I need a bit of help understanding the results of my blood work.
Doctors only check if you are out of range but some of the results here I think could help me understand my/our condition.
First of all one thing that the Doctor agreed on is that I have hypothyroidism:
TSH > 6.22 mU/L (above range)
TPO Antibody 146 IU/mL (above range)
Other levels that are out of range but did not alarm the Doctor:
Progesterone (Above range) > 0.7 nmol/L Although it got better I used to be 1.6 at a year mark post finasteride, I am now at 5 years post finasteride.
Chloride (Below range) > 97 nmol/L
Ferritine (Below range) > 49 ug/L
Now onto the meat of this post and the reason why I’m unsure if this qualifies as Hypogonadism:
FSH > 1.9 U/L (very low end)
LH > 4.5 U/L (mid-high end)
Free T4 > 16.4 pmol/L (mid)
Testosterone Total > 23.2 nmol/L (mid-high end)
SHBG > 33.3 nmol/L (a little above mid range)
Testosterone Free > 473 pmol/L (a little above mid range)
Testosterone Bio available > 12.5 nmol/L (High end)
Prolactin 12.8 ug/L (high)
Estradiol 130 pmol/L (high)
I am not taking any test boosters or supplements.
My test seems fine as LH is in good range but what do you think about having really low FSH when your LH is actually at a healthy range?
My sperm looks ok, I tend to masturbate once a week and it is very opaque and tacky.
Of course, I would not believe there is something wrong with my endocrine system (HPTA) if I did not have ongoing symptoms: erectile dysfunction (difficult to maintain an erection), low libido (yes even with mid-high testosterone), numb penis, fatigue, and the classic neurological symptoms.
Can the high Prolactin & Estradiol has a feedback loop on the FSH production? and be the cause of sexual problems?
I don’t have much knowledge in this area and I know a lot of people on this forum have…so I’m wondering if some of you are familiar with that kind of endocrine profile with PFS.
From what I have read there are 2 types of hypogonadism:
- Primary: Low test but high FSH & LH
- Secondary: Low test and rather low FSH & LH
Nothing about normal LH & low FSH.
Since it is still in range doctors won’t bother investigating but there must be something wrong that explains the difference between these two and also why the Prolactin and estradiol are high.
Unfortunately, I could not get DHT bloodwork recommendation from the doctor. I have called private labs but apparently, here in Canada you also need a recommendation from the doctor for that.
Care to share your two cents on this?
It would be much appreciated, as I would eventually try a protocol like (DHT/PCT), I ruined my last two relationships because of PFS and I’m now seeing a girl I really bond with and won’t be able to postpone the “intercourse” for months. Hence why I would like to attempt something.
I have made improvements over the years, especially in the neurological area, but not enough improvement to engage in sexual activity with a partner.