Lanstronio
New Member
Estoy muy preocupado, llevo un año de médicos y no consigo aclarar mi problema.
Tras un periodo de estrés muy elevado y una disminución total de mi capacidad sexual decidí acudir al medico, tras varias visitas me mandaron inicialmente a un internista, después visite un urólogo y ahora me ha visto un endocrino. Para resumir doy los datos que entiendo que son la base del problema o al menos de mi preocupación.
En el primer análisis hormonal me detectaron lo siguiente LH al limite osea 11,5 en un ratio de 2-12
FSH muy por encima de lo maximo 36 en un ratio de 1,5-12,6.
Prolactina 42 ratio 2-24
La TSH y T4 no mostraban anomalía.
La testosterona estaba teoricamente bien con 6 en un rango de 3-8. La RM no identifico problemas en la hipófisis
En el examen del urologo me detecto varicocele bilateral grado dos con atrofia testicular en mas pronunciada en uno de los testículos con disminución de tamaño. Hasta la fecha yo no había experimentado ningún síntoma (tengo 57 años y dos hijos) me receto TRT y dostinex 2 pastillas semanales. A los tres meses nueva analítica y visita al urologo. la prolactina estaba en 0,36 muy por debajo del mínimo del rango la LH en 6 (mitad de rango) la FSH en 12 (máximo rango) y la testosterona en 10,5 por encima de rango. Me toca la revisión con otro urologo el cual sin pensarselo me remite al Endocrino,pero con nueva analítica para lo cual debo dejar de tomar los medicamentos (dostinex y testosterona) esta da de nuevo fuera de rango el FSH 36 y LH 12,6 y sigue por debajo la prolactina 0,56 la testosterona en 5,6 y la T libre en 9 en un rango de 6-25 a la vista del resultado el endocrino me dice que la TRT no es indicada y me ha mandado a realizarme otras analiticas mas complejas que estoy esperando a realizar. Mi duda después de todo lo que he podido leer es ¿Que puede estar pasando si Tengo normal la testosterona pero elevadas la LH y la FSH ¿Hay hipogondalismo? ¿es primario? ¿es secundario? Por favor si alguien puede aclararme algo se lo agradezco profundamente.
GOOGLE TRANSLATE:
I'm very worried, I've been a doctor for a year and I can not solve my problem.After a period of very high stress and a total decrease in my sexual ability I decided to go to the doctor, after several visits I was sent initially to an internist, then I visited a urologist and now I have seen an endocrine. To summarize I give the data that I understand that are the basis of the problem or at least of my concern.In the first hormonal analysis I was detected the following LH to limit bone 11.5 in a ratio of 2-12FSH well above the maximum 36 in a ratio of 1.5-12.6.Prolactin 42 ratio 2-24TSH and T4 showed no abnormality.Testosterone was theoretically good with 6 in a range of 3-8. The MRI did not identify problems in the pituitary glandIn the examination of the urologist I detect a bilateral varicocele grade two with testicular atrophy in more pronounced in one of the testes with size decrease. To date I had not experienced any symptoms (I am 57 years old and two children) I was prescribed TRT and dostinex 2 pills a week. At three months new analytical and visit the urologist. prolactin was at 0.36 far below the minimum range of LH in 6 (mid range) FSH in 12 (maximum range) and testosterone in 10.5 above range. I have the review with another urologist who without thinking about it, refers me to the Endocrine, but with new analytics for which I must stop taking the medications (dostinex and testosterone) this gives again out of range the FSH 36 and LH 12,6 and follows below the prolactin 0.56 the testosterone in 5,6 and the free T in 9 in a range of 6-25 in view of the result the endocrine tells me that the TRT is not indicated and has sent me to perform other analytical more complex than I am waiting to perform. My doubt after all I could read is what can be happening if I have normal testosterone but elevated LH and FSH Is there hypogonadism? Is it primary? Is it secondary? Please, if someone can clarify something, I thank you very much.
I'm very worried, I've been a doctor for a year and I can not solve my problem.After a period of very high stress and a total decrease in my sexual ability I decided to go to the doctor, after several visits I was sent initially to an internist, then I visited a urologist and now I have seen an endocrine. To summarize I give the data that I understand that are the basis of the problem or at least of my concern.In the first hormonal analysis I was detected the following LH to limit bone 11.5 in a ratio of 2-12FSH well above the maximum 36 in a ratio of 1.5-12.6.Prolactin 42 ratio 2-24TSH and T4 showed no abnormality.Testosterone was theoretically good with 6 in a range of 3-8. The MRI did not identify problems in the pituitary glandIn the examination of the urologist I detect a bilateral varicocele grade two with testicular atrophy in more pronounced in one of the testes with size decrease. To date I had not experienced any symptoms (I am 57 years old and two children) I was prescribed TRT and dostinex 2 pills a week. At three months new analytical and visit the urologist. prolactin was at 0.36 far below the minimum range of LH in 6 (mid range) FSH in 12 (maximum range) and testosterone in 10.5 above range. I have the review with another urologist who without thinking about it, refers me to the Endocrine, but with new analytics for which I must stop taking the medications (dostinex and testosterone) this gives again out of range the FSH 36 and LH 12,6 and follows below the prolactin 0.56 the testosterone in 5,6 and the free T in 9 in a range of 6-25 in view of the result the endocrine tells me that the TRT is not indicated and has sent me to perform other analytical more complex than I am waiting to perform. My doubt after all I could read is what can be happening if I have normal testosterone but elevated LH and FSH Is there hypogonadism? Is it primary? Is it secondary? Please, if someone can clarify something, I thank you very much.
