High FSH, Low LH?
- Thread starter kevmtao
- Start date
Vince
Super Moderator
To me, your test results don't make sense. I wonder if you need to retest your LH and FSH. Unless someone else can give you an answer. Have you ever ran these Labs before?
In 2018, LH was 1.3 and FSH was 5.8
Vince
Super Moderator
Looks like your secondary, I wonder if you would try enclomiphene. If that would bring your LH in a good range or hopefully above range.
Systemlord
Member
Your levels are low, but knowing your SHBG value would allow us to calculate the Free T level and percentage. Your LH is low which is looking more like secondary hypogonadism as Vince has stated. The majority of men diagnosed with secondary hypogonadism have an LH value in the 1-3 range.
@Systemlord @Vince
thanks for the replies guys. I do not have a good doctor when it comes to testosterone issues, so it's hard to push for getting comprehensive blood tests. They always tell me that I am normal and in range, and refuse to test for any other things besides total test and a few other things. I am going to get another test soon hopefully. I'm also quite young, only 19 at the moment.
thanks for the replies guys. I do not have a good doctor when it comes to testosterone issues, so it's hard to push for getting comprehensive blood tests. They always tell me that I am normal and in range, and refuse to test for any other things besides total test and a few other things. I am going to get another test soon hopefully. I'm also quite young, only 19 at the moment.
are there any studies or resources that point to the LH value of 1-3? I would love to show that to my doctor, as he always tells me I'm normal and in-range :/
I have also done another test that came out to 486 ng/dL total and 64.6 pg/mL free.
Vince
Super Moderator
I don't know where you're located or even if you can afford it. You could call Defy Medical, if you're located in the United States. They would run all of your labs and prescribe the right meds.
You could use discount labs, to see what your levels are at.
You could use discount labs, to see what your levels are at.
Systemlord
Member
The problem is a lot of docs only care about the numbers and don't even consider the symptoms or the clinical picture of the patient, you need to find a doc that knows how to properly diagnose a testosterone deficiency and ordinary doc doesn't cut it.
You need two seperate test results <300 to qualify for TRT, so if you get a 265 on your first test and 465 on your second test, you keep playing the game until you get two test results <300. This attempt to educate your doc has a low chance of success.
If you want TRT now you will have to pay out of pocket and will have access to someone well versed in TRT that would be easily able to deal with any side effects encountered.
If you aren't getting these numbers on a consistent basis and are low the majority of the time, that's no good. I mean if you are getting these numbers 1-2 time per week and are low all other times, then you will experience low-T symptoms.
I can't interpret your Free T result without reference ranges.
thanks for the reply. Sorry, the reference is 35.0 - 155.0
Thank you. Im in the US. There are some discount labs near me. What lab tests would you suggest getting?
Systemlord
Member
If you find it difficult to locate a knowledgeable doc, Defy Medical is good option.
Given your Total T and Free T ratios I predict your SHBG to be around midrange or slightly higher.
Vince
Super Moderator
If you looking for labs, this one would work.
You may want to call Defy Medical, find out what they can do for you. They will run your labs and you can have a consultation. Everything is out of pocket though.
Testosterone, Free, Bioavailable, and Total, LC/MS/MS (No Upper Limit) plus SHBG
This Testosterone Panel Includes 5 Tests: Total Testosterone (LC/MS most accurate assay), Free Testosterone, Bioavailable Testosterone (Free T plus albumin-bound T), Sex Hormone Binding Globulin (SHBG), and Albumin.
Vince
Super Moderator
Checkdis, posted this. The price of enclomiphene.
45x $150
90x $295
www.excelmale.com
45x $150
90x $295
Enclomiphene - Tailor Made Pharmacy *** 4 month results ***
** NOTE: Tailor Made Compounding is still operational and I received confirmation of tracking information. ** Hey guys, Here is a 3 month trial attempting 25mg EOD of Enclomiphene produced by Tailor Made Pharmacy. I am currently 30 y/o weight 209lb, BP is average 115/70 with a normal resting...
www.excelmale.com
If you looking for labs, this one would work.
You may want to call Defy Medical, find out what they can do for you. They will run your labs and you can have a consultation. Everything is out of pocket though.Testosterone, Free, Bioavailable, and Total, LC/MS/MS (No Upper Limit) plus SHBG
This Testosterone Panel Includes 5 Tests: Total Testosterone (LC/MS most accurate assay), Free Testosterone, Bioavailable Testosterone (Free T plus albumin-bound T), Sex Hormone Binding Globulin (SHBG), and Albumin.
Will also contact Defy Medical, thanks. how's this lab btw?
Testosterone LH and FSH Lab Tests
This panel includes: Total and Free Testosterone (ECLIA method), Luteinizing Hormone (LH), and Follicle Stimulating Hormone (FSH) at substantial savings that buying each test separately.
My budget for lab is probably around 100$, so I'm deciding between that one which includes LH/FSH and the one you sent.
Vince
Super Moderator
Sounds like you're on a pretty limited budget. You may just want to find a doctor, that's on your insurance and will prescribe enclomiphene for you. You could also just save up $100 a month and when you have enough saved start with defy.Will also contact Defy Medical, thanks. how's this lab btw?
Testosterone LH and FSH Lab Tests
This panel includes: Total and Free Testosterone (ECLIA method), Luteinizing Hormone (LH), and Follicle Stimulating Hormone (FSH) at substantial savings that buying each test separately.
My budget for lab is probably around 100$, so I'm deciding between that one which includes LH/FSH and the one you sent.
Just ordered a panel, and I will bring those results to an urologist in about 2 weeks. Thanks. Also is enclomiphene an approved drug? After searching about it on google, it seems unclear.
Vince
Super Moderator
I know Defy Medical uses for their patients.
Will also contact Defy Medical, thanks. how's this lab btw?
Testosterone LH and FSH Lab Tests
This panel includes: Total and Free Testosterone (ECLIA method), Luteinizing Hormone (LH), and Follicle Stimulating Hormone (FSH) at substantial savings that buying each test separately.
My budget for lab is probably around 100$, so I'm deciding between that one which includes LH/FSH and the one you sent.
Probably want to call Defy first because they have required baseline lab tests.
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