I am a 26 year old male overweight, but two months ago changed my lifestyle. I quit smoking, started dieting, exercising, and sleeping better. I have made gains though over the last 2 months I gained some muscle. I have noticed an improvement if feeling of wellbeing, but still have some symptoms of low testosterone. Three months ago I took a blood test because I developed gynecomastia (originally thought is was cancer), fatigue, loss of wellbeing, anxiety, and was having some erectile dysfunction here are the results:
Dhea(NL) 458ng/DL Ref range142-1410
Testosterone, total (DSL) 346Ng/DL Ref range 190-1037
Estradiol (DSL) 32 PG/ML None given
Cortisol 14.8 Ug/DL None given
I retested a month ago
FSH 5.7 Miu/ml Ref range 1.3-19.3
Lh 3.7 Miu/ml Ref range 1.2-8.6
Total testosterone 230 ng/dl Ref range 190-1037
Free testosterone 51.3pg/ml Ref range 35- 155
Shbg 12 nmol/l Ref range 7-49
Prolactin 15.7 ng/ml Ref range 2.6-13.1
Estradiol 55 pg/ml Ref range <207
My prolactin is out of range and my FSH and LH are a little low. The endocrinologist said there is nothing wrong and wants to retest in a month. Why are my testosterone levels so low? I have made my wife pregnant twice once was less than a year ago and she miscarried. He asked me if I have noticed a decrease in body hair and if I have any children. With my levels would that point toward hypogonadism? I think I might be secondary right? Sometimes my testes are soft not always, but they are within normal size range from what I have read. They are about a little over 2 inches each across I have body/facial hair, male pattern baldness, penis is 4" flaccid and about 7" erect. Erections have improved with diet change and exercise, but problem has not disappeared. This is so depressing. I don't want to go on TRT just yet if there is another option. I would like some opinions on either hcg, tamoxifen, clomid.... My endo is kind of a di*k so I want to be ready when I go back and see him. I have never done any AAS or anything like that so I am kind of confused as to why my levels are like this. The only thing I use muscle milk lite. Please help me.
sorry so long
Your LH and FSH are in normal range.Prolactin is high.Looks like secondary. How is your muscle tone now??