Background: I'm hypothyroid and have been taking Levoxyl for a few years now. I was recently diagnosed with low testosterone, although that seems to be a recent problem as my bone density scan came back okay.
blood test from about 3 months ago:
*FSH = 1.7 mIU/mL (range 2-12)
*LH = 2.3 mIU/mL (range <10 whatever that means)
*Testosterone = 380 ng/dL (range 200-1200)
*Testosterone, total, S = 250 ng/dL (range 240-950)
*Testosterone, free, S = 6.3 ng/dL (range 9-30)
*Testosterone, bioavailable, S = 53 ng/dL (range 72-235)
My endo reluctantly put me on Androgel 5g/day based on the above.
blood test after 1 month on Androgel:
*Testosterone: 233 ng/dL (range 200-1200)
*Prolactin: 6 ng/mL (range 2.2-18.5)
*Ferritin: 18 ng/mL (range 8-282)
*Testosterone, total, S: 416 ng/dL (range 240-950)
*Testosterone, free, S = 14.6 ng/dL (range 9-30)
*Testosterone, bioavailable, S = 121 ng/dL (range 72-235)
Note that my endo didn't bother testing for estradiol, and he's sending me back for a PSA test because he forgot to mark that on the test form.
I had an appointment with my endo today, and he thinks I'm A-okay because all my numbers are "in range".
I asked him about using HCG, and he responded that no endocrinologist would treat low testosterone levels that way unless there was a fertility issue, and even then they would only treat with HCG until the wife/girlfriend got knocked up. When I asked why, he said that HCG was not the preferred treatment that is taught in "classical" medical circles. Also, that direct replacement was a more accurate way to reach targeted testosterone levels. He also made a weird comment about how using HCG would attract "government attention" because it's a red flag for steroid abuse.
I'm going to research local urologists. I might head down to Monterey to see Dr. M. The only downside to that is he doesn't take health insurance, but if the prescriptions are covered by my medical plan, I can easily pay the doc bills.
Lesson learned - - - don't waste time with an endocrinologist.