Healthy man...low tests and low shbg :(

[choppie]

Hi,

How come I have low shbg and low tests..I do long distance cycling, not overweight...healthy 40y man

Free tests is 258 pmol/l [220-800]
Shbg 18 nmol/l [18-54]
S-testostrone 13.5 nmol/l [8-32]

Is trt is the only way to go? Or do I have other options also?

 

[Systemlord]

How come I have low shbg and low tests..

Endurance athletes tend to have suppressed testosterone.

Chronic Low Testosterone Levels in Endurance Trained Men: The Exercise- Hypogonadal Male Condition - PMC

www.ncbi.nlm.nih.gov

 

[choppie]

Endurance athletes tend to have suppressed testosterone.

Chronic Low Testosterone Levels in Endurance Trained Men: The Exercise- Hypogonadal Male Condition - PMC

www.ncbi.nlm.nih.gov

Well I don't train on that level but today I visited urologist, he said these numbers look ok independent of symptoms...

 

[Systemlord]

Well I don't train on that level but today I visited urologist, he said these numbers look ok independent of symptoms...

A lot of urologists, doctors in general are clueless, receive no training in sex hormones. For these doctors, in range is normal and that's the end of the discussion.

Many doctors aren't up to date on current medical literature!

Testosterone Level: How Low is Too Low? Health Consequences of Low Testosterone

I was able to summarize all available studies on testosterone blood levels and how they are linked to several health issues. I will add references soon. Low Blood Levels of Testosterone and Associated Risks: < 450 ng/dl (15.3 nmol/l) - Risk of metabolic syndrome Reference: Dhindsa, S...

www.excelmale.com

Raul Clavijo,

We're all genetically different and we all have different types of androgen receptors and sensitivities as well as abilities for tissues to respond.

 

[choppie]

A lot of urologists, doctors in general are clueless, receive no training in sex hormones. For these doctors, in range is normal and that's the end of the discussion.

So what do you think is the numbers normal? I have lack of libido symptoms...eating healthy and sleeping well... Very seldom morning erection in past 2-3 years :/

 

[Systemlord]

So what do you think is the numbers normal?

No two doctors can agree on what's normal, experts recommend against a hard cut off value for reasons stated above.

Sex hormones is a new field of medicine, we don't have it all figured out yet.

The cut offs for TRT are arbitrary, everywhere around the world.

Many experts say Free T in the low normal range is a sign of hypogonadism.

There are studies showing symptoms of low-T <500 or 17.35 nmol/L.

Men outside the US have a very difficult time with getting a correct diagnosis.