Just got bloodwork results back
- 10-04-2011, 11:06 AM
Just got bloodwork results back
I've been natural bodybuilding for about 9 years now, but my sex drive has never been as high as I would like it to be. For years I just wasn't that interested, rarely woke up with morning erections, thought much about sex. Anyway, check out my bloodwork if you don't mind and see if you guys notice anything that my doc is overlooking.
LH 17.2 High mIU/mL 1.7 - 8.8
FSH 16.9 High mIU/mL 1.5 - 12.4
Testosterone, Total, LC/MS 490.9 ng/dL 350.0 - 1030.0
DHEA-Sulfate 88.6 Low ug/dL 160.0 - 449.0
TSH 3.050 uIU/mL 0.450 - 4.500
Prolactin 17.1 High pg-ml 4.0 - 15.2
Estradiol 25.0 pg/mL 7.6 - 42.6
Androstenedione 60 ng/dL 44 - 186
Vitamin D 54.1 ng/mL 32.0 - 100.0
Albumin, Serum 5.0 g/dL 3.5 - 5.5
Hematocrit 45.4 % 36.0 - 50.0
Sex Hormone Binding Glob, Serum 47.6 nmol/L 14.5-48.4
LH and FSH are high, DHEA is low, and Prolactin is High. What about my Estradiol levels and Sex hormone binding globulin? Any advice is greatly appreciated! Thanks guys!
- 10-04-2011, 12:22 PM
2. Proper evaluation of thyroid and adrenals would be secondary to the above.
3. SHBG is elevated for other imbalances which are occuring (to a search with SHBG and The matrix)
2 red flags are high prolactin and high FSH,LH which are commonly associated with abnormality on pituitary gland.
e2 levels are fine FOCUS ON STEP ONE PRONTO !!I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
- 10-04-2011, 01:16 PM
Thanks for the reply. My doctor put me on Cabergoline 0.5mg to lower the prolactin. Should I be taking something to raise my DHEA? I just made an appointment for an MRI and ultrasound. I noticed on my bloodwork they did not include free testosterone, it just says "will follow".
10-04-2011, 01:25 PM
I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.
10-04-2011, 01:26 PM
an LH that high with an average test level to ME is indicative of secondary hypogonadism. But I'm not a doctor. Like matrix said, you need to identify what that secondary cause is.
10-04-2011, 01:27 PM
10-04-2011, 01:37 PM
10-04-2011, 01:53 PM
If you are going to get an MRI done on your pituitary, ask for a "dynamic pituitary mri" They are much better at detecting small tumors of the pituitary gland. It could be a microadenoma, which would be very difficult to detect on a standard mri.
10-04-2011, 04:09 PM
I'm waiting on my doc to call me back about getting the dynamic MRI done. I've never done steroids or prohormones, but have had issues with a lower sex drive for the past 10 years or so. Also fatigue, high anxiety, and sleep issues. I'm looking forward to finding out the cause since I've been dealing with this for a while. Thanks again for the replies/info guys
10-04-2011, 05:38 PM
"Do you recall any severe head trama or vehicle accident as a teen? Did you play a lot of contacts sports where you might have had a concussion?" After dealing with many of these cases you learn through experience on how to reduce the person's time of suffering dramatically by attacking it aggressively.
10-04-2011, 06:20 PM
This sounds rough man, sorry I cant offer any help but I would like to hear how this develops. I will be subbed along.
10-05-2011, 12:42 AM
It infuriates me these doctors don't ask me questions like this, they just say "well, its in normal range" or "its on the high end, we'll just keep an eye on it". Also, I did some research a few days ago and found out that I have varicocele on both testicles, and they have been this way since I can remember, around age 13 I guess. The doctors never brought this up. I told my current urologist about this (since he didn't even say anything about it when he examined me a week ago). He said not to worry about it, that it has nothing to do with this, and only has a possible effect on fertility. He did say that my testicles were a little smaller than normal, and I have noticed that they range from on the smaller size to normal size every few days. Its amazing how much research I do on the net, how much info I find, and how clueless doctors are. I even asked about HCG injections, and he told me that is only for women... Anyone know of a urologist who is worth a crap in Kentucky or the surrounding states?
10-05-2011, 01:00 AM
10-05-2011, 10:28 PM
While I wait for my next doctor visit, another strange effect I've noticed (more so now than before) is that my entire package shrinks big time after a hard workout. It used to do this, but when I got home from a back/arms routine tonight, my entire package looked as if I had been standing naked in 20 degree weather for 10 minutes. After almost two hours its pretty much still like this. Would this just be a side effect my imbalance? Usually my nuts shrink to about half size after an intense workout, but this time its ridiculous. And my sex drive is WAY south of zero.
10-05-2011, 11:06 PM
10-13-2011, 07:00 PM
Just got MRI back, pituitary is fine, grape size area found on my skull but they're almost positive its from the soft spot closing when I was a baby. Waiting on ACTH and B6 results. My cortisol level was 3.9
Since being on cabergoline, I don't have the joint/ligament pain I've had for the past few years which is awesome. My sex drive still sucks, energy/drive are about the same. Strength at the gym is about normal again, not getting tired as quickly. Is 3.9 low for cortisol? It was taken around 4pm. I'm going to start taking stinging nettle root Friday just to see if it has any effect on lowering my SHBG down from 48.5, and giving me a decent sex drive back. I'm still not sure why my balls are the size of grapes? haha damnit....
10-13-2011, 11:16 PM
10-14-2011, 12:43 PM
I had some of the same issues you discussed. Dr. said it was due to adrenals not fuctioning. Now he has me on DHEA, Weekly T shots of 50mg, and Hydrocotazone. These meds are all natural no synthetic. Check out San Tan Natural Medicine web site.
10-14-2011, 08:47 PM
10-26-2011, 06:37 PM
I just got back from a pretty good endocrinologist, he looked over my bloodwork and symptoms and said he is narrowing it down to 3 things. The first is some type of chromosomal disorder (which is he said is the most unlikely of the three), testicular failure, or androgen receptor failure (I think that's what he said). He had blood work done for the chromosome test, and the results will be back in 1-2 weeks. He also said he will likely put me on testosterone gel once he gets the blood results back. I asked him what else he would need to put me on for anti-estrogen, he said nothing. He told me that its very unlikely I'll run into anything like gyno when using the testosterone gel. He also said the gel will keep a more consistent level than injections. I just don't understand how my body is physically on the level of natural pro bodybuilder, but my testosterone levels have never been high? I definitely don't want to screw my physique up with testosterone gel, but I guess he would just prescribe an anti-estrogen I had any of those effects?
10-26-2011, 07:26 PM
Low cortisol most likely you will not be able to absorb it. One can retest in 3-5 days after application of gel to see if its getting in there. Why wait 3 months and feel like crap when you do not have to. If he will not test you then do it your self. Just need total T.
YOU NEVER GIVE AN AI TILL AFTER YOU START HRT !!! Estradiol may even come down when starting HRT.
Giving an AI for hell of it bad medicine..
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