Still shut down after 2 years?

Shredxd

New member
Hi all

I did a 500mg test e per week cycle 2 years ago and have been getting bloods done regularly since.

Stats
24 years old
182cm
180lb
Bf% roughly 12
Training since I was 15

Here are my most recent results

Testosterone 9.5 ref 11.5-32.0
SHBG 22 ref 15-50
FAI 43.2% ref 15-100
FSH 2.0 ref 1-12
LH 2.9 ref 0.6-12
Oestradiol <50 ref <160
Progesterone <0.5 ref <4.1

I don't have any libido problems as far as I know and sadly no pre cycle bloods (I'm a moron).

Wondering what your guys thoughts are on possible routes of action.

Doctors in Australia don't wanna go anywhere near this sort of thing.
 
Edit: pct was nova and clomid but didn't finish for some silly reason. I was really messed up over ex gf
 
Do a clomid restart protocol , then get some bloods done again . If that doesn't work then you have the option of TRT or just not messing around with your test anymore . You are young to be on TRT so I don't want you to think that's the second best option. Do a full pct with clomid and get some bloods done after , then Report back.
 
I should note those bloods are from May this year but since the cycle my levels have fluctuated lower than that and slightly higher but no where near what I consider normal.

Thanks joe, is there a standard clomid protocol on the site here?
 
Shredxd said:
Hi all

I did a 500mg per week cycle 2 years ago and have been getting bloods done regularly since.

Stats
24 years old
182cm
180lb
Bf% roughly 12
Training since I was 15

Here are my most recent results

Testosterone 9.5 ref 11.5-32.0
SHBG 22 ref 15-50
FAI 43.2% ref 15-100
FSH 2.0 ref 1-12
LH 2.9 ref 0.6-12
Oestradiol <50 ref <160
Progesterone <0.5 ref <4.1

I don't have any libido problems as far as I know and sadly no pre cycle bloods (I'm a moron).

Wondering what your guys thoughts are on possible routes of action.

Doctors in Australia don't wanna go anywhere near this sort of thing.
Click to expand...

See an endo and get properly assessed. The fact that your test is sub range and LH and FSH are both in range could suggest primary hypogonadism.
 
NoAddedHmones said:
See an endo and get properly assessed. The fact that your test is sub range and LH and FSH are both in range could suggest primary hypogonadism.
Click to expand...

Seen an endo who made me just get multiple blood tests and because it was low normal said I was normal and was fine to go on my merry way. Docs in Aus and endos apparently don't do anything, at least the ones I've seen.

burn I get sensitive nips still from time to time and ever so slightly puffy but docs have said no gyno
 
Hyde said:
That is a standard PCT protocol, true - OP MAY want to consider running running Clomid longer however. And lots of Vit D daily. 10k iu.
Click to expand...

Am taking exactly that much vit d 5 days on 2 days off as per a naturopath I saw and supplementing with iodine.

Edit: haven't had bloods done since starting vit d about 5 weeks ago, surely it couldn't make that much difference?
 
Shredxd said:
Am taking exactly that much vit d 5 days on 2 days off as per a naturopath I saw and supplementing with iodine.

Edit: haven't had bloods done since starting vit d about 5 weeks ago, surely it couldn't make that much difference?
Click to expand...

Its really not a good idea to supplement Iodine.
 
Shredxd said:
Hi all

I did a 500mg per week cycle 2 years ago and have been getting bloods done regularly since.

Stats
24 years old
182cm
180lb
Bf% roughly 12
Training since I was 15

Here are my most recent results

Testosterone 9.5 ref 11.5-32.0
SHBG 22 ref 15-50
FAI 43.2% ref 15-100
FSH 2.0 ref 1-12
LH 2.9 ref 0.6-12
Oestradiol <50 ref <160
Progesterone <0.5 ref <4.1

I don't have any libido problems as far as I know and sadly no pre cycle bloods (I'm a moron).

Wondering what your guys thoughts are on possible routes of action.

Doctors in Australia don't wanna go anywhere near this sort of thing.
Click to expand...

As previously mentioned, this would best be sought (in Australia) with a knowledgeable endocrinologist with specific experience in andrology. Depending on your location I may be able to recommend via PM.

If you are still seeing your current physician(s) regularly for this, as you have indicated, may I suggest a couple of tests you may not have had done already.

To begin with, a free androgen index is almost useless in males and really serves no purpose here. You may be able to ask your treating physician to request a free testosterone and a SHBG test which can then permit 'calculated free testosterone' using the Vermuelen equation. I'm not sure on the current Medicare subsidy on this- but I'm almost certain most (if not all) pathology labs are capable of performing it.

