I could use some help analyzing my lab results. I think I have secondary hypogonadism. I’ve been off TRT for 6 months. Here are the results:
LH: 2.5 … ref: 1.7 - 8.6
FSH: 2.6 … ref: 1.5 - 12.4
Total T: 234.6 … ref: 264 - 916
Free T: 5.2 … ref: 9.3 - 26.5
DHEA-Sulfate: 1.94 … ref: 138.5 - 475
T3: 3.4 … ref 2.0 - 4.4
T4: 1.41 … ref .82 - 1.77
Got blood work done in 2017
Free and total T came back clinically low on several tests (b/t 250-300 total, free was 7 or 8)
Doc put me on TRT before ruling out primary or secondary hypogonadism
Was on 100mg test cypionate for about 2 years
Mostly felt great (inc. libido, self-esteem, confidence, energy, all but cured my little bouts of depression and anxiety)
Only side effects were that I was noticeably more impatient and angrier than before (this, I think, was either me not being used to having all this energy, and something I needed to learn to control, or TRT made me deficient in DHEA and pregnenolone)
Decided to hop off so I could rule out primary or secondary, hence the above lab results
- If I’m secondary, what’s the next step, rule out a pituitary tumor?
- Given that my DHEA sulfate appears to be borderline low-normal, is it likely that TRT would make me deficient in DHEA, and therefore be responsible for some of the side effects I stated in my backstory?
- Should I get back on TRT, or try HCG monotherapy first?