Some of you may have read, I recently posted a new topic refering to my blood work and wondering what to expect from visiting an endocrinologist…
I am still waiting for my endo appointment which is on September 16th. I have been doing some research on what might be going on with me bc although I am very educated on aas, trt, and.how the body works in general, I can not figure out for the life of me why I show blood work of primary hypogonadism when it does not run in my family I clearly do not have any diseases that would cause it and have never had any type of operation / surgery / illnesses or radiation that would bring on primary hypogonadism.
Im 26 years old. 15% body fat give or take. 200lbs. always have been very athletic since tball and midget football. I have ran a handful of cycles all with proper pct/hcg and haven’t been on a real cycle in years. (I did do a very light 4 week cycle like 16 months ago, jumped off because it wasn’t a good time for me for person reasons).
When i turned 25 i started to feel (and notice) low T symptoms(I won’t go into detail as what those symptoms are. if you are reading this post and planning on replying I assume that you know what the symptoms are and are educated on the subject). Ive done enough gear and know my body enough to know when my T levels are low and when it’s high, or normal for that matter. I got blood work done a couple times this year because something felt off, since I have turned 25 that is. I am going to post my blood work from a couple weeks ago. The only difference since last February is my TT was at a 450 then. Everything else stayed constant. I have no thyroid issue, I do not smoke, I drink socially, i do not use drugs except adderall which i have been prescribed since my teens, and I workout 3 times a week because it’s summer and I am enjoying my pool but otherwise year round I’m 6 days a week and I work construction so I’m constantly on my feet and busting ass all day everyday.
Total test- 329 (250-1100)
Free Test- 79.5 (46-224)
SHGB-13 (10-50)
Albumin-4.6 (3.6-5.1)
Test Bio- 167 (110-575)
LH-10.6 (1.5-9.3)
FSH-13.1 (1.6-8.0)
Estradiol-<15 (< or = 39)
As you can see everything is on the low side for my age.
I want to father children. We have been trying for a couple months with no success (I know, that is not a long time) and she was previously on birth control for over 10 years. I do not show any physical signs of any type of genetically passed down DISEASES that cause primary hypogonadism but my bloodwork reflects it. I do have/feel low T symptoms though as stated above. Also I took a home sperm test. It did NOT show motility or quality, but DID show that I have ABOVE normal sperm count for fertility. I am wondering if anyone can relate to what I have going on or can help me understand what is possibly going on. Again I know signs point to primary hypo. but I don’t understand why I would have that. I show no signs to any other diseases relating to, never had radiation, etc. Thanks for the help
It is very simple. You have low testosterone and hypogonadism.
Your visit to the endocrinologist is totally pointless because he will say your levels are normal. But they are not.
Provided you want to have children, starting TRT now is not advisable. First get the child done. TRT decreases or shuts off fertility.
What you can do in your case is look in HCG monotherapy or clomid, which have a lot of more side effects than TRT, usually do not fix low t symptoms BUT INCREASE fertility.
And if your sperm is ok and you have hard time conception most probably the problem is in your partner. IT IS NOT IN THE LOW TESTOSTERONE. Low testosterone messes you up for many other things, but not that.
First look into what is the problem with the conception, get the job done and then start TRT.
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hcg mimics LH. I have too much LH already. Clomid will increase FSH by fooling the pituitary into thinking there is not enough estrogen in the body, therefore it will pump out more LH and FSH…mine are already TOO high hcg and clomid will not work as I do NOT have a LH or FSH deficiency. rather the opposite. Thanks for the reply but that is not something that will work. Saying an endo will not put me on Trt is not true that is all based on the doctor and their education on hormones. I am in normal ranges, but for who an 80year old with Diabetes? surely not a 26 year old athlete. anyone who knows hormones at all will know this so I will switch endos if they are not educated enough on the human body. Also TRT does not immediately make you infertile. there are MANY scientific studies showing fertility plans that work by using clomid and hcg once there is a LH and FSH shutdown due to exogenous testosterone. I do not mean to be rude but clearly you have an idea on how these compounds and hormones work but not a good enough understanding to give anyone advice. Imagine if I didn’t know at all what I was talking about and took more clomid or hcg and fried my puitary and did further damage because I took your advice ? with all due respect and not to be rude but you need to become more informed before you give people advice that would completely change their lives or even ruin their body if something went wrong
again I am not being an asshole just honest. Everything I just replied to you is 100% based off science not bro science. it’s all in the medical literature. I hope that does not offend you. it’s just true.
Furthermore you must not fully understand my question. my question lies as follows…i am wondering how it is possible that I have a normal sperm count with such a high FSH level. my LH is high yes that means low testosterone but having a high FSH PLUS LH show bloodwork reflecting that of primary hypogonadism. my testosterone levels are expected due to high lh, however having an FSH level so high in theory should indicate that my balls are not producing sperm however they are, and that is where my question lies. I understand that testosterone does not have a DIRECT link with sperm, it does have a link to it though but im not going to get into the science you can research that yourself, but FSH however does have a DIRECT LINK to sperm. To start off this question by saying it’s very simple is a very ignorant thing to say because this is a very complicated and complex question which you obviously misunderstood so I will give that the benefit of the doubt, but please do not make the mistake of thinking that you know everything and accidentally giving somebody bad advice. The reason why I flagged what you wrote is because I am worried that if somebody else is going through what I am and listens to you and then takes the drugs that you suggested and does not make a doctor’s appointment because you suggested that is a waste of time they can seriously hurt them self. this is not something that anybody should just take advice on from anybody online. Everything should be done through doctors and medical professionals. I posted on here asking a question if anybody else maybe could understand this or comment on their own experience with the same bloodwork levels that I have. that does not mean that I’m not going to a doctor.
