My sex hormones levels are measure since I quit finasteride in December 2006, so I can’t compare them with the period of propecia.
They are in Spanish but I think there will be no problem to understand them.
I will be very greatfull to your opinions and help. Thanks
Laboratory.doc (182 KB)
I’m not familiar with the ranges you’ve given, but it seems that you’ve got subnormal total T and free T. Since your LH and FSH still seem OK (or high in the case of the latter), this might indicate a problem with your leydig cells manufacturing testosterone.
On the other hand, the fact that DHEA also appears to be low could be significant.
I certainly think these results warrant further investigation from your docs, since they do seem to indicate a problem with your hormone levels, and could easily explain all the symptoms you’ve been having.
Gim
Imsonia,
You have very low testosterone (both total and free).
Your case is similar too mine and we have the same age.
Our blood tests don’t match with the typical post-finasteride suferer because we have high lh and fsh. Perhaps finasteride bring us an early andropause (primary hipogonadism).
I recomend you to make a spermogram. I made and the results were not good.
I am portuguese so we can talk better via private message.
Abraço / Cordial saludo
I made an spermiogram which showed oligospermia (low volume) and genetic studies to let down klinerfelter syndrome. All was right.
My hypophisi and hypotalamus are correct so, the doctors can’t explain the real reason of my problem.
I have taken for a while Reandron (undecanoato of testorsterone) but It made me feel agressive and I decided to quit until the doctor change the treatment.
When I started with 4ml of reandron, my T level was:
2,4 pg/ml (5,6 - 27 pg/ml)
and after 2 moths
6,24 pg/ml (5,6 - 27 pg/ml)
You can see that the increase wasn’t high, was it? What do you think?
Reandron is a new treatment for hypogonadism which one of its advantages is that you only have to receive one injection every two months or three months. The dose is very high and the effects last for a long time.
It might be new, but if it didn’t work for you then it’s probably time to try something else.
The bottom line is: you have some degree of hypogonadism based on those readings. You want to determine for sure, first of all, whether it’s primary or secondary. And then, following that, you want to follow an appropriate treatment regimen that works for you and stick to it. This is something you should talk through with your doctor, but since there definitely is a problem it’s something you should try to sort out. For the record, it’s highly likely that you WILL sort this out in good time with the right doctor.
Definitely low Total and Free Testosterone… investigate wether due to Primary or Secondary Hypogonadism
high ACTH and low DHEA: pituitary is sending a lot of ACTH but adrenal glands are responding poorly and putting out low DHEA. Investigate adrenal function further with more tests.
Elevated FSH: get sperm test done and check fertility.
Elevated Progesterone: investigate this further.
low IGF: check GH (growth hormone) levels
What did your doctor say about your results? You should consider trying to boost your own T production via Clomid, Tamoxifen or hCG.
If you want to stick with TRT for life, consider Testosterone Cypionate or other esthers that you can inject weekly or bi-weekly to give you more control over the dosing.
Hi Mew, thanks for your help and attention
My ACTH level is correct, although is on the high border
I made a hypotalmus and hypofisis magnetic resonance which threw any problems
I made cromosomic study to let down klinelfelter syndrome and I am 46XY, so allright.
Although my oligospermia (low quantity) my fertility must be correct as I have a child recently and have no problems to get it.
I think progesterone is correct too: 0,256 ug/L in a 0 - 1,2 ug/L
You say that Clomid, Tamoxifen or hCG is a treatmeant for hypogonadism. My medice knowledge are poor and I think tamoxifen shut down estrogens levels, and our problem is low T. Could you please let me know the reason some Docs indicates tamoxifen?
As the most of us, our problem continues beeing missunderstood by the doctors which don’t believe finasteride could make us this. I know that lots of studies shows the contrary but maybe we are the less people who suffers the side effects.
My ostheoporosis have been measured by bone mineral density. These is the result
Spine bone (L1-L4) Z.score: -2,3 T.score: -2,8
Femoral neck: Z.score: -1,2 T.score: 1,7
The treatment recommends Vit D and Calcium although my blood calcium level is in the up range. Is it neccesary???
THANKS
Yes my mistake, I misread the range.
Many bodybuilders use Tamoxifen (Nolvadex) during PCT (post cycle therapy) after coming off steroids to jumpstart their hypothalamus-pituitary axis to produce endogeneous Testosterone production again. They also use it to control excess estrogen during steroid cycles, to combat gynecomastia.
There are forward thinking doctors that also use Tamoxifen to “resensitize” the pituitary to gonadotropins. It is a SERM (selective estrogen receptor modulator) which blocks the action of E2 (estradiol) at estrogen receptor sites, which can help prevent negative feedback on the HTPA in order to boost Testosterone.
There are a couple guys here (Quint, galapagos, thissucks) who have used Tamoxifen to try and jumpstart their systems to produce more T after Finasteride… if you search their post histories you can read more.
You may also want to checkout OneDay’s recovery log as he is currently doing a PCT cycle with hCG and Tamoxifen: propeciahelp.com/forum/viewtopic.php?t=2055
As for hCG and Clomid, you will need to do some reading. Clomid also acts as a SERM and hCG as an LH analogue and both can also be used to boost Testosterone levels. There are studies in DRUG THERAPY section with more info:
propeciahelp.com/forum/viewtopic.php?t=82
propeciahelp.com/forum/viewtopic.php?t=971
propeciahelp.com/forum/viewtopic.php?t=1515
propeciahelp.com/forum/viewtopic.php?t=1012
propeciahelp.com/forum/viewtopic.php?t=66
propeciahelp.com/forum/viewtopic.php?t=84
propeciahelp.com/forum/viewtopic.php?t=67
propeciahelp.com/forum/viewtopic.php?t=19
As for Doctors that use these treatments, Dr Crisler prefers Tamoxifen and Dr Shippen prefers Clomid.
Very greatfull for your help. Everybody from this forum own you a lot. Thank you, Mew.
Hi Insomnia,
did the doctor tell you anything about your hemogram? It seems like you had high numbers on Billirubina, ASAT, SGOT and GOT/GGT. Maybe those high transaminases have something to do with your muscle weakness.