Kirk001
Member
Hey guys, newbie here. So glad to have found this site and I want to say thanks to Nelson and the old pros who provide such a great resource for information.
So I kept hearing about the symptoms of low testosterone and decided I'd like to get tested. Male, late 30s, diet and exercise are pretty good (though could be better). I didn't even bother trying to go through my PCP, just ordered through DiscountedLabs.com. Total testosterone: 297 ng/dL (264 - 916) and Free Testosterone 8.3 pg/mL (8.7 - 25.1). I've read that you want the percent of free/total testosterone to be above 2.0 ... well if I did the math right I'm at 0.28%.
Again despite the low numbers I'm not even going to try to go through my PCP. Based off what I've read so far it seems like a waste of time and also that I'd be much better off working with a doc who has expertise in this field, so I'm in the process of setting up a telemedicine consult with Defy Medical. Got a physical exam done locally and ordered a whole bunch of labs.
Would appreciate some input from you experienced guys about what kind of protocol to discuss with Dr. Saya. Fertility is a concern of mine so originally I was thinking I should try clomiphene and/or HCG monotherapy at first, with an AI if needed to manage E2 (as recommended for younger guys in Jay Campbell's book). I figured if testosterone was low, sperm count would probably also be low, so I should try to avoid making it any lower.
Well, the picture looks different after I got my semen analysis results. This may be a first for ExcelMale because I didn't find anything like this when I searched. My test results indicate Polyzoospermia, which is basically a ridiculously high sperm count. Normal range is 15 - 150 million sperm/mL of semen. Mine was 550 million/mL! Motility and morphology were within normal ranges. I was pretty shocked at this. Apparently though, excessively high sperm counts are actually not great and once they get too high fertility starts to decrease, for reasons that are unclear.
That being said, I'm now thinking maybe I should skip the clomiphene and start right out with testosterone and HCG. This will lower my sperm count but based on the results of that semen analysis, a reduction in my sperm count would actually increase my fertility.
What do you guys think? I will of course be getting future semen analysis tests to monitor the situation, along with bloodwork. Thanks.
So I kept hearing about the symptoms of low testosterone and decided I'd like to get tested. Male, late 30s, diet and exercise are pretty good (though could be better). I didn't even bother trying to go through my PCP, just ordered through DiscountedLabs.com. Total testosterone: 297 ng/dL (264 - 916) and Free Testosterone 8.3 pg/mL (8.7 - 25.1). I've read that you want the percent of free/total testosterone to be above 2.0 ... well if I did the math right I'm at 0.28%.
Again despite the low numbers I'm not even going to try to go through my PCP. Based off what I've read so far it seems like a waste of time and also that I'd be much better off working with a doc who has expertise in this field, so I'm in the process of setting up a telemedicine consult with Defy Medical. Got a physical exam done locally and ordered a whole bunch of labs.
Would appreciate some input from you experienced guys about what kind of protocol to discuss with Dr. Saya. Fertility is a concern of mine so originally I was thinking I should try clomiphene and/or HCG monotherapy at first, with an AI if needed to manage E2 (as recommended for younger guys in Jay Campbell's book). I figured if testosterone was low, sperm count would probably also be low, so I should try to avoid making it any lower.
Well, the picture looks different after I got my semen analysis results. This may be a first for ExcelMale because I didn't find anything like this when I searched. My test results indicate Polyzoospermia, which is basically a ridiculously high sperm count. Normal range is 15 - 150 million sperm/mL of semen. Mine was 550 million/mL! Motility and morphology were within normal ranges. I was pretty shocked at this. Apparently though, excessively high sperm counts are actually not great and once they get too high fertility starts to decrease, for reasons that are unclear.
That being said, I'm now thinking maybe I should skip the clomiphene and start right out with testosterone and HCG. This will lower my sperm count but based on the results of that semen analysis, a reduction in my sperm count would actually increase my fertility.
What do you guys think? I will of course be getting future semen analysis tests to monitor the situation, along with bloodwork. Thanks.
