At the beginning, I would like to say hello, as this is my first post.
Do not come from English speaking country so please forgive me errors. Im 28 years old, I try to regularly train (weights, bike)
Within a short period of time I gained weight significantly. On top of that I was constantly tired.
My initial lab test:
T: 221,9 ng/dl(249-836) -5% below range
Estradiol: 9,93 (7,63-42,6)
LH: 3,09 (1,7-8,6)
The doctor diagnosed a secondary hypogonadism.
Fortunately, pituitary MRI showed no significant changes. The same for ultrasound of testis.
Doctor put me on 10 day clomid test (50mg ED)
Estradiol was not rechecked
He than told me that I have low T because I am fat. He mentioned that it may be other way round but he cannot diagnosed nothing until I lose 30kg... I am trying to lose it all the time!
I was frustrated so I get clomid on black market and did longer - 30 day trial on my own (50mg ED)
After a month: (I changed the lab, so there are different references)
T: 16,7 nmol/l (9-38) 26% in range
LH: 5,63 (2-12)
E2: 52 (20-77)
Then I switched to Nolva 20mg ED + Aromasin (exemestane) 10mg ED
T: 18,2 (9-38) (more or less 520 ng/dl (269-1100)
E2: 19,5 (20-77)
LH: 7,6 (2-12)
To be honest i expected higher T from such doses. Especially if the fat was problem.
But even using AI and having E2 under control it seems I cant go above 30% of range.
Testis seems not reacting fully to increase in LH.
At the time I stop everything and I am thinking about next steps.
maybe i should give a try to HCG? But if problem is in testis that won't help a lot...
Is it possible that my testis require more time to react properly on LH increase?
If you have any ideas, please share.