I just turned 26 years old. Over the last year I’ve been monitoring my testosterone (and all other health) through blood work. Over the last year my testosterone levels have dropped significantly, and my lh and fsh are high they are currently…
329 total testosterone (250-1100)
79 free testosterone (46-224)
13 shgb (10-50)
10.5 lh (1.6-9.3)
13.4 fsh (1-8)
under 13 e2 (25 or less)
thyroid is fine
I have pretty much all the symptoms of low testosterone I’ve ran several Cycles in my life however my primary and I do not think that its secondary hypogonadism induced by anabolic steroids obviously because my LH and FSH are high rather than crashed. I understand that I could have primary hypogonadism. Although my testosterone levels have dropped over the year from 450 to 329 my FSH and LH have remained the same.
I am very educated on the science of trt as well as anabolic steroids and how the entire body works so I’m not looking for a run down on how why or what HRT is, I am just hoping that somebody can fill me in on what they went through with a possible primary hypogonadism endocrinologist appointment. What steps did you guys take as far procedures, medication, fertility plan? As a side note I did take an at home sperm test which revealed that I I do not have a low sperm count. Obviously that test does not check the quality but the quantity was there.
When your endo says you aren’t low enough for trt you can email me (email in bio) and I can put you in touch with a doc that will help you. It’ll run about $150/month but will be life changing. There are many docs out there that can do the same thing so find one. Insurance isn’t likely going to help you.
I don’t see lab ranges, but LH is high indicating you have testicular failure as you are already aware, high FSH as well which is classic primary hypogonadism. Managed healthcare doctors fixate on reference ranges and do not consider age when assessing testosterone since guidelines have no mention of it.
Typically managed healthcare doctors do not prescribe TRT unless you have two consecutive tests <300, if the doctors is a ahole he will tell the classic you’re within normal ranges.
Endocrinologists tend to specialize in thyroid and diabetes and not always sex hormone related to the HPTA so this may be an area of medicine that eludes your endocrinologist, most have never thoroughly read the guidelines because it’s not something they normal do on a day to day basis.
You’re basically paying the doctor lottery in managed healthcare. Even if by some miracle you get TRT, you must now get on the appropriate protocol which can be another hassle, the guidelines are very specific, 200mg every 2-3 weeks and some doctors will not stray from standard of care.
Thank you I appreciate that, but I think I will be all set. I’m not sure if you are familiar with Doctor Thomas O’Connor AKA anabolic doc but his office is only about 20 minutes away from my house if I really wanted to get an appointment with him I’m sure that I could and I have no doubt in my mind that he would say I am eligible for trt if I wanted to go down that road the only problem is that he’s extremely expensive for first-time consultation so I’m trying to avoid that. I have extremely good state of Connecticut Health Care and the insurance will be covering all blood work tests and medication as long as it is prescribed in by a doctor. But thank you I will keep that in mind if I ever need help regarding the situation
I listened to his podcasts (radio show) when I started trt. Good luck
I will keep updating this as I go along no one really has to comment or respond it will really be for educational purposes to help anyone who might go through what I have done. Feel free to ask questions and make comments my next appointment is September 16th and we will see where it goes from there