry that youāre having a hard time dealing with all of the nonsense. Itās an all to familiar story. Doctors for the most part know very little about endocrinology, and what they do know is often outdated. I wouldnāt touch Clomid yet, you really want a good set of baseline labs IMO.