Primary or Seconday?

[Liam89]

Hi everyone,

I’ve recently been offered testosterone by my urologist. I’m 30 yo and concerned about future furtility. When I inquired about HCG/Clomid, he told me neither would be effective at raising me to optimal levels because I’m primary.

Here are my initial lab results:
Total Testosterone: 357 (250-827)
Free testosterone: 66 (35-155)
LH: 5.5. (1.6-8.0)
FSH: 13.7 H (1.5-9.3)


Why is he saying this when my LH is midrange? Is FSH a better indicator of testicular function?

Thanks guys

 

[Vince]

Looks to me like your primary. Have you had a testicle injury?

 

[Vince Carter]

You're primary based on what you posted. Problem is the testes. I disagree with your Dr about HCG, though. I think he's probably right about Clomid not having a great chance for you. But you should be on HCG whether primary or secondary.

 

[Systemlord]

Testicular function is low, LH is midrange and testosterone is low. Your require more testing before you begin TRT, you're missing SHBG and E2 sensitive. Now is the time to freeze sperm, future fertility looks bad.

 

[Liam89]

Thanks for the reply. I’ve never had a testicular injury.

 

[Liam89]

Testicular function is low, LH is midrange and testosterone is low. Your require more testing before you begin TRT, you're missing SHBG and E2 sensitive. Now is the time to freeze sperm, future fertility looks bad.

Yeah, my urologist wants me tested and sperm frozen if I’m fertile, which he thinks I may not be with that FSH.

E2 Sensitive: 19
SHGB: 28

 

[Vince]

hCG and Primary Hypogonadism

https://www.excelmale.com/forum/showthread.php?1414-hCG-and-Primary-Hypogonadism

 

[Systemlord]

Yeah, my urologist wants me tested and sperm frozen if I'm fertile, which he thinks I may not be with that FSH.

E2 Sensitive: 19
SHGB: 28

Im that case you should start out injecting 50mg twice weekly after you freeze some sperm and an AI shouldn't be given unless there is a need.

 

[Liam89]

You're primary based on what you posted. Problem is the testes. I disagree with your Dr about HCG, though. I think he's probably right about Clomid not having a great chance for you. But you should be on HCG whether primary or secondary.

My urologist doesn't want to incorporate it because he believes it causes more problems than it solves. I really don't want my already well below average testicles to atrophy, but after reading about the estradiol issues it can create, I see his point.