MRI and LH/FSH Relation

I have consistently been getting mid-range LH and FSH despite suboptimal testosterone levels for years now (ranging from 7.9 to an all time high of 14.6). Does it mean I can rule out pituitary and hypothalamus issues as a cause of hypogonadism?

I am thinking of starting TRT (got prescribed testogel) but I’d like to explore all avenues before I resort to that option (I am 26).

I take Clomid won’t do much to restart my system with optimial LH and FSH?

You can’t look at LH/FSH lab values like they stay there all day long and for weeks at a time. If you went back the same day you’d get a different value every time. All it tells you is that, yes your pituitary and hypothalamus are functioning within a specified range.

I see. I just thought that because I’ve been testing consistently mid range fo r a number of years this sort of means stage clear.

[quote]C27 H40 O3 wrote:
You can’t look at LH/FSH lab values like they stay there all day long and for weeks at a time. If you went back the same day you’d get a different value every time. All it tells you is that, yes your pituitary and hypothalamus are functioning within a specified range. [/quote]

While I am sure there is some truth to this.
My LH numbers are always very close to 2 and when taking clomid , they run up to 12-14 and stay there bloods after bloods…

[quote]Macmathews wrote:

[quote]C27 H40 O3 wrote:
You can’t look at LH/FSH lab values like they stay there all day long and for weeks at a time. If you went back the same day you’d get a different value every time. All it tells you is that, yes your pituitary and hypothalamus are functioning within a specified range. [/quote]

While I am sure there is some truth to this.
My LH numbers are always very close to 2 and when taking clomid , they run up to 12-14 and stay there bloods after bloods…
[/quote]

A normally functioning system is different than one that is dysfunctional or under treatment. His case is pre-treatments.

LH changes a lot and is not very useful. FSH results are a better indicator of LH status that LH itself as FSH has a longer half life.

With a SERM, LH and FSH might change less than without a SERM.

If LH/FSH is midrange or high, you have primary hypogonadism, and T is low - a problem with your testes and your hypothalamus and pituitary are working fine; thus the idea of a restart is totally based on a lack of understanding. There is no role for clomid.

Do your testes ever ache? Had them examined?