Probably secondary hypogonadism. Testing LH is not enough as it is pulsatile and has a short half-life, so any lab can catch a peak or trough. Better to test LH and FSH as FSH has a longer half-life. steadier levels and often a better indicator of LH status than LH itself.
Low LH/FSH can be caused by blows to the head, this is quite well known.
TRT injections of once a week are frequently not going to work well. Most should be self-injecting T twice a week. Your doc is an idiot and most doctors are.
- self inject 50mg T cyp twice a week
- take 0.5 mg anastrozole at time of injections, adjust to get near E2=22 pg/ml
- optional: inject 250iu hCG SC EOD
- You can inject T with #29 1/2" 0.5ml insulin syringes, least cost ReLion brand at Walmart. Inject SC/SQ - into fat under skin
Many who show up here also have thyroid issues. Normal on labs does not count. Please see last paragraph in this post. Iodine from iodized salt is extremely important and critical for children too, women need more than men as iodine is stored in breast tissue.
You need to read all four stickies below.
Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the **thyroid basics sticky.** Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body's temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.