Tras un periodo de estrés muy elevado y una disminución total de mi capacidad sexual decidí acudir al medico, tras varias visitas me mandaron inicialmente a un internista, después visite un urólogo y ahora me ha visto un endocrino. Para resumir doy los datos que entiendo que son la base del problema o al menos de mi preocupación.
En el primer análisis hormonal me detectaron lo siguiente LH al limite osea 11,5 en un ratio de 2-12
FSH muy por encima de lo maximo 36 en un ratio de 1,5-12,6.
Prolactina 42 ratio 2-24
La TSH y T4 no mostraban anomalía.
La testosterona estaba teoricamente bien con 6 en un rango de 3-8. La RM no identifico problemas en la hipófisis
En el examen del urologo me detecto varicocele bilateral grado dos con atrofia testicular en mas pronunciada en uno de los testículos con disminución de tamaño. Hasta la fecha yo no había experimentado ningún síntoma (tengo 57 años y dos hijos) me receto TRT y dostinex 2 pastillas semanales. A los tres meses nueva analítica y visita al urologo. la prolactina estaba en 0,36 muy por debajo del mínimo del rango la LH en 6 (mitad de rango) la FSH en 12 (máximo rango) y la testosterona en 10,5 por encima de rango. Me toca la revisión con otro urologo el cual sin pensarselo me remite al Endocrino,pero con nueva analítica para lo cual debo dejar de tomar los medicamentos (dostinex y testosterona) esta da de nuevo fuera de rango el FSH 36 y LH 12,6 y sigue por debajo la prolactina 0,56 la testosterona en 5,6 y la T libre en 9 en un rango de 6-25 a la vista del resultado el endocrino me dice que la TRT no es indicada y me ha mandado a realizarme otras analiticas mas complejas que estoy esperando a realizar. Mi duda después de todo lo que he podido leer es ¿Que puede estar pasando si Tengo normal la testosterona pero elevadas la LH y la FSH ¿Hay hipogondalismo? ¿es primario? ¿es secundario? Por favor si alguien puede aclararme algo se lo agradezco profundamente.
GOOGLE TRANSLATE:
I'm very worried, I've been a doctor for a year and I can not solve my problem.After a period of very high stress and a total decrease in my sexual ability I decided to go to the doctor, after several visits I was sent initially to an internist, then I visited a urologist and now I have seen an endocrine. To summarize I give the data that I understand that are the basis of the problem or at least of my concern.In the first hormonal analysis I was detected the following LH to limit bone 11.5 in a ratio of 2-12FSH well above the maximum 36 in a ratio of 1.5-12.6.Prolactin 42 ratio 2-24TSH and T4 showed no abnormality.Testosterone was theoretically good with 6 in a range of 3-8. The MRI did not identify problems in the pituitary glandIn the examination of the urologist I detect a bilateral varicocele grade two with testicular atrophy in more pronounced in one of the testes with size decrease. To date I had not experienced any symptoms (I am 57 years old and two children) I was prescribed TRT and dostinex 2 pills a week. At three months new analytical and visit the urologist. prolactin was at 0.36 far below the minimum range of LH in 6 (mid range) FSH in 12 (maximum range) and testosterone in 10.5 above range. I have the review with another urologist who without thinking about it, refers me to the Endocrine, but with new analytics for which I must stop taking the medications (dostinex and testosterone) this gives again out of range the FSH 36 and LH 12,6 and follows below the prolactin 0.56 the testosterone in 5,6 and the free T in 9 in a range of 6-25 in view of the result the endocrine tells me that the TRT is not indicated and has sent me to perform other analytical more complex than I am waiting to perform. My doubt after all I could read is what can be happening if I have normal testosterone but elevated LH and FSH Is there hypogonadism? Is it primary? Is it secondary? Please, if someone can clarify something, I thank you very much.
I'm very worried, I've been a doctor for a year and I can not solve my problem.After a period of very high stress and a total decrease in my sexual ability I decided to go to the doctor, after several visits I was sent initially to an internist, then I visited a urologist and now I have seen an endocrine. To summarize I give the data that I understand that are the basis of the problem or at least of my concern.In the first hormonal analysis I was detected the following LH to limit bone 11.5 in a ratio of 2-12FSH well above the maximum 36 in a ratio of 1.5-12.6.Prolactin 42 ratio 2-24TSH and T4 showed no abnormality.Testosterone was theoretically good with 6 in a range of 3-8. The MRI did not identify problems in the pituitary glandIn the examination of the urologist I detect a bilateral varicocele grade two with testicular atrophy in more pronounced in one of the testes with size decrease. To date I had not experienced any symptoms (I am 57 years old and two children) I was prescribed TRT and dostinex 2 pills a week. At three months new analytical and visit the urologist. prolactin was at 0.36 far below the minimum range of LH in 6 (mid range) FSH in 12 (maximum range) and testosterone in 10.5 above range. I have the review with another urologist who without thinking about it, refers me to the Endocrine, but with new analytics for which I must stop taking the medications (dostinex and testosterone) this gives again out of range the FSH 36 and LH 12,6 and follows below the prolactin 0.56 the testosterone in 5,6 and the free T in 9 in a range of 6-25 in view of the result the endocrine tells me that the TRT is not indicated and has sent me to perform other analytical more complex than I am waiting to perform. My doubt after all I could read is what can be happening if I have normal testosterone but elevated LH and FSH Is there hypogonadism? Is it primary? Is it secondary? Please, if someone can clarify something, I thank you very much.
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