Could you help me interpret my second blood test?

anonymoose

New Member
Hey guys,

I am a 29 y.o. male, 5' 10" and 209lbs as of the second test.

My story begins when a visit to my urologist prompted a T blood test. I had recently started using ashwaghanda which recovered my erection and made me realize I hadn't had spontaneous erections for the longest time. I also used Mucuna Pruiens as a supplement which led me to have my first morning erection in about a year. I also realized my erections were soft and not at all how I remember them. For a while (over a year) I had been feeling tired early in the day and had attributed it to being out of shape. I also had a persistent brain fog and depersonalization that constantly clung to me. I also suffer from warm flushes in my upper body, arms, and face in the evening and especially when stressed.

Having stopped the supplements for a few days my results were as follows:

Total T: 230 (264 -916)
Prolactin: 16 (4 -15.2)
LH: 3.1 (1.7 -8.6)
FSH: 2.7 (1.5 -12.4)
Estradiol: <5.0

Upon seeing my results she ordered a pituitary MRI that came up clean with no sign of adenomas. She referred me to an endocrinologist who then told me to get off any supplements I was on and redo the test in two weeks. He ordered a bunch of tests including TSH, Ferretin, Hematocrit, Hematological tests (WBCs, RBCs) all of which came back average. I did so and got the following stats...

Total T: 352 (250 - 1100)
Free T: 82.7 (46 -224)
Bioavalable T: 159.4 (110 -575)
SHBG: 15 (10 -50)
LH: 1.3 (1.5-9.3)
Albumin: 4.2 (3.6 -5.1)
Prolactin: 8 (2-18)

All that changed from when the first test was done to the second is I began to work out regularly, ceased using the supplements for two weeks and got a little better sleep for the most part.
Seeing as normal hypogonadism is diagnosed as below threshold I'm not hypogonadic as per that definition. What would you guys say because I still have some of the symptoms luke evening hot flashes like I'm feeling right now.

Thanks for reading.
 
You're definitely have hypogonadism and I would advise trt. But before you should start trt I still would have a complete thyroid panel TSH, free T4, free T3, reverse T3 and antibodies. I would make sure all your thyroid levels are in a good range before starting trt.
 
Antibodies are good as well as my TSH. I'll have to bring it up when I see the endocrinologist. Do you think clomid would work for my case? I really want to have children as I'm yet single.
 
Antibodies are good as well as my TSH. I'll have to bring it up when I see the endocrinologist. Do you think clomid would work for my case? I really want to have children as I'm yet single.
Because of your young age and your low LH (secondary hypo) you have a good chance that clomid will work.
 

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