Whats up everybody. Im new here, I was hoping someone could help out. Basically, I did a clomid challenge a few weeks ago. my total was 178 (<240). The Clomid took me only to a 284, which is normal, but still lower normal. LH went from 5 to 11.2 during the clomid (25mgs for 7 nights). I thought if you didnt get a response it meant primary hypogonadism, and a response meant secondary. I got a response, although a small one it still put me into normal range, but nowhere near a normal range for a 28 year old male.
Does this seem like primary to a certain degree? I’m having a real hard time understanding all of this, because even after a barrage of blood work i still dont know for sure whether Im primary or secondary. My total T was 178 last lab, seven months off injections, but my free and biological T are normal, and my SHBG is a ten. Id like to get more input before I commit to TRT the rest of my life. Can someone fill me in a little, or is anyone in a similar situation? Do you think I should see a urologist again? Last time I went to one he didnt think an ultrasound or anything was neccesary.
Id reall appreciate any help, thanks!