Marquisd - My results. Please comment.

Member Stories Lab Tests
#21

Doctor said it was not necessary to test for inhibin so would not prescribe the test!! I’m so pissed off.

Went to see my endo today, said there was nothing else he could do cuz my testostorone was fine. He prescribed me a sexologue (“psychiatrist”), which is his friend.

I’ll post the new results as soon as I can, I’m at work right now and the test results are in my car.

I know they did not get better, maybe a bit worst for testosterone, he still says im good and there’s nothing he can do.

I’m so frustrated.

#22

Why don’t you find a doctor that will listen over on crisler’s forum? or meso Rx or something?

#23

Marquisd,

Sorry to hear of your frustrating time with your doctor. The lack of awareness in the medical community is stunning.

Did your doctor understand that elevated levels of inhibin B suppress FSH, and that your FSH is very low? If he does not understand the low FSH, perhaps print out the AACE hypogonadism guidelines as linked on this site. Is the doctor an endocrinologist? Many doctors have a god complex, and are uncomfortable when their patients know more about some things than they do.

You asked how FSH might impact the watery ejaculate issue. Recently I posted this, though few have looked at it and none have commented:
viewtopic.php?f=9&t=4804&p=33256

Good to see your prolactin is a little lower.

kazman.

#24

Thanks for the reply Kazman.

He said my Testosterone, FSH and LH where normal. I will not be seeing that Endo again.

Hopefully the lawsuit will have doctors that will analyse my results. Noone has contacted me yet though.

I may seek out another Endo.

I will post my new results ass soon as I can. I’ve been really busy with work.

Marc

#25

Test taken November 23 2010 at 7:11am

Total Testosterone: 15 nmol/l 10 - 30
Bioavailable Testosterone calc. 6.7 nml/L 4.6 - 19.0
Free Testosterone calc. 323 pmol/L 220 - 920
SHGB: 34 nmol/L 12 - 46

FSH 2 U/L < 18
LH 3 U/L < 9
Cortisil 476 nmol/L 119 - 618
Prolactine 11 ug/L 2-18
TSH 2.3 mUL 0.35 - 6.0

Ferritine 86 UG/L (11 - 380)
APS 0.2 ug/L 0.0 - 4.0

New endo said that my hormones looked great.
He said there is nothing in my hormones that could be causing my symptoms. He will not see me anymore because he says that all is fine.
I am now 30 years old.

Could I get some feedback from people on the forum about my new tests results.
More feedback the better. Thanks :slight_smile:

#26

Marquisd,

Your LH is on the low end, which many ours seems to be. Your Free Testosterone is low, which is also another common theme amoung many of us.

I wouldn’t let any doctor try to tell you that’s a normal number for a healthy guy your age or “You are in the range”.
I try to look at as where are you in terms of % of the range. Your number puts you at 14.7% of the range from high to low. Would you say that’s healthy for a young guy? The last time I checked mine was worse than yours.

I would recommend getting your next blood work done at Quest Diagnostics or highly regarded lab. They will also provide a % of free testosterone. I would also recommend adding more adding more to your next test. Estradial, T3, T4, Free T3, Free T4.

#27

Seek out an endo that at least understands what secondary hypogonadism is - ask to speak to his or her nurse when you are checking out a doctor - ask what therapies he or she applies to secondary hypogonadism - look for ones that use low dose hCG and/or clomiphene. Most endos treat diabetes all day with the occasional thyroid patient thrown in - hypogonadism is much rarer. Your FSH readings are right on the border for secondary hypo, see the ACCE guidelines posted elsewhere on this board.

Your testosterone of 15 nmol/L is equivalent to 435 ng/dL (the units I am used to). That level is average for a man in his 60s. If I get a chance I’ll calculate your free testosterone using SHBG level and the online calculator (know what your albumin is?) but it looks low.

#28

People away FAR too carried away around here with the prolactin thing. If you are in range you’re unlikely to have a prolactin problem.

All of us should get an MRI (many have - always all clear, including myself!) but usually if you have a pitritary tumor your prolactin for instance will be at ridiculous levels, not in range whatsoever.

As for the other results. SHBG is on the high end. Where the heck are your estrogen readings??

As for FSH, its low. Mine is too. Inhibin B may be a factor, i don’t know. Estrogen suppresses FSH levels, too. Kazman is there any way or decreasing Inhibin B?

