Height : 181cms
Waist size: 36 inches
how much facial and body hair: normal facial hair, somewhat hairy chest/legs/lower arms/nothing on back
feeling cold often : no
gaining fat: yes
where are you gaining fat: only on belly , waist , chest and face.
how long ago did these changes start: 5 years
changes in how you react to stress : always been hot tempered,
any history of stimulant use : no
any history of steroid use: no
male pattern hair loss: yes ,thinning of hairs with greying on temples
drugs to combat male pattern hair loss: no
Low sex drive. Erections not lasting long enough.
Morning wood :yes ,but not like earlier ,like every morning
Depression all the time, Irritable always.
Brain Fogginess .
Erections not as hard as they used to be.
Weight gain only on belly,waist,chest and face.Arms and legs are pretty slim.loss of muscle mass on arms and shoulders.I am 28 but already look like atleast 35 years old.
Always tired,as if have no energy left to do anything.
2000-2500 daily calorie intake (vegetarian)
I have been having low sex drive for almost 3 years now. Started to gain excess weight on belly, waist ,chest and face from last 5 years ,and noticed that had brain fog, depressive ,irritable mood for last 3 years .I finally discussed it with a endo on march 2011.He ordered some tests on my demand ,I told him to check my testosterone ,free testosterone,LH,FSH,FT3,FT4,TSH.
Got the results and my total testosterone, free testosterone ,LH and FSH were low for my age .Then he tested for Prolactin and ordered a MRI for pituitary- hypothalamic area, it turned out to be normal. Then he ordered HCG stimulation test to check if my boys were working fine ,I took 2000 i.u HCG twice a week for 3 weeks and then tested my total testosterone and it was increased to mid range .So now it was confirmed that I have hypogonadotropich hypogonadism a.k.a secondary hypogonadism .
Then he prescribed me Tab. Provironoum (mesterolone) 25mg TDS for one month and told to check total testosterone then,I got it checked but no improvement it was still low .After that I had to change the city and relocate due to some family problems ,so I had no time to visit the endo again.
Last month I came across this informative website and decided to resume where I left .I repeated some tests that I was able to afford(TT,FT,LH,FSH,E2,FT3,FT4,TSH) ,I am posting all of my tests till today in a chronological order.
Test Result Flag Units Reference Interval
LFT-on 30th of march 2011
Albumin,Serum 4.70 g/dl 3.2-5.5
Protein,Total 7.2 g/dl 6.0-8.3
A/G Ratio 1.82. 0.9-2.0
Bilirubin, Total .73 mg/dl 0.0-1.2
Alkaline Phosphatase 72 U/L 53-128
AST (SGOT) 28.50 U/L 0-37
ALT (SGPT) 37.90 U/L 0-37
CBC-on 30th of march 2011
Hemoglobin 15.1 gm/dl 13-18
TLC 6500 /cmm 4000-11000
RBC 5.70 million/cmm 4.0-6.0
Platelets 3.03 1.50-4.50
PCV 81.8 cubic micron 78-94
MCH 26.5 pg 27-32
MCHC 32.4% 32-38
Hematocrit 46.6% 40-54
FSH, LH and Testosterone total on 30th of march 2011
LH 1.05 mIU/ml 1.5-9.3
FSH 1.49 mIU/ml 1.4-18.1
Testosterone Total 269 ng/dl 280-800
Semen analysis on 14th of april 2011
Volume 2ml 2.5-5
Colour Whitish pearly white
Reaction 8.0 Alkaline
Viscosity viscous viscous
Liquefaction time 30mins <30mins
Microscopic features -
Total sperm count 63 million/ml 60-200 million/ml
Motility 70% 60%-100%
Non motile 30%
Abnormal forms 10% 0-30%
LH,FSH and Total Testosterone on 14th of april 2011
FSH 1.8mIU/ml 2.0-18.6
LH 1.2mIU/ml 1.7-11.2
Total Testosterone 211.82ng/dl 262-870
Prolactin and Free testosterone on 20th of april 2011
Prolactin 12.4ng/mL 3.6-16.3
Free Testosterone 5.49 pg/mL 3.84 -34.17
Total Testosterone after HCG stimulation(2000iu twice a week for 3 weeks)
Total Testosterone 496.70ng/dl 262-870
MRI Brain for Pitutary and Hypothalmus on 18th of april 2011
MRI findings reveal normal pituitary and hypothalamus with no obvious lesion.
After all these tests my endo prescribed me Tab Provironoum (mesterolone) 25mg TDS for one month, and told to retest Total Testosterone after a month .I took the tabs but felt no improvement and repeated TT after a month .It was low again.
Total Testosterone after a month of Provironum
Total Testosterone 162ng/dl 262-870
After this I had to change the city and relocate .so didnâ??t get time to continue with my endo. So last month I came to this wonderful website and felt to start again .Below are my latest lab results-
TFT ,LH,FSH,E2,TT and FT on 21st of November 2011
FT3 3.77pg/mL 2.30-4.20
FT4 1.16ng/dL 0.70-1.51
TSH 3.625uIU/mL 0.550-4.780
Total Testosterone 278.21ng/dL 262-870
Free Testosterone 4.18pg/mL 3.84-34.17
E2 47.47pg/mL 10-50
LH 1.57mIU/mL 1.50-9.21
FSH 0.94mIU/mL 1.40-18.20
I have gone through stickeys very well. and planning to take Test cyp 100mg twice a week+ HcG 250 IU twice a week+ Anastrozole 0.25 four times a week .Kindly guys go through my blood work and advise what I should do.Want to be normal ,want to loose weight ,want to be happy.
Fertility is important factor to me as will like to start a family soon .Is it possible to be on TRT and be fertile? Can I stop TRT to be fertile for time being .and later resume it? Iam desperately in need of help and guidance, as the depression is killing me day by day.