Questions about my Low LH and FSH.

Jman

New Member
Hello guys,
Im hoping to get a little informa on how to manage Low LH and FSH. Im a 52 year old male whose been on testosterone cyponate for 4 years. Secondary Hypogandis.
My levels are good, except estradiol is a ***** getting it in the sweet spot. 20-30
I take anastarole to control the estradiol and also HCG every 3 days. 5,000
Im fixed, take B12, C and Zinc daily but those level are low.
So my questions are these. Should I be concerned? what can I do to increase these levels and how Would these low levels effect me.
Any suggestions?
 

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Hello guys,
Im hoping to get a little informa on how to manage Low LH and FSH. Im a 52 year old male whose been on testosterone cyponate for 4 years. Secondary Hypogandis.
My levels are good, except estradiol is a ***** getting it in the sweet spot. 20-30
I take anastarole to control the estradiol and also HCG every 3 days. 5,000

Im fixed, take B12, C and Zinc daily but those level are low.
So my questions are these. Should I be concerned? what can I do to increase these levels and how Would these low levels effect me.
Any suggestions?
No need to test LH/FSH as the HPG axis will be shut down on trt.

*Sperm production depends on a functionally intact HPG axis with the normal pituitary secretion of LH and FSH to support testicular testosterone production and spermatogenesis. Exogenous testosterone suppresses the HPG axis and testicular testosterone production





What is your protocol (dose T/injection frequency) and were labs done at true trough?

Your TT 635 ng/dL is far from high let alone we have no idea where your FT level truly sits as you had it tested using an inaccurate assay.....the piss poor direct immunoassay.

The only way to know where your FT level truly sits is to have it tested using the most accurate assays such as the gold standard Equilibrium Dialysis or Ultrafiltration (next best).

Your RBCs/hemoglobin/hematocrit are all on the high end.

There is no magic so-called sweet spot (20-30) for estradiol.....comes down to the individual and where they feel best!

That is a whopping dose of hCG you are using!

Top it off that you never included your SHBG as not only will it have a significant impact on TT/FT but can dictate what injection frequency may suit you best.
 
Men on TRT live with zero LH and FSH for years. Only now we are starting to get limited data on zero LH's lowering effect on upstream neurosteroids like pregnenolone and progesterone. These two are associated with mood and calmness.
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

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.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

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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