32 y old in UK - blood-work and TRT/Clomid?

MOT192

New Member
Hi all - just came across this community - thankfully, as I am trying to interpret my latest bloodwork/quite a confusing appointment at a TRT clinic in UK. Figures are below:



FSH: 1.7 IU/L (range: 1.0 - 12.0)

LH: 0.8 IU/L (range: 0.6 - 12.1)

Oestradiol: 56.0 pmol/L (range: 40-161)

SHBG: 49.5 nmol/L (range: 14-72)

Total Testosterone: 24.47 nmol/L (equates to 706 ng/dl) (range: 8.3 - 30.2 nmol/L)

Free Test: 0.423 nmol/L , 1.73% (equates to 12.2 ng/dl)



TSH: 2.012 mIU/L (range: 0.35 - 4.94)



All other results came back in normal range - happy to provide other figures if useful.



Symptoms: very low libido, poor mood, irritability, significant fatigue, no facial hair



Doctor thought my high SHBG was killing my free test total and, given the other figures, that this low free T was the cause of my symptoms. He recommended Clomid (given it avoids the infertility side-effects of Nebido), but said it doesn't work with 50% of people. As a "back-up option", in the event that Clomid doesn't work for me, Dr suggested freezing my sperm and trying Nebido.



I am a relative newbie to this discussion, but would really appreciate the thoughts of others. Many thanks!
 

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This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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