Hey guys. Thanks in advance for reading and any input you may have. I believe I have secondary hypogonadism, but I would like analysis and any options you can provide. I hope it isn’t tl;dr.
Went to my GP and requested a blood test several weeks ago, suspecting some sort of HPTA imbalance after personal research. Believe I may have screwed myself over hormonally when I was a teenager through several years of being an obese digital hermit. Received first test back several weeks ago with low serum T (doc refused to look at more than that at the time). Although it was nominally in range, I realised that 9.6nmol/L (277ng/dL) was abnormally low for someone my age and that the NHS blood ranges also weren’t controlled sufficiently for age. Thus, I decided to get a private test to get more information.
I’ve just received that second batch of results - low free-T and serum T but decent LH seem to suggest secondary hypogonadism, but I would like experienced analysis and options.
Body and facial hair: Facial hair nearly nonexistent, body hair scarce and patchy.
Where I carry fat and how it’s changed: Used to be very obese, ballooned to 120kg by the time I was 19/20. Still looking to rid myself of gut/chest fat.
Medical history: Frequent depressive bouts. Low libido. Low assertiveness. Frequent anxiety. Previously had v bad gynecomastia which consisted of lots of breast tissue (as opposed to fat), which I had excised in Feb this year.
Rx and OTC drugs, any hair loss drugs or prostate drugs: None
Diet: Junk food and crap up until 2 years ago, more regulated and conventional up until 2 months ago, leaning towards a stricter ketogenic diet now.
Training: Lift 3x a week, cardio 2x a week.
Testes ache, ever, with a fever?: No
How have morning wood and nocturnal erections changed: No change, have always been infrequent and sparse.
Lab results with ranges
All tests were taken between 10-11am. I woke up at 7am. Test #1 was an NHS blood test, Test #2 was a private blood test (hence different ranges). Bold and italic text marks results out of lab ranges. Bracketed text marks conversions to ng/dl (I can convert other units on request).
Total T: 9.6nmol/L (277ng/dL) [Range: 6.6-27.1]
TSH: 0.68mu/L [Range: 0.38-5.33]
All other blood markers the doctor took (he didn’t take many) came in normal.
Total T: 12.4nmol/L (358ng/dL) [Range: 7.6-31.4]
Free T: 0.15nmol/L (4.3ng/dL) [Range: 0.3-1.0]
E2: 46.4pmol/L [Range: 41.0-159.0]
SHBG: 65.2nmol/L (1154ng/dL) [Range: 16.0-55.0]
Prolactin: 344mIU/L [Range: 86.0-324.0]
Follicle Stimulating Hormone: 1.77IU/L [Range: 1.50-12.40]
LH: 4.59 IU/L [Range: 1.70-8.60]
PSA: 0.583ug/L [Range: 0-1.4]
Free T3: 6.16pmol/L [Range: 3.1-6.8]
Free Thyroxine: 20.2pmol/L [Range: 12.0-22.0]
TSH: 1.07mIU/L [Range: 0.27-4.20]]
All haemotology and biochem markers were in range and in order (and so I’ll exempt them, unless anyone thinks they need to read them), except for:
Creatine Kinase: 729IU/L [Range: 38.0-204.0]
Cholesterol: 5.00 nmol/L (144ng/dL) [Range: 0-4.99]
HDL Cholesterol: 1.67nmol/L (48ng/dL) [Range: 0.9-1.5]
I haven’t had a chance to regularly check my temperature as of late, as KSman regularly suggests. I will try to do it in the next few days. I have no history of using iodized salt or iodine supplementation that I’m aware of.
Thanks for reading. I’m considering TRT at the moment, and I suspected that I had low-T from the moment I learned about this condition. I really want to lift myself up from the depressed and obese pit I dug for myself earlier in my life, yet I still find myself hitting roadblocks on my journey to reach physical and mental wellness. So any input on the data above would be hugely appreciated, and any suggestions.
Thanks. Looking forward to talking with you guys.