Blood results: Low T, Low SHBG, High Prolactin, E2 not sure?

teep said:

Hi all,

I have never cycled or used steroids etc before and was suffering from Low T symptoms so decided to get some bloods done:

Results (31 year old male):

TESTOSTERONE: 7.53 nmol/L (7.60 - 31.40)
FREE-TESTOSTERONE(CALCULATED): 0.225 nmol/L (0.30 - 1.00)
BETA OESTRADIOL: 33.4 pmol/L (0.00 - 191.99)
SEX HORMONE BINDING GLOB: 12.5 nmol/L (16.00 - 55.00)
PROLACTIN: 362 mIU/L (86.00 - 324.00)

Thyroids, blood count, liver, kidney function etc all came back very good.


My T levels seem super low at 217 ng/dl.
I am not sure how to diagnose my E2 levels at 9 pg/ml - can anyone give some input?

I feel like I should get on TRT, but with high prolactin and low SHBG I am not sure if it would make any difference (from some quick googling).

I am not sure how bad my prolactin levels are as they seem just slightly over the range, and I don't know if my SHBG is low purely because my T is low (or my E2 levels).

Would going on TRT immediately be a good or bad idea (in a hypothetical sense)?

Hope someone can help as I am very confused by these results, and I wont be able to see my doctor for another week .. would love to have some follow up questions for him by then!

Thanks

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CoastWatcher said:

Welcome to Excelmale. You are missing some key tests. It is important to have LH and FSH measured to determine if your hypogonadism is primary or secondary in nature, a PSA should be captured for baseline purposes, and your thyroid - which thyroid tests were performed? DHT along with a CBC and a CMP are important, too.

One can have low testosterone with low SHBG, high SHBG, or SHBG sitting in the desired spot. The SHBG value becomes a factor in designing a proper protocol, low SHBG usually means smaller more frequent doses over the course of a week, but low SHBG certainly doesn't mean TRT isn't possible. The elevated prolactin should be further investigated. It can also be treated, and is hardly a bar to TRT.

Your estradiol is low because your testosterone is low. E follows T as night follows the day.

You are young, it is possible that your LH and FSH results would suggest a Clomid protocol as part of an attempted restart effort. What medications and supplements are you taking? Do you have a history of head or testicular injury? How do you sleep? Snore much?

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What medications and supplements are you taking? Do you have a history of head or testicular injury? How do you sleep? Snore much?

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teep said:

Hey thanks for the info!

Thyroid:
THYROID STIMULATING HORMONE: 1.8 mIU/L (0.27 - 4.20)
FREE THYROXINE: 20.4 pmol/L (12.00 - 22.00)
FREE T3: 4.76 pmol/L (3.10 - 6.80)

Prostate:
PROSTATE SPECIFIC AG(TOTAL): 1.14 ug/L (0.00 - 1.40)

Kidney/Liver/Proteins/Iron/Cholesterol all came back good.

I have booked in for an LH and FSH test and I'll post them as soon as I get the results back in a few days.



-No medication.
-No supplements apart from the odd multi vitamin and vit D (haven't been taking them as much recently)
-No head or testicular injuries.
-Sleep isn't amazing - I wake up still feeling fatigued most of the time. Get about 5-6 hours solid sleep but still feel exhausted throughout the day (maybe the low T).
- I don't think I snore much! Can;t be sure.

TRT:
I was actually going to self prescribe and it was one of the reasons I took the blood tests into my own hands (takes months through the doctors here to get anywhere). The plan was 100mg Test-E per week to start with and re-evaluate after 6 weeks.

Would going down this route be extremely careless now, or is there a chance it could make it better?

Could you please explain what would happen if my LH/FSH comes back low or normal too? I don't fully understand it.

Thank you again for the great info and taking the time to help!

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CoastWatcher said:

You're considering a self-designed TRT protocol on the basis of tests you don't understand?

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