trn450
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"In the beginning of September, it was 890 ng/ml. The diet may have helped that, but when I questioned one doctor in particular in July - he said my testosterone (given my fitness and age and so on) should be around 1,000."
This is not something I imagine most MD's, especially endocrinologists, would agree with. It also doesn't even make physiologic sense.
I see a lot of testosterone results from people of a wide range of ages (30s-50s most often) who receive this tests as routine blood work -- it's "luxury" medicine, so these extra panels are thrown on to many people and is therefore somewhat approaching random. In other words, the concern for low testosterone and it's symptoms are not a prerequisite to these people getting the testosterone levels checked.
Many of these otherwise normal, asymptomatic individuals have testosterone values all over the place. There is no tight-range of values that one expects for a given age and fitness value. How effective a given testosterone value is depends on a number of factors.
First and foremost, a number of people will have their labs drawn in the afternoon as opposed to 8-10AM. This can decrease values of testosterone by as much as 25% or so.
Second, the HPGA will be driven by the feedback of hormones on receptors. So, the receptor is a relatively challenging (if at all currently possible) thing to quantify.
Having said that, the story of rapidly losing testicular volume in a short period of time (hours) in the context of labs indicating a normal HPGA is rather strange to say the least. I'm not aware of cases of spontaneous hydrocele resolution (although case reports are published spontaneous resolution of hydrocele after hyperbaric oxygen treatment, but you didn't have hyperbaric O2 treatment). But, that's the only physiologic process that would make any sense whatsoever.
The effects of taking the "gas" of off the testicles with LH/FSH, so to speak, would result in a slow decline in size and firmness of the testicle itself.
A varicocele would have to be incredibly engorged to create enough backward pressure that you may result in poor arterial blood delivery to the testicle. And, even if that were the case, ischemic tissues are generally very painful. So, the lack of pain itself also becomes odd. (This would be a similar process to a testicular torsion where the "twisting" cuts off the blood supply and that "ischemic testicle" is a conduction that results in severe pain).
The adrenals and thyroid contributing to your testicular size make no physiologic sense to me whatsoever. Since you bring it up. Not to mention, the mere idea of adrenal fatigue is highly theoretical and contentious to begin with. Additionally, the effects of hyper- and hypothyroidism are going to have some stereotypical symptoms, none of which have to do with the testicle size.
With that all said, with all the imaging suggesting your testicles are normal, and otherwise normal bloodwork, what are your major concerns?
Many of the mood / fatigue / etc symptoms are highly non-specific.
This is not something I imagine most MD's, especially endocrinologists, would agree with. It also doesn't even make physiologic sense.
I see a lot of testosterone results from people of a wide range of ages (30s-50s most often) who receive this tests as routine blood work -- it's "luxury" medicine, so these extra panels are thrown on to many people and is therefore somewhat approaching random. In other words, the concern for low testosterone and it's symptoms are not a prerequisite to these people getting the testosterone levels checked.
Many of these otherwise normal, asymptomatic individuals have testosterone values all over the place. There is no tight-range of values that one expects for a given age and fitness value. How effective a given testosterone value is depends on a number of factors.
First and foremost, a number of people will have their labs drawn in the afternoon as opposed to 8-10AM. This can decrease values of testosterone by as much as 25% or so.
Second, the HPGA will be driven by the feedback of hormones on receptors. So, the receptor is a relatively challenging (if at all currently possible) thing to quantify.
Having said that, the story of rapidly losing testicular volume in a short period of time (hours) in the context of labs indicating a normal HPGA is rather strange to say the least. I'm not aware of cases of spontaneous hydrocele resolution (although case reports are published spontaneous resolution of hydrocele after hyperbaric oxygen treatment, but you didn't have hyperbaric O2 treatment). But, that's the only physiologic process that would make any sense whatsoever.
The effects of taking the "gas" of off the testicles with LH/FSH, so to speak, would result in a slow decline in size and firmness of the testicle itself.
A varicocele would have to be incredibly engorged to create enough backward pressure that you may result in poor arterial blood delivery to the testicle. And, even if that were the case, ischemic tissues are generally very painful. So, the lack of pain itself also becomes odd. (This would be a similar process to a testicular torsion where the "twisting" cuts off the blood supply and that "ischemic testicle" is a conduction that results in severe pain).
The adrenals and thyroid contributing to your testicular size make no physiologic sense to me whatsoever. Since you bring it up. Not to mention, the mere idea of adrenal fatigue is highly theoretical and contentious to begin with. Additionally, the effects of hyper- and hypothyroidism are going to have some stereotypical symptoms, none of which have to do with the testicle size.
With that all said, with all the imaging suggesting your testicles are normal, and otherwise normal bloodwork, what are your major concerns?
Many of the mood / fatigue / etc symptoms are highly non-specific.