I do find your doctor’s interpreation of FSH somewhat encouraging, though, i guess but personally id rather mine to be mid-range and hopefully it’ll go up with i level out my estrogen levels.

As for the watery ejaculate i think this is an indictor of DHT deficiency more so than low FSH. Take a proviron pill (oral DHT basically) and i guarantee you shoot a cream white one :wink:

#29

Agreed . . . but . . . if one is supertuning endogenous pulsatile T secretion it may be helpful to drop prolactin into the lower half of the range, but not below 3 or so.

Yes, estradiol (the estrogen that is highest in men) would be helpful.

Thank you. As Colin implies FSH and Inhibin B balance each other. One way to drop inhibin might be to suppress the pituitary secretion of FSH by taking topical T, or T or hcg shots etc. However as you point out our FSH is low to begin with.

As to low FSH and its possible connection to ejaculate problems:
viewtopic.php?f=9&t=4804

kazman

#30

Colin do u still take the proviron? Would this increased ejaculate be simply cosmetic, or could one also expect higher sperm counts when taking it?

#31

I havent tried proviron yet myself despite having some in the top drawer.

People have tried to use it as a fertility drug in the past there is no real data to support either way

People have used arimidex etc in the past though which has worked.

My main point was you dont know you have low sperm count unless this was already confirmed? Sperm is clear.

#32

Okay, gotcha. I guess I should get tested. I’m scared to see the result though.

#33

Yeah personally id rather get my hormones in sync first before even thinking of this. Why freak yourself out at this point?

Lower FSH will obviously not help fertility but hypothetically speaking if you were trying for a baby you could run a course of clomid or nolva which would in most cases increase your FSH to decent levels. Failing that you could have FSH injected into you (yep). So don’t freak yourself out. If your hormones aren’t optimum your fertility won’t be either (probably) but thats just a result of the bigger picture which can be rectified in a good majority of cases. Kazman will no doubt not that SERM’s seem have less ability to budge FSH on PFS patients but of that im not even entirely sure - i haven’t seen too many people on here run systematic protocols with consisent bloods - certainly not enough to be sure. I’ll know myself soon how arimidex affects mine!

#34

Thanks Colin. I’m seeing a specialist next week and hope he gives me sufficient time to cover all my issues.

Fertility is a big one… though lifelessness /depression is increasing.

#35

Thanks Mens Rea for the reply.

My prolactine sometimes goes way out of range. Especially when I work out or drink beer. Even if I where a woman they would have been way out of range.
March 27 2009 = Prolactine 36 ug/L Men: 2-18 Women: 3-26
When I do weight training, i start to grow tits instead of pecs.

My awesome doctors refuse to test it because they said I’m not a woman, so theres no need to check it.
Even If I beg they wont do it.

I might try this later. But I’m holding off on any treatment for now. Gonna wait to see what the lawyers say. I’m participating in the Canadian class action lawsuit. They might have some doctors or something with suggestions. Today is my 3 year birthday of taking finasteride. I hope It’s not too late.

Good too see that some doctors, media and lawfirms are taking this very seriously. I got called by a lawfirm in the U.S.A to join a lawsuit there. So this means that there is a lawsuit underway there too now.

#36

It’s been a while since i’ve been on propecia help. Just wanted to come back to see if there was any news and to say that I have not recovered yet.

#37

Hey you need estradiol readings and your should do a siliva cortisol test.

I am pretty sure estradiol can increase prolactin or vice versa. Estradiol can nullify the effects of testosterone and DHT.

#38

Do you have a link where I can read up on this information? That way I can understand it and know what to say to my doctor?

I don’t think my doctor will prescribe anymore tests unless he thinks there’s a good reason. He already thinks my last tests “posted above” where great. He’s refused some tests before. Could not get the adiol-g test prescribed.

#39

Sorry I do not have anything. I just have looked over many blood tests and noticed it. You can probably find something on it.

I think estradiol is very important because.

It can cause loss of sex drive.
It can increase SHBG, lowering testosterone.
I have read it can acutally bind to the androgen receptor and block androgens (have not verified this)
Apparntly increased estrogens decrease the amount of androgen receptors.

So it seems there are many ways estradiol can make your testosterone less active.