Clear Hypogonadism if you go off of total/serum testosterone as Legenden has said as long as these are morning tests.
Your total testosterone level if converted to European and US reference ranges equates to 9.85nmol/l or 284ng/dl.
This would be recognized as subnormal and hypogonadal in the UK and the US and appears also to be recognized as such by your laboratories reference range.
All the above said total/serum testosterone alone is not the best indicator of androgen status and the likelihood of hypogonadism. Yes you certainly look as though you have hypogonadism, but to evaluate your androgen status more fully and get an idea of the severity of such problems……
You should take the hypogonadal checklist on the main forum and see how you do on that. The severity of hypogonadism is usually very well reflected in your symptomatic score via that subjective test.
A further a better analysis of your androgen status to gauge the severity of problems would also be to have your free testosterone tested.
If you cannot obtain a free testosterone test in your country or at least it is very difficult then you can obtain a guestimate of your free testosterone by having an SHBG test.
If you give me your SHBG test I will calculate your free testosterone and this is something you can pass on to your endocrinologist and is something that he will acknowledge.
SHBG should be tested for anyway because it is also a factor relating to estrogen status and the extent to which estradiol maybe causing problems and potentially lowering both total and free testosterone.
I say that because your estradiol level is also too high, even without considering SHBG because it is in the upper third of the male reference range and this is a level which is more common in older men and a level that can cause problems by acting against the actions of testosterone in the male.
Finally finasteride’s principle mechanism of action is to block/lower the potent androgen dihydrotestosterone (DHT), for this reason and because low DHT independently causes problems, you need this tested as well.
So to sum up then;
A)
Take the hypogonadal checklist and see how you do and post your result in this thread.
B)
Have a free testosterone, SHBG and DHT test- post the results in this thread.
C)
You appear hypogonadal based on total testosterone at this moment.
D)
Whether this is a permanent situation or not depends on the time since you have last taken endocrine altering meds like finasteride and is something that needs to be considered further with a medical professional.
E)
It is better to have your situation investigated fully before any medication is considered or prescribed.
Consider the views of others not just myself.
If you wish to pass on anything I posts to you; you are welcome to show it to any endocrinologist or doctor because I am confident in its validity.
P.S
I wont comment on the results outside of those relating to sex hormones as I understand them less well and will leave that for others.
I hope that helps a bit. It is pretty much just adding to what has already been covered.