It seems plausible (as previously mentioned) that the issue may be stemming centrally. I don't think it would be out of line for you to request a serum prolactin and potentially a contrast pituitary MRI to rule out lacto-adenomal etilogy that may be suppressing gonadotrophins. Especially if your bloods have looked similar this for 2 years.

Finally a sperm test/semen analysis would also be worthwhile and will obviously indicate fertility, but also may provide indication of LH and FSH responsiveness at the gonad (sertoli) level. At the very least, if there is any abnormality here- it may prompt further action.
 
furion said:
As previously mentioned, this would best be sought (in Australia) with a knowledgeable endocrinologist with specific experience in andrology. Depending on your location I may be able to recommend via PM.

If you are still seeing your current physician(s) regularly for this, as you have indicated, may I suggest a couple of tests you may not have had done already.

To begin with, a free androgen index is almost useless in males and really serves no purpose here. You may be able to ask your treating physician to request a free testosterone and a SHBG test which can then permit 'calculated free testosterone' using the Vermuelen equation. I'm not sure on the current Medicare subsidy on this- but I'm almost certain most (if not all) pathology labs are capable of performing it.

It seems plausible (as previously mentioned) that the issue may be stemming centrally. I don't think it would be out of line for you to request a serum prolactin and potentially a contrast pituitary MRI to rule out lacto-adenomal etilogy that may be suppressing gonadotrophins. Especially if your bloods have looked similar this for 2 years.

Finally a sperm test/semen analysis would also be worthwhile and will obviously indicate fertility, but also may provide indication of LH and FSH responsiveness at the gonad (sertoli) level. At the very least, if there is any abnormality here- it may prompt further action.
Click to expand...

I have got results from one more test getting nailed through which I had one month ago which I believe has free test and SHBG.

I'm pretty sure I've had prolactin checked before will have a look when I'm home later.

I'm in Sydney of you know of anyone gp or endo who is more friendly toward this sort of area?

When you say central you mean secondary hypogonadism? That's what I've thought it's been.

It's hard to tell sexual wise if I have any symptoms. I don't have a crazy sex drive and I used to when I was 16 but I am 24 now so idk...
Performance wise I'm fine unless I go and try again in 30 minutes I normally need an hour or two between sessions.

Cheers for all the responses guys keep it coming!
 
Shredxd said:
Am taking exactly that much vit d 5 days on 2 days off as per a naturopath I saw and supplementing with iodine.

Edit: haven't had bloods done since starting vit d about 5 weeks ago, surely it couldn't make that much difference?
Click to expand...

Don't take days off from the Vit D. 10k iu daily. It's not a serious immediate answer, but most men should be taking it as it helps so many things.

The lab range is like 30-100 and do you know what they gave my sister who came back in the 20s? 40,000iu per day for like 6 months. 10,000iu is very safe, and you will have bloodwork again before it could ever get too high.
 
brother use some tesosterone booster for 1 month +clomid if that doesnt work i suggest you got to a doctor so he can give you something extra and more qualitty dont forget this is internet and tesosterone problems aint jokes
 
freakstar said:
brother use some tesosterone booster for 1 month +clomid if that doesnt work i suggest you got to a doctor so he can give you something extra and more qualitty dont forget this is internet and tesosterone problems aint jokes
Click to expand...

This. Definitely do clomid for a month+ as stated several times above, and also something like Test1fy, BLR Viron or Alphamax XT at the same time
 
Shredxd said:
Hi all

I did a 500mg test e per week cycle 2 years ago and have been getting bloods done regularly since.

Stats
24 years old
182cm
180lb
Bf% roughly 12
Training since I was 15

Here are my most recent results

Testosterone 9.5 ref 11.5-32.0
SHBG 22 ref 15-50
FAI 43.2% ref 15-100
FSH 2.0 ref 1-12
LH 2.9 ref 0.6-12
Oestradiol <50 ref <160
Progesterone <0.5 ref <4.1

I don't have any libido problems as far as I know and sadly no pre cycle bloods (I'm a moron).

Wondering what your guys thoughts are on possible routes of action.

Doctors in Australia don't wanna go anywhere near this sort of thing.
Click to expand...

At worst, it could be secondary hypogonadism. Run Clomid 25mg EOD for 3 months w/ Aromasin 12.5mg EOD and re-test.
 
fueledpassion said:
At worst, it could be secondary hypogonadism. Run Clomid 25mg EOD for 3 months w/ Aromasin 12.5mg EOD and re-test.
Click to expand...

I'm not a doctor, but is what I personally would do, except I would probably only be able to tolerate 6.25mg eod of the exem before my joints would get pissy.
 
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