Just to get started with some background information. A few years ago I was diagnosed with azoospermia when my wife and I were looking into reasons we weren’t having kids. This diagnosis kind of crushed me and I avoided anything to do with looking into things further. We decided to look into it more and see if anything could be done before we are too old to try. I had a physical with a family medical guy and got a referral to a urologist. During the physical I asked for a hormone test because I heard that may be necessary for the infertility issues and wanted something for the urologist to have in hand right away.
I am a 37 year old male. Blood was drawn around 8:30am.
Testosterone, Total 256 ng/dl (200 - 745 ng/dl range)
Testosterone, Free 4.2 ng/dl (3.1 - 12.8 ng/dl range)
Testosterone, Bioav 98.7 ng/dl (71.7 - 300.0 ng/dl range)
SHBG Adult 43 nmol/L (16 - 70 nmol/L range)
White Blood Cell Count 4.7 k/cmm (3.8 - 11.0 k/cmm range)
Red Blood Cell Count 5.23 m/cmm (4.20 - 5.90 m/cmm range)
Hematocrit 44.3 % (39.0 - 51.0 % range)
Thyroid Stimulating Hormone 0.91 uIU/mL (0.30 - 4.50 uIU/mL range)
More possible pertinent information. Had surgery for a double hernia as an infant as well as for an undescended testicle. One of my testicles is smaller and seems to be deformed compared to the other, but no doctors have ever said anything about it during a physical. Family history of thyroid issues, mother has graves disease.
I feel like shit. I’m almost always tired regardless of sleep. Seems to take my brain awhile to wake up once I am up. I am quite irritable and while I can experience joy and fun, I tend to go through most of my days with no feelings of happiness or sadness. No ED issues but low libido, sex probably every 1-2 months with wife right now.
On the bright side of things I think I may actually have found a doctor that specializes in some of these issues. He is a urologist with a specialty in male infertility, male sexual medicine, hypogonadism, and transgender hormone therapy. So, I’m hoping he has the knowledge to help me out.
Just wondering if there’s anything I should be sure I’m getting blood tested for, any specific questions I should have for him and what you guys may be able to interpret from my limited test results. Thanks for your time.