Primary or Seconday?

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Liam89

New Member
Hi everyone,

I’ve recently been offered testosterone by my urologist. I’m 30 yo and concerned about future furtility. When I inquired about HCG/Clomid, he told me neither would be effective at raising me to optimal levels because I’m primary.

Here are my initial lab results:
Total Testosterone: 357 (250-827)
Free testosterone: 66 (35-155)
LH: 5.5. (1.6-8.0)
FSH: 13.7 H (1.5-9.3)


Why is he saying this when my LH is midrange? Is FSH a better indicator of testicular function?

Thanks guys
 
Defy Medical TRT clinic doctor
You're primary based on what you posted. Problem is the testes. I disagree with your Dr about HCG, though. I think he's probably right about Clomid not having a great chance for you. But you should be on HCG whether primary or secondary.
 

Systemlord

Member
Testicular function is low, LH is midrange and testosterone is low. Your require more testing before you begin TRT, you're missing SHBG and E2 sensitive. Now is the time to freeze sperm, future fertility looks bad.
 

Liam89

New Member
Testicular function is low, LH is midrange and testosterone is low. Your require more testing before you begin TRT, you're missing SHBG and E2 sensitive. Now is the time to freeze sperm, future fertility looks bad.

Yeah, my urologist wants me tested and sperm frozen if I’m fertile, which he thinks I may not be with that FSH.

E2 Sensitive: 19
SHGB: 28
 

Systemlord

Member
Yeah, my urologist wants me tested and sperm frozen if I'm fertile, which he thinks I may not be with that FSH.

E2 Sensitive: 19
SHGB: 28

Im that case you should start out injecting 50mg twice weekly after you freeze some sperm and an AI shouldn't be given unless there is a need.
 

Liam89

New Member
You're primary based on what you posted. Problem is the testes. I disagree with your Dr about HCG, though. I think he's probably right about Clomid not having a great chance for you. But you should be on HCG whether primary or secondary.

My urologist doesn't want to incorporate it because he believes it causes more problems than it solves. I really don't want my already well below average testicles to atrophy, but after reading about the estradiol issues it can create, I see his point.
 
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