T Nation

Possible Low Test. First Blood Work Soon

Hey. New to the site, but have always been reading through the forum the last couple years. I never had any issues before (that I knew of), but I don’t think that is the case any more.

Background - I’ve had a little gyno since puberty and it wasn’t noticeable at all. Up until the last few years the gyno grew and my nipples got larger. I am 25 now about to turn 26. April of 2013 I had correction surgery by a general surgeon because my insurance covered it. Ended up being less than pleased. Left nipple is collapsed and the gyno on the right started coming back. I went to a plastic surgeon out of pocket and had the right side corrected November 2013.

When the gyno started getting worse (prior to the first surgery) I started noticing other symptoms. Loss of strength, lack of focus, hair line receding, lack of interest in sex / softer erections.

I forgot to mention I live a healthy lifestyle, work out regularly, and maintain a good sleep schedule. And I’m married, no kids, moderate to low stress, and I drink occasionally.

Currently - Talked to my plastic surgeon about what has been going on and he said it sounded like low t. He referred me to a primary care doctor since I didn’t have one. Symptoms I told him were:

Lack of motivation - I don’t want to do anything (ex go anywhere on the weekend or make dinner)
Lack of focus - studying and work
Strength - Weight at the gym is getting really heavy and no gains
Cardio - I have no endurance
Hair - Probably receded 1/2 inch in the past year to year and a half
Sex - Soft erections or no interest
Fat storage - Starting on stomach and hips and it won’t go away
Gyno - technically twice
Irritability - This is probably the worst one. Irritability is VERY HIGH. Its hard to be around people at all. I can barely go to the grocery store.

I have an appointment tomorrow to get blood work done. I will post it once I get the results.

My bad about the long post, but I wanted people to know whats going on. I also wanted to be able to post any prescriptions (if any) or anything else my doctor says and get it verified through everyone here because it seems like there is a lot of knowledge on the site.

Thank you in advance for your help and comments.

Update: Doctors appointment went well yesterday. My doctor is younger guy. He said he probably wouldn’t have even considered me for low T but the fact that I’ve had gyno made him actually consider it. He had me go get labs testing for low vitamin D, B12, folic acid, and iron; along with multiple for test, free test, shbg, etc. I’m supposed to hear from him in a couple days about the results; I will post once I get them.

Do you watch porn? If so, stop.

http://yourbrainonporn.com/

Eat broccoli as well.

My gyno has been slowly disappearing over the last few weeks: my nipples aren’t never nearly as big and puffy as they used to be, even when they’re really warm and unstimulated. They now have a proper shape instead of forming a horrible dome. I’ve had this curse since I was 11/12 and I’m now 19: it feels fantastic to know that it’s finally dying.

Try again…

Test results came back the other day. Just had some issues posting replies on the site. Here are the results from what my doctor tested:
TSH 1.23 MIU/ML
SHBG 43 nmol/L
Test Free 114 pg/mL
Test % Free 1.7%
Test Total 668

Folate, Iron, Vit D, and B12 came back normal. He said my Iron was just a little on the low side.
My doctor is going to start me on 100mg of testosterone cypionate weekly.

Questions:
Should my doctor tested for estradiol (E2)?
And what do you guys think about the above numbers?
Should I ask about a SERM since I have had gyno before?
Is it a good idea to ask my doctor to put me on Finasteride to combat hair loss and prostate enlargement, being that Iâ??m starting this treatment at age 25?

Thank you for your feedback.

Do not start TRT before you get labs for LH/FSH AND prolactin. This is part of your diagnosis. You can’t get LH/FSH tested after you start TRT. If prolactin elevated that explains low LH and low T, and explains gyno. If prolactin is elevated, you need a MRI to see if there is a pituitary adinoma. If so, probably controlled by 0.5 mg/week cabergoline/Dostinex.

Read the thyroid basics sticky and eval your iodine intake and body temperatures. Feel cold easily? Dry skin and/or brittle nails/hair?

Hair loss may have been in the cards in any case.

Read the advice for new guys sticky.

[quote]KSman wrote:
Do not start TRT before you get labs for LH/FSH AND prolactin. This is part of your diagnosis. You can’t get LH/FSH tested after you start TRT. If prolactin elevated that explains low LH and low T, and explains gyno. If prolactin is elevated, you need a MRI to see if there is a pituitary adinoma. If so, probably controlled by 0.5 mg/week cabergoline/Dostinex.

Read the thyroid basics sticky and eval your iodine intake and body temperatures. Feel cold easily? Dry skin and/or brittle nails/hair?

Hair loss may have been in the cards in any case.

Read the advice for new guys sticky.

[/quote]

Thanks for the response. I’ll ask my Dr. about the LH/FSH and prolactin. I’m supposed to get my first shot tomorrow, so I will ask then. I went back and read the thyroid sticky. My TSH results according to the sticky (mine were 1.23, it said near one was ideal) are good. I do not get cold easily and I don’t have dry skin and/or brittle nails/hair.

Why in heaven’s name would you do that? At T = 668 ng/dL you don’t have low testosterone. Far from it. Don’t go on TRT.

[quote]seekonk wrote:

Why in heaven’s name would you do that? At T = 668 ng/dL you don’t have low testosterone. Far from it. Don’t go on TRT.
[/quote]

My doctor was more concerned with free test and the % of free. I’m going to talk to him today.