I need some advice on where to go from this point. I have currently been seeing a urologist to diagnose any possibly fertility issues I may have. My sperm count came back at 3 million (normal > 20 million) and 6.1 million a few weeks later. My bloodwork came back and my urologist is stumped.
Total Test: 3.6 nmol/L (8-27 nmol/L)
Free Test: 38.6 pg/mL (8.8-27 pg/mL)
SHBG: 4 nmol/L (15-48 nmol/mL)
LH: 1 ng/dL (1.4-5.5 ng/dL)
FSH: 2.6 IU/L (1.0-6.0 IU/L)
E2: 20 pg/mL (12-56 pg/mL)
TSH: .939 mIU/L (0.4-4.5 mIU/L)
T4: 1.14 ng/dL (0.7-1.5 ng/dL)
Prolactin: 9.5 ng/mL (4-23 ng/mL)
Ultrasound was clean, except for a "slight" vericocele. I have had bloodwork re-done with T3 added to the panel. My chart states "hypogonadism" as the diagnosis. My urologist has not done any additional tests or called for any additional bloodwork at this point. He has NOT discussed hypogonadism as a diagnosis, he simply wrote it in my chart. He does not seem to have ANY clue as to what could be causing it or how/if to treat it. He seems to want to do absolutely nothing at all at this point. This is a problem for me for obvious reasons, not limited to the fact that my wife has known fertility problems and her Dr. won't start treatment until my Dr. has signed off on me. Any advise would be fantastic.