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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Secondary Hypogonadism - Data On The Causes? Prevalence of Pituitary Lesions?
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<blockquote data-quote="bennettjc" data-source="post: 201418" data-attributes="member: 41390"><p>Thank you!</p><p></p><p>As you are the responder...I suspect that what I am looking for simply doesn't exist. </p><p></p><p>But, to extract, in one study about 85% of hypogonadism is secondary. And in secondary hypogonadism in only about 10% could a specific etiology be identified.</p><p></p><p>As far as the treatment guidelines go, I've always had mixed feelings about these. They have good points and bad points. All that I conclude for sure is that they are rarely followed, for better or worse.</p><p></p><p>Some responses to the guidelines:</p><p>-I do like that they mention only LH as being helpful to follow-up low testosterone levels. FSH is always said in the same breath, including by me. I'm going to stop.</p><p></p><p>-It is impractical, though, to wait for the LH result to come back before ordering (or not) the Prolactin level. </p><p></p><p>-Glad to see that they recommend the MRI no matter the prolactin level. But I think their 150ng/dl Total Testosterone cutoff is unhelpful given how much testosterone fluctuates.</p></blockquote><p></p>
[QUOTE="bennettjc, post: 201418, member: 41390"] Thank you! As you are the responder...I suspect that what I am looking for simply doesn't exist. But, to extract, in one study about 85% of hypogonadism is secondary. And in secondary hypogonadism in only about 10% could a specific etiology be identified. As far as the treatment guidelines go, I've always had mixed feelings about these. They have good points and bad points. All that I conclude for sure is that they are rarely followed, for better or worse. Some responses to the guidelines: -I do like that they mention only LH as being helpful to follow-up low testosterone levels. FSH is always said in the same breath, including by me. I'm going to stop. -It is impractical, though, to wait for the LH result to come back before ordering (or not) the Prolactin level. -Glad to see that they recommend the MRI no matter the prolactin level. But I think their 150ng/dl Total Testosterone cutoff is unhelpful given how much testosterone fluctuates. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Secondary Hypogonadism - Data On The Causes? Prevalence of Pituitary Lesions?
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