Hypogonadism - WHO TO BELIEVE - desperate

[dcheitel]

Im a 44 yo male. used to smoke, quit 3 months ago. havent drank alcohol in 6 1/2 years. overweight but work out 4 days a week and bike ride about 10 miles on the weekend. training consists of 45 min cardio and various alternating muscle groups lifting on the workout days.

about a year ago testosterone tested about 780. recent tests were 230 then

most recent labs

Test: 198
FSH: 3.9
LH: 1.5
Prolactin: 8.0

MRI of pituitary: Normal


Doctor wants me to go on TRT, but i see so much info about TRT alone, TRT with other items, Restart regimine etc

I am going to get referral to endo but want to be prepared with right info.

I dont want to go on trt alone if thats not the right route, but my primary doctor doesnt support any combo therapies.

any info would be appreciated

Thanks

DC

 

[The Matrix]

Im a 44 yo male. used to smoke, quit 3 months ago. havent drank alcohol in 6 1/2 years. overweight but work out 4 days a week and bike ride about 10 miles on the weekend. training consists of 45 min cardio and various alternating muscle groups lifting on the workout days.

about a year ago testosterone tested about 780. recent tests were 230 then

most recent labs

Test: 198
FSH: 3.9
LH: 1.5
Prolactin: 8.0

MRI of pituitary: Normal

Doctor wants me to go on TRT, but i see so much info about TRT alone, TRT with other items, Restart regimine etc

I am going to get referral to endo but want to be prepared with right info.

I dont want to go on trt alone if thats not the right route, but my primary doctor doesnt support any combo therapies.

any info would be appreciated

Thanks

DC

At 44 years old I would look at root cause, but TRT could be in your future.
With and LH of 1.5 then I would say it would be secondary hypogonadism. Your balls may be working but signal is altered for some reason (HPTA distress from some unknown orgin.) With out further medical history it would be difficult to know where to even start. My suggestion would do a clomid challenge to see if you respond to the signal to make testosteorne. Also having more indept lab work for thyroid ,adrenals, insulin, e2, would be warranted. I also would have to examine current eating habits for 3 days as well as other emotional factors that need to be ruledout. The whole approach I would do is to look for the source of the stress that is putting strain on the HPTA remove it and support proper hormone, adrenal and thyroid function. if you are looking for a Dr that takes this approach I be glad to give you a good referal to may be one that is in your area.