Hello All. First time poster, so sorry if I do something wrong.
Three-plus years ago I had battle with testicular cancer, and lost one of my soldiers in the fight. My Total T levels one month before the surgery was 298ng/dL and one month later 504ng/dL. It hadn’t been tested since.
I have had nearly all the symptoms of low T: Depression (which I’ve had mildly since teens but disabling since two months before diagnosis), anxiety, hypertension, lack of motivation/sex drive, storing fat around the midsection, inability to gain muscle, etc. ect. ect.
So for nearly four years (I’m now twenty-eight) my doctors have been giving me anti-depressants and adderall, assuming it was just my mental health issues that were to blame. In addition I’ve been on cholesterol and BP meds, and have been given medication for every symptom I’ve had, but never had my T levels checked again.
Four weeks ago I decided to get my T level checked and wrote it in on my lab sheet when I went to get my cancer marker blood-work.
It came back at 285ng/dL.
I got a referral to an endocrinologist who sent me to the lab, and here’s what I got (basic labs left out, but liver/kidney function and everything is normal):
E2 - <20pg/mL (test didn’t give precise numbers)
SexHm BG - 48nmol/L
Free T - 60pg/mL
%TestoF - 1.5L % (I’m guessing this is Free T % by volume?)
Total T - 405ng/dL
FSH - 21.7mIU/mL
LH - 7.4mIU/mL
T4 Free - 1.1ng/dL
TSH - 2.48uIU/mL
Prolact - 15.6ng/mL
So, “unfortunately” my Total T levels went up some. Is this score high enough to where treatment, according to most doctors, would be unjustifiable? I was more certain that treatment was a sure thing when my score was 285, but 405 seems to be in that “borderline” zone for doctors who don’t take age into account. I’ve only seen the Endo once so I don’t know where he’s at in terms of eagerness to treat, but he seems a little on the conservative side, although he is willing to treat if it’s necessary.
Also, is my Prolactin level anything to worry about? I know on some scales 15.6 wouldn’t be high, but this labs’ range was 2.6-13.1, so according to them it’s a little high. I had a brain MRI last year and it came back clean, but I know pituitary tumors can be incredibly small.
Any responses are much appreciated! I see him tomorrow morning and am a little anxious that this current round of labs will disqualify me from treatment. When I found sites like this, and read the list of low T symptoms and stories of people who have lived with it, it read like the last four years of my life. Any questions/comments I should bring up tomorrow?