So here is my backstory. I am a 33 y/o father of 1 conceived naturally. About 5 years ago I went to my primary care complaining of lack of energy and libido. He orders a free testosterone test (that is it), it is low, he says start taking androgel. No talk of monitoring, looking at other numbers, etc. So clearly I left him. I have been monitoring my T levels over the past 5 years and they continue to be low. So I finally bring it up with my new doctor as something I want to possibly treat. He refers me to a urologist. Urologist orders range of tests. Below are numbers from my physical and then from my urologist tests
Primary Care
Testosterone Serum 248
TSH 3.27
Vitamin D 17.8
Urologist
Testosterone Serum 246
Free Testosterone (direct) 7.6
LH 4.7
FSH 5.2
Prolactin 7.5
My primary care doctor put my on prescription Vitamin D2 (50,000 IU 1 x week)
Now, after speaking with the Urologist he says he wants me on Clomid (25 mg every day) because I still want to have kids. I asked about estradiol and his response was "I ****ed up I should have ordered that but start the Clomid anyways and we'll check in a month". I asked about my Thyroid (TSH) level being a little high and he kind of brushed that off. Most of what I am reading is saying that anything above 2 should be investigated.
So, based on what I researched I am figuring secondary hypogonadism based on the numbers. Based on him not ordering a basic test and the fact that its probably secondary, I thought maybe I should get some other opinions from the Endocrinologist. I am seeing him tomorrow.
Side thought is that while yes I am probably having more kids, I have read numerous things that say that Clomid doesn't really help with the symptoms of Low T, more just that it raises T. Now considering I went to the doc because of the symptoms, plus my wife was pregnant twice, naturally, would Clomid even be a good choice for me?
I hope this all makes sense. I am just lost and want to feel better.
Primary Care
Testosterone Serum 248
TSH 3.27
Vitamin D 17.8
Urologist
Testosterone Serum 246
Free Testosterone (direct) 7.6
LH 4.7
FSH 5.2
Prolactin 7.5
My primary care doctor put my on prescription Vitamin D2 (50,000 IU 1 x week)
Now, after speaking with the Urologist he says he wants me on Clomid (25 mg every day) because I still want to have kids. I asked about estradiol and his response was "I ****ed up I should have ordered that but start the Clomid anyways and we'll check in a month". I asked about my Thyroid (TSH) level being a little high and he kind of brushed that off. Most of what I am reading is saying that anything above 2 should be investigated.
So, based on what I researched I am figuring secondary hypogonadism based on the numbers. Based on him not ordering a basic test and the fact that its probably secondary, I thought maybe I should get some other opinions from the Endocrinologist. I am seeing him tomorrow.
Side thought is that while yes I am probably having more kids, I have read numerous things that say that Clomid doesn't really help with the symptoms of Low T, more just that it raises T. Now considering I went to the doc because of the symptoms, plus my wife was pregnant twice, naturally, would Clomid even be a good choice for me?
I hope this all makes sense. I am just lost and want to feel better.