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doliver, guys with extremely low sperm counts, and with low to high normal testosterone levels have fathered children. Likewise, guys with low normal range testosterone can have very good sperm counts. Some with low testosterone do not have symptoms.
I think you should follow up on that home test with a lab test. The home test is reported to be accurate when it come to sperm count, I do not know about morphology or motility.
If the above is fine, then I think TRT with hCG would be an option for you.
Good luck.
i agree on the lab test what you said is corrext about the quantity but not quality so I plan on following through with that asap. thank for for your response it was very reassuring.
Sorry, I wrote this in a bad manner.
I know you are primary and you will not benefit from HCG or clomid WITHOUT testosterone.
However, in conjunction with testosterone they can keep your fertile because testosterone alone will zero your LH and FSH. Im not sure that clomid will not raise your fertility even now, even that it will not raise your testosterone.
The other main point I wanted to make is that the lousy testosterone levels you have do NOT make you infertile. Again I suggest first get the job done with the child, find what is the problem there.
Then optimize hormones for the sake of your health, well being and ability to take care for your loved ones.
I agree with everything that you just said. I am sorry for questioning your knowledge earlier, what you said just didn’t make too much sense to me so I am glad that I clarified that with you. I will continue to post my results and keep everybody informed on what happens with me so that way if somebody is going through what I am going through right now they have some sort of clarity for themself as far as fertility and trt goes maybe I can help answer some of these questions in the future. I couldn’t find much about this on the forum or any form or online in studies for that matter so hopefully this will clarify things for other people
Why don’t you run detailed semen analysis, because motility is important as well.
Has your partner been also examined and her fertility evaluated?
You know making a conception can be very difficult sometimes and too easy other times when you don’t want it.
I suggest you postpone the TRT for now until this is solved. You can always start it, it will not run away 
I’m not going to jump into starting anything yet I do want to talk to the endocrinologist about going forward but I agree unless they tell me that I should start it or that I can start now and with HCG remain fertile then I’ll make my decision based on what the doctors think but my plan is to wait until after she’s pregnant. I would imagine that my endocrinologist is going to send me to get a semen analysis immediately because although I want to get on trt as soon as possible for obvious reasons, getting her pregnant is my biggest concern. As far as her, she has not ran any blood work but she is ovulating normally and has normal periods she just had a GYN appointment and everything went well but she was on birth control for over 10 years until she came off not too long ago so her doctor said it could take a year for her to get back on her regular hormone levels but her body seems to be making a full recovery since coming off of birth control. If she still isn’t pregnant in a few months depending on how my semen analysis and doctor appointments go she will probably go get checked out but I’m pretty confident that she’s fine if there’s any issue I would have to imagine that it’s me or just her birth control lingering
I can bet there is an issue with her.
10 years on birth control - that’s crazy. Birth control pills destroy a woman’s endocrinology system. The fact the she has normal ovulations and periods does not mean she is fertile.
Women’s fertility is very sensitive. For example if her FSH differs significantly from her LH value she will have hard time getting pregnant.
I think she needs to observe a good hormonal specialist and the mainstream endocrinologists cannot be counted on for that. Only a really knowledgeable specialist from a private anti-aging clinic can do the delicate work of evaluating and putting a women’s hormones back into norm.
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It’s shown that women who use birth control long term will hit menopause earlier, think about, you’re taking a drug that damages endocrine function.
This is insane to me.
i yeah I suppose so but think about it she’s hardly 27, she has been on birth control since 17. I know a lot of women and I mean a lot my age that have been on birth control since high school and still are and I know several of them that got off birth control recently and got pregnant right away. it’s so much more common then people think I’m like 99.9% sure she’s totally fertile
The reason why women have more autoimmune diseases is those who do not have children, the purpose of women is to have kids, when a women gets pregnant her immune function strengthens and she is fulfilling her true purpose and is rewarded for it with good health.
The healthiest women on earth have more than 3 children, the most fertile people are generally the healthiest people.
So reducing fertility is stupid.
I know some women get healed from a pituitary adenoma after getting pregnant
thank you both for your input, points taken. As I said I’m pretty sure there is nothing wrong with her, at least I have no reason to believe so as her appointments have been going well and her cycles have been normal she does not drink or do drugs, however without a blood test who knows her fsh levels. but what I DO know is that my levels are all out of wack and have been for quite some time apparently that’s why I’m so fixated on it being my issue rather than hers.
I just wanted to let everyone know that this morning we found out my wife is pregnant. I still plan on going to the doctor and will post as necessary to inform everyone about my into to trt journey and hopefully give info to someone else who is going through the similar.