Are you having some issues with typos etc?
Are the body temp numbers correct?
TSH should be closer to 1.0
You were not using any iodized salt on the table or cooking?
Are outer eyebrows sparse?
Your wife also affected, women as a group have more thyroid issues than guys.
See last paragraph in this post.
Total cholesterol is too low, 180 is ideal. Cholesterol is foundation for creation of all of your steroid hormones, including cortisol and Vit-D3. Most docs are brainwashed into thinking that cholesterol cannot be too low.
HDL can be increased with high potency B-complex mult-vits. Get product that does not contain iron, listing trace elements including 150-180 mcg iodine and 150-200mcg selenium.
Your wife needs vitamins that list iron. Fertile women loose iron, men do not and when they do, a GI bleed is suspected.
25.mcg of iodine is 25 micrograms - trivial
You mean 25mg?
When younger guys or otherwise vital are training hard when T and/or thyroid levels are adverse, this often is adrenalin overcoming low energy levels. This is a major stress and one needs to be looking out for possible adrenal fatigue. The gold standard for diagnosis is mid-range or higher fT3 with low body temperatures and elevated rT3 cabs can confirm. As your TSH is normal, you can expect docs and insurance to do little if anything.
You need to study up and take charge, you cannot be passive. Order your own labs, available in most USA States. Passive does not work.
To follow up on low-T, you need to test LH/FSH to determine if problem is in your testes or low pituitary output. Also test prolactin as that can be HPTA repressive. Prolactin increases from orgasms, cuddling puppies and babies etc. So you need to refrain for a few days to get clean lab results.
DO NOT START TRT before doing above suggested labs.
With your low thyroid function, T gels and creams probably will not absorb properly and self-injected T is your best option.
If LH/FSH are high, testes are not performing and doc can do physical exam to see if cause is correctable vascular abnormality. [But we often see mixed primary/secondary signals.]
With any form of TRT, you will need to manage E2 and must inject 250iu hCG SC EOD to preserve testes and fertility.
Many guys here have been on T+hCG and had babies.
With TRT you will definitely increase odds of sperm+egg.
SERMs, low dose, can be used to improve sperm quality as well when trying for pregnancy.
Your body and facial hair suggests that you were fully virilized and you may also have strong male facial bone structures. In cases like this, we expect the effects of low T to be normally worse than for a guys who never had high T levels.
Corticosteroids can lower T levels, use should be short term only.
Most docs that you run into are going to do TRT and manage thyroid issues wrong. Do not think that endos are then better, they seem to be the worse with arrogance multiplied by ignorance.
Where are you located, affects diagnostic and treatment options.
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.