I’ve been feeling like trash for several years with all of the typical symptoms of low t, never get morning wood, weak erections, never get random erections. Low motivation and appetite for life, don’t get as much thrill out of working out and generally struggling to recover from them. At first I went private to see what my levels are and received the following results:
As you can see, very low T for a 24 year old who eats well, lifts 3 times a week and cardio on the other days. My FSH and LT levels were low also.
I took these results to my GP, he literally looked at every result and to my disbelief just said normal, normal, normal, normal then said my free t level is low for my age. How can doctors think my testosterone level is normal for my age?! He then sent me for a repeat test but with the addition of prolactin and some other tests, I will show you them below.
Eosinophil count 0.23 10*9/L (0.0 - 0.4)
Basophil count 0.04 10*9/L (0- 0.1)
Serum prolactin level 413 mu/L (0-278)
Serum LH level - > Normal 3.3 u/L (1.2 - 8.6)
Serum sex hormone binding glob - > Normal 31 nmol/L (13 - 90)
Serum FSH level - > Normal 2.3 u/L (1.3 - 19.3)
Serum testosterone - > Normal 16.5 nmol/L (6.1 - 27.1)
GFR calculated abbreviated MDRD - > Normal > 60 mL/min (60 - 250)
Serum HDL cholesterol level 0.84 mmol /L (0.9 - 3)
Serum cholesterol /HDL ratio 4.3
Free androgen index 53% (24 - 110)
Serum sodium 140 mmol/L (133 - 146 )
Serum potassium 3.9 mmol/L (3.5 - 5.3)
Serum urea level 5.3 mmol/L (2.5 - 7.8)
Serum creatinine 82 umol/L (59 - 135)
Liver function test - > Normal
Serum total protein 81 g/L (60 - 80)
Serum albumin 50 g/L (35 - 50)
Serum globulin 31 g/L (20 - 35)
Serum alkaline phosphatase 79 u/L (30 - 130)
Serum total bilirubin level 10 umol/L (0 - 21)
Serum ALT level 16 u/L (0 - 50)
Serum cholesterol - > Normal 3.6 mmol/L
Thyroid function test - > Normal
Serum TSH level 3.93 mu/L (0.3 - 5.0)
Serum free T4 level 13.6 pmol/L (8.4 - 19.1)
Once the GP surgery received the results, I was called back and told that my prolactin is high and that my testosterone levels are normal(again). Granted my testosterone levels improved from 9 to 16.5, but I felt no better and my FSH and LH levels were still low. I have no idea what to do as if my GP ignores all my symptoms and thinks I’m normal what do you do? I’m considering going private but I actually want to know why my testosterone is low, I want to know the underlying cause before committing to presumably TRT for life.
I have no idea if I’m primary or secondary, but I did look at causes for both. I noticed Kalmanns syndrome for secondary and Klinefelters for primary, I saw that as I have low FSH and LT levels then I can rule out primary/klinefelters as when you are primary you tend to have high FSH and LH levels. I looked at Kalmanns syndrome and noticed that you don’t go through puberty, well I definitely went through puberty. Voice broke, can grow facial hair, albeit it looks as if I just glued pubes on my face. Can grow pubic hair, but don’t ever get chest hair. I realise this is a very long post but I’ve been stressed out for over a week and need some advice on my results, whether I might be primary or secondary and lastly what I should do.