I was diagnosed with a Grade 3 varicocele on the left side when I was in high school, and I’m 34 now. At the time, it didn’t hurt and the doctor said to come back if it gets worse and he’d take care of it with surgery. It never really hurt, so I never went back.
For as long as I can remember I’ve been a low energy kind of guy, and I guess I thought that was normal for me. On a whim, 6 months ago I had my total T and free T tested and was surprised by the results:
Date Tested 9/2017 (11 am)
- Total T (LC/MS/MS): 344 ng/dL (250 - 1100)
- Free T (dialysis): 76.3 pg/mL (35 - 155)
Started reading online about low T and found out that cholesterol is needed for T production. Starting eating whole eggs at breakfast. Got tested again 2 months later.
Date Tested 11/2017 (2 pm)
- Total T: 227 ng/dL (250 - 1100)
- Free T: 51 pg/mL (35 - 155)
Eggs apparently didn’t do much. Continued reading and found out that Vitamin D3 is needed for T production. Started taking 500IU Vitamin D3 daily (though didn’t get a Vitamin D blood test yet). Did some more research and decided to get a Thyroid panel, Iron panel, Lipid panel, and blood test for T again month and half later after taking Vitamin D.
Date Tested 12/2017 (8 am)
Total T: 319 ng/dL (250 - 1100)
Free T: 85.6 pg/mL (35 - 155)
Vitamin D, 25-OH, Total: 26 ng/mL (30 - 100)
- T3 uptake: 30% (22 - 35)
- Total T4: 7.5 mcg/dL (4.5 - 12.0)
- Free T4 index: 2.3 (1.4 - 3.8)
- TSH: 1.68 mIU/L (0.40 - 4.50)
- Free T4: 1.2 ng/dL (0.8 - 1.8)
- Free T3: 3.8 pg/mL (2.3 - 4.2)
- Reverse T3: 15 ng/dL (8 - 25)
- Thyroglobulin antibodies: <1 IU/mL (< or = 1)
- Thyroid peroxidase antibodies: 1 IU/mL (< 9)
- Hemoglobin: 16.1 g/dL (13.2 - 17.1)
- Total Iron: 138 mcg/dL (50 - 180)
- Iron binding capacity: 362 mcg/dL (250 - 425)
- Saturation: 38% (15 - 60)
- Ferritin: 117 ng/dL (20 - 345)
- Transferrin: 275 mg/dL (188 - 341)
- Total Cholesterol: 249 mg/dL (< 200)
- HDL: 43 mg/dL (> 40)
- LDL: 172 mg/dL (< 100)
- Triglycerides: 183 mg/dL (< 150)
- Cholest/HDL: 5.8 (< 5.0)
- Non-HDL cholest: 206 mg/dL (< 130)
Started taking 10,000 IU of Vitamin D3 daily, as well as Vitamin E with Selenium. At the time I thought that my low Vitamin D3 might be the cause of the low T. Got tested again 2 months later.
Date Tested 2/2018 (10 am)
Total T: 339 ng/dL (250 - 1100)
Free T: 82.9 pg/mL (35 - 155)
Vitamin D, 25-OH, Total: 38 ng/mL (30 - 100)
About a month ago I first read about the relation between varicoceles and low T. I read somewhere that Rutin and Horse Chestnut helped some guys naturally minimize a varicocele. Started taking those daily, in addition to the Vitamin D3 and Vitamin E.
Also read about a guy who had Chronic Pelvic Pain Syndrome (tight muscles in the pelvis cutting off circulation to the testicles that can cause a varicocele). Started doing some stretches and pressure point release as best I could, and found out I was really tense down there.
Finally, I found this forum a couple of weeks ago, and got FSH, LH, E2 tested.
Date Tested 3/2018 (10 am)
- FSH: 4.1 mIU/mL (1.6 - 8.0)
- LH: 3.4 mIU/mL (1.5 - 9.3)
- E2: 35 pg/mL (< or = 39)
Looks like E2 is high, but FSH and LH are about normal? Based on the Thyroid panel results, I thought I could rule out anything wrong there, but from what I’ve read on this forum a high FSH and LH indicates the issue is with the testicles. Looks like I haven’t pinpointed the issue yet.
I’m probably missing something here, could you guys take a look and let me know what you think?