Note: I have not yet started a TRT program but I will likely be starting within the next week or so. Before now I have never taken any steroids, drugs of any sort, or any TRT.
It took me until 12/17 - 1/18 to finally realized my severe depression, fatigue and every symptom in the book relating to Low T could be related to Testosterone levels after suffering for over 3 years and not having a clue what was really happening to me. I was researching causes of my symptoms and came across an article regarding Low T and its links to mental illness, poor mood etc. This prompted me to dig up a blood test I had done in 10/16. After cross referencing, I found my results were that of the average 80 YO man. Hence my journey since; in researching this disease and seeking treatment.
Over a month ago I had a physical done by a PCP and he said my testes were actually very healthy size. (no homo)
So I just got a blood test done on behalf of a tele-medicine TRT clinic a week ago and now I am confused as the results are a little different than I expected. I will explain further, just follow me on this.
In October of 2016 I had a blood test that showed 397 Total T.
In January of this year I had a test that showed 256 Total T.
The test from last week shows a Total T of 485.
I was not expecting it to be so high considering it was on a gradual decline over time but there are many factors that could have temporarily spiked it. Below are the bullet point results from last weeks panel. v
Total T - 485 ng/dL (264 - 916)
Free T - 10.8 pg/ml (9.3 - 26.5)
E2 - 13.6 pg/ml (7.6 - 42.6)
LH - 4.1 mIU/ml (1.7 - 8.6)
FSH - 4.0 mIU/ml (1.5 - 12.4)
So this is where my confusion lies. Apparently my LH and FSH levels are fine and within normal range, which I was also told by the clinic. BUT, somehow my testes have produced 485 Total T. Can this still be considered Primary Hypogonadism even as high as 485 ng/dL ?
Is this actually a result of Secondary Hypogonadism and my LH and FSH levels are actually sub par despite the "normal range’ provided by the lab? Given the fact that I do not have any noticeable Testicular Atrophy and was told by a Doc that they are healthy size, perhaps my Testes are doing the best they can given the amount of signals they are getting. Do my test results reflect such a consensus?
Please let me know what you think.
@KSman your input and anyone elses would be greatly appreciated.