Hi everyone. I was hoping that I can get some help regarding my blood test results. A little about me I’m 38 yo 5’7" 155 lbs. Been working out most of my Life. Been really kind of depressed and low in energy along with almost no sex drive and also been getting cystic acne out of no where for over a year now . Also haven’t gone to the gym in about 6 months. Just no will or energy to go so I went to an endo and had my blood test ran to see if my hormones were causing all these issues . When it came back I saw a few things like cholesterol was high so was estradiol and bioavailable testosterone was high. Dr sayid everything was fine maybe vit d was a little low so he perscribed 50,000 vit d once a week. And that was pretty much it. What bothered me was the estrogen. He wasn’t concerned about it at all but I was thinking that that can contribute to the acne and other symptoms so I’ve read. About two weeks later I brought the results to my GP to see what he thought and when viewing them he said that something didn’t look right so he took blood again. Went I went back the following week to go over the results my total testosterone was a lot lower and so was my estradiol. He also said that my free t was very low and that could be causing The low libido and no morning erection. So I was borderline but I could be a candidate for TRT to think about it.
1)My question is basically by looking at my blood test do I really need to be on TRT
2)How could the test and estrodiol levels be so different only 3 weeks apart
3)I see my LH is High is that affecting my testosterone?
4)what can you see wrong and what advice can you give me based on my blood results.
5) do I really need go on TRT
Any help is really appreciated. I have an appointment next week with dr to start TRT Just would like your advice.
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The first three pictures are from endo. They are not too clear as I had to snap pictures with my phone. They were giving me a hard time about making copies. The other pages are 3 weeks later.