New member - pre TRT blood test results

[Dave160]

Could I get some advice/suggestions on my blood Test results?

I got the first test done in July 2019 through medichecks.com (UK) and a few repeat tests in Nov 2019 through my GP (GP said everything looks normal). These were done fasted at 9am

Symptoms
-Low/Loss of Libido
-ED (weaker erections, difficulty getting & maintaining erection, little-no morning erections (early morning or night erections are weak, brief, or do not exist at all 90% of the time), no spontaneous erections, decreased sensation/sensitivity, increase refractory period.
The Signs and symptoms on this link are similar to my symptoms although I’m not sure if I have this specifically Venous leak - Wikipedia
-mood swings & irritability
-general fatigue & low energy (even after 8-9 hrs of sleep)
-difficulty concentrating, thinking, brain fog
-difficulty building & maintaining muscle/strength (despite eating enough, training, recovering...)
-Scalp/hair loss (could just be androgenic alopecia or something else Telogen effluvium, thyroid issue, deficiency...)

Had these symptoms for over 3 years (24 now), but more specifically the loss of libido and erection issues being the most noticeable which started relatively suddenly (became more noticeable over the course of a few weeks, has been the same since). I didn’t have this issue before then at all.
The only lifestyle/changes I made just before I started getting this was that I stared working out/lifting weights 3-4 times per week, started eating healthier/tracking calories, stopped having gluten and dairy as they always caused stomach/digestive issues and started supplementing with creatine (3-5g per day). I also recently discovered my grandfather (82) has been on TRT (cream) for almost a year. (I’m not sure if these are related to anything though)

GP hasn’t said much, just said everything is normal. I’m not sure if I should go to an andrologist/urologist first to see if ED issues are vascular/blood flow related (https://www.doctify.co.uk/specialist/mr_amr_raheem) or a TRT doc, there don’t seem to be many in the UK though, the main one seems to be Dr Robert Stevens Dr Robert Stevens | TRT Doctor UK | The Men's Health Clinic
Thanks

 

[slicktop]

Your elevated LH levels would be a possible indicator for primary hypogonadism, but that's normally seen with elevated FSH, which you definitely do NOT have. I honestly haven't seen such elevated LH with low FSH... but at 24, I would think your testosterone would be higher than what it is. I'm not sure what to tell you here... I'd look for additional opinions. This may be a case where one of the Clomid restarts or HCG monotherapy programs might be worth considering, especially at your age.

 

[Systemlord]

If rT3 is high it would deactivate a portion of fT3 and might help explain slightly elevated TSH. Your testosterone panel is bizarre, the very high LH and normal testosterone is just weird.

There's Balance My Hormones in Dorset.

 

[Dave160]

If rT3 is high it would deactivate a portion of fT3 and might help explain slightly elevated TSH. Your testosterone panel is bizarre, the very high LH and normal testosterone is just weird.

There's Balance My Hormones in Dorset.

Thanks for reply. OK, I will try and get Thyroid panel tests again with rT3.

Do you mean The Mens Heath Clinic? I think Balance My Hormones is based in London.