The urologist that I saw 2 weeks ago didn't even know what SHBG was and ordered "total estrogen" instead of E2, why is why I ordered the private md lab test. What should I tell an endo? I've seen 2 endos previously for my symptoms (low libido/performance issues, fatigue) and they dismissed it as "in my head" without even investigating. I'm definitely concerned about the LSH and high SHBG. The research I've been doing is indicating that it could be a potential issue with my pituitary? Although having low LSH without accompanying low LH seems to be rare. I'm 27, I workout 5 days a week and eat relatively healthy. Are there any other blood tests I should get?
My prolactin was measured in 2012: Value 5.8 (range 1.6-18.8 ng/mL)
Also my testosterone took a big dip in 2012:
2011 total T 978 (range 280-1000)
2012 total T 568 (range 280-1000_
2013 total T 620 (range 348-1197)
The private MD labs did include a CBC (this was taken 2 days ago):
CBC With Differential/Platelet
WBC 4.9 3.4-10.8 x10E3/uL CB
RBC 4.48 4.14-5.80 x10E6/uL CB
Hemoglobin 13.2 12.6-17.7 g/dL CB
Hematocrit 39.1 37.5-51.0 % CB
MCV 87 79-97 fL CB
MCH 29.5 26.6-33.0 pg CB
MCHC 33.8 31.5-35.7 g/dL CB
RDW 14.1 12.3-15.4 % CB
Platelets 241 155-379 x10E3/uL CB
Neutrophils 57 40-74 % CB
Lymphs 33 14-46 % CB
Monocytes 8 4-12 % CB
Eos 2 0-5 % CB
Basos 0 0-3 % CB
Neutrophils (Absolute) 2.8 1.4-7.0 x10E3/uL CB
Lymphs (Absolute) 1.6 0.7-3.1 x10E3/uL CB
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL CB
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL CB
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL CB
Immature Granulocytes 0 0-2 % CB
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL CB
Comp. Metabolic Panel (14)
Glucose, Serum 90 65-99 mg/dL CB
BUN 12 6-20 mg/dL CB
Creatinine, Serum 0.84 0.76-1.27 mg/dL CB
eGFR If NonAfricn Am 120 >59 mL/min/1.73 CB
eGFR If Africn Am 139 >59 mL/min/1.73 CB
BUN/Creatinine Ratio 14 8-19 CB
Sodium, Serum 141 134-144 mmol/L CB
Potassium, Serum 4.4 3.5-5.2 mmol/L CB
Chloride, Serum 102 97-108 mmol/L CB
Carbon Dioxide, Total 25 19-28 mmol/L CB
Calcium, Serum 9.5 8.7-10.2 mg/dL CB
Protein, Total, Serum 7.1 6.0-8.5 g/dL CB
Albumin, Serum 4.6 3.5-5.5 g/dL CB
Globulin, Total 2.5 1.5-4.5 g/dL CB
A/G Ratio 1.8 1.1-2.5 CB
Bilirubin, Total 0.5 0.0-1.2 mg/dL CB
Alkaline Phosphatase, S 60 39-117 IU/L CB
AST (SGOT) 18 0-40 IU/L CB
ALT (SGPT) 17 0-44 IU/L CB
Testosterone, Serum
Testosterone, Serum 620 348-1197 ng/dL CB
Luteinizing Hormone(LH), S
LH 3.6 1.7-8.6 mIU/mL CB
FSH, Serum
FSH 1.2 LOW 1.5-12.4 mIU/mL CB
Estradiol
Estradiol 26.9 7.6-42.6 pg/mL CB
Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum 43.4 16.5-55.9 nmol/L CB
I appreciate any help on this!