My lab results... I need some advice

[flex2264]

For the past 18 months i haven't felt like my normal self. I looked up my symptoms and it all pointed to low T. Mainly very low energy, no libido, ED... So I decided to get blood work done. Below are my results for the past 3 visits.

Almost 2 weeks ago I went to a doctor in Mexico, where i'm currently residing, for a consult. I showed him the results he said all looked fine. He told me to use cialis 5mg ED & to take some vitamins. I then asked him if he could give me anything to bring my sex drive up. He shot me up with Nebido. I haven't been taking the cialis as I wanna see what effect the Nebido has on my erections, if any. So far nothing

My question is, looking below at the results is there anything that looks out of whack? My LH and DHEA is slightly out of range, not sure if that can affect anything?

Also, after doing some research on Nebido (i wish i would have beforehand) I think I would like to add in hCG 300iU a couple of times per week to keep my ball size and to up sex drive.

Good idea or should I try something else?

The pharmacys in Mexico give easy access to any meds.

Tomorrow I plan on getting my blood drawn again to test levels as it will be 2 weeks since my Nebido injection.

Thank in advance!

(1st test)Date 8/2017
LH 4.3 mIU/ml (1.7-8.6)
E2 29.2 pg/mL (8-35)
DHEA 268 ug/dl (138.5-475.2)
T.T 725 ng/dl (264-916)
F.T 13.8 pg/dl (8.7-25.1)
SHBG 44.6 nmol/L (16.5-55.9)

(2nd test)Date 9/2018
LH 3.3 mIU/ml (1.5-9.3)
E2 38 pg/mL (< 40)
DHEA 359 ug/dl (34.5-568.9)
T.T 739 ng/dl (280-1100)
F.T 15.36 ng/dl (1.9-27)
SHBG 37 nmol/L (14.55-94.64)

(3rd test) Date 1/2019
LH 9.05 mIU/ml (1.24-8.62)
E2 29 pg/mL
DHEA 10 ng/dl (1.28-9.21)
T.T 5.76 ng/dl (1.75-7.81)
F.T 15.05 pg/dl (1-28)

Extra Studies 1/2019
T3 1.16 ng/mL (.78-1.77)
F.T3 3.89 pg/mL (2.27-4.91)
T4 8.75 ug/dl (5.29-1169)
F.T4 1.06 ng/dl (.62-1.37)
IGF1 15.05 pg/ml (1-28)

 

[YBWV]

For the past 18 months i haven't felt like my normal self. I looked up my symptoms and it all pointed to low T. Mainly very low energy, no libido, ED... So I decided to get blood work done. Below are my results for the past 3 visits.

Almost 2 weeks ago I went to a doctor in Mexico, where i'm currently residing, for a consult. I showed him the results he said all looked fine. He told me to use cialis 5mg ED & to take some vitamins. I then asked him if he could give me anything to bring my sex drive up. He shot me up with Nebido. I haven't been taking the cialis as I wanna see what effect the Nebido has on my erections, if any. So far nothing

My question is, looking below at the results is there anything that looks out of whack? My LH and DHEA is slightly out of range, not sure if that can affect anything?

Also, after doing some research on Nebido (i wish i would have beforehand) I think I would like to add in hCG 300iU a couple of times per week to keep my ball size and to up sex drive.

Good idea or should I try something else?

The pharmacys in Mexico give easy access to any meds.

Tomorrow I plan on getting my blood drawn again to test levels as it will be 2 weeks since my Nebido injection.

Thank in advance!

(1st test)Date 8/2017
LH 4.3 mIU/ml (1.7-8.6)
E2 29.2 pg/mL (8-35)
DHEA 268 ug/dl (138.5-475.2)
T.T 725 ng/dl (264-916)
F.T 13.8 pg/dl (8.7-25.1)
SHBG 44.6 nmol/L (16.5-55.9)

(2nd test)Date 9/2018
LH 3.3 mIU/ml (1.5-9.3)
E2 38 pg/mL (< 40)
DHEA 359 ug/dl (34.5-568.9)
T.T 739 ng/dl (280-1100)
F.T 15.36 ng/dl (1.9-27)
SHBG 37 nmol/L (14.55-94.64)

(3rd test) Date 1/2019
LH 9.05 mIU/ml (1.24-8.62)
E2 29 pg/mL
DHEA 10 ng/dl (1.28-9.21)
T.T 5.76 ng/dl (1.75-7.81)
F.T 15.05 pg/dl (1-28)

Extra Studies 1/2019
T3 1.16 ng/mL (.78-1.77)
F.T3 3.89 pg/mL (2.27-4.91)
T4 8.75 ug/dl (5.29-1169)
F.T4 1.06 ng/dl (.62-1.37)
IGF1 15.05 pg/ml (1-28)

Your 1st and 2nd Test results were quite consistent and showed good levels of the sex hormones; decent TT (~2% FT) and E2.

The 3rd Test, at another new Lab, does show LH suddenly High, that could be an anomaly, which you won't really be able to confirm at your Labs tomorrow as you'll be supressed from the Nebido.

Did you get serum DHT measured at any of the 3 draws? If you were presenting with Libido/Erection issues then DHT levels are at least equally important as the other hormones.
If it wasn't tested previously I would recommend including it in the bloods panel tomorrow.

Remember too that there's a lot more to good sexual function and Libido than just the levels, and balance, of the sex hormones.

Take good care of your health.
Being under the care of a Doctor that doesn't appear to have done any work-up and then "shot you up" with TU, to give a boost to your sex drive, doesn't bode well for the future.