New Blood test numbers

[15yrsED Senior Member Find all posts View Profile Close 15yrsED]

Hi,

I just got my 2nd blood test numbers back taken at 9am 23 January 2018

total testosterone 10.0 nmol/L
Free testosterone (calculated by doc with online calculator) 0.219 nmol/L
SHBG 26 nmol/L
Albumin 45 g/L


The doc said he felt the free testosterone was below normal and I am being referred to an endocrinologist

[15yrsED Senior Member Find all posts View Profile Close 15yrsED]

As you know I have been impotent since 2001. I was looking through my test results from the past. Here are some numbers:


From November 2006:

Testosterone 16.2 nmol/L range (6.2-28.6) nmol/L
SHBG 30.9 nmol/L range (11-54) nmol/L
Prolactin 143 mU/L range (72-288)
Total PSA 0.57 ug/L (0-2.5)
TSH 2.77 mIU/L (0.4-4.0)
DHEA Sulphate 10.1 (2-15)
Leutinising hormone *1.9 (2-14)
Oestradiol 97 (50-150)
Thyroid function 2.77 (0-4.4)

I was reading throught he urologists notes. Bear in mind I saw 3 or 4 of them over a few years. The 1st one did arterograms and blood inflow and outflow were normal. I was told this meant I had venous leak by him. I went to a 2nd urologist who said he didnt know. I was sent to another urologist who did doppler and inflow and outflow were normal. I still couldnt get erections so went to a renowned urologist in San Diego. He said there was a physical issue and had revasc surgery. Still cant get proper erections.

[Azmike Senior Member Find all posts View Profile Close Azmike]

It appears you may be a candidate for TRT. There are some good websites and books you should review before making any decisions.

As you know I have been impotent since 2001. I was looking through my test results from the past. Here are some numbers:


From November 2006:

Testosterone 16.2 nmol/L range (6.2-28.6) nmol/L
SHBG 30.9 nmol/L range (11-54) nmol/L
Prolactin 143 mU/L range (72-288)
Total PSA 0.57 ug/L (0-2.5)
TSH 2.77 mIU/L (0.4-4.0)
DHEA Sulphate 10.1 (2-15)
Leutinising hormone *1.9 (2-14)
Oestradiol 97 (50-150)
Thyroid function 2.77 (0-4.4)

I was reading throught he urologists notes. Bear in mind I saw 3 or 4 of them over a few years. The 1st one did arterograms and blood inflow and outflow were normal. I was told this meant I had venous leak by him. I went to a 2nd urologist who said he didnt know. I was sent to another urologist who did doppler and inflow and outflow were normal. I still couldnt get erections so went to a renowned urologist in San Diego. He said there was a physical issue and had revasc surgery. Still cant get proper erections.

My head is messed up. I dont know what to believe. Thats why I started to wonder if I am just gay. I cant get it up to gay porn. I have never kissed a guy nor want to but maybe if I did it would work?? Whats going on???

[needingalift Senior Member Find all posts View Profile Close needingalift]

The doc said he felt the free testosterone was below normal and I am being referred to an endocrinologist

It's not just the free testosterone; the overall level is abysmally low.

10.0 puts you well below the 300 mark (converted into units that most of us use) and you just can't function normally at that level. You can even see for yourself how it's gone down from 16.2 (≈ 470) in Nov. 2006, which is a dramatic fall of almost 40% in 11 years so your doc will need to do something about this and it's good to see that he's referred you.

[15yrsED Senior Member Find all posts View Profile Close 15yrsED]

It would be crazy if it has been a case of low testosterone since 2001 seeing as I have been to the so called best of the best urologists and sexual dysfunction experts, endocrinologists, psychologists, councellors etc...

I wonder has my testosterone been low all my life since childhood? I never had a big sex drive even during puberty although I had rock hard erections then whenever I masturbated and got good morning wood.

I guess the only thing to do is go on testosterone and see if it makes a difference although I wonder will the endocrinologist I am going to see say I'm normal. I'd bet on it. (might take months and months to get seen btw)

[needingalift Senior Member Find all posts View Profile Close needingalift]

I would also add that testosterone may not be the sole cause of your problems, 15yrsED.

For example, my testosterone is 575 (that's double yours!) but I still have no libido so please don't pin all of your hopes on TRT in order to avoid possible disappointment.

[15yrsED Senior Member Find all posts View Profile Close 15yrsED]

What could it be?

[cotto007 Senior Member Member of the Month Feb 2018 Find all posts View Profile Close cotto007]

It would be crazy if it has been a case of low testosterone since 2001 seeing as I have been to the so called best of the best urologists and sexual dysfunction experts, endocrinologists, psychologists, councellors etc...

I wonder has my testosterone been low all my life since childhood? I never had a big sex drive even during puberty although I had rock hard erections then whenever I masturbated and got good morning wood.

I guess the only thing to do is go on testosterone and see if it makes a difference although I wonder will the endocrinologist I am going to see say I'm normal. I'd bet on it. (might take months and months to get seen btw)

This is what I was talking about people going misdiagnosed for years . Those numbers are awful no wonder you have ED .. it looks like you would benefit from TRT . It will be interesting to hear what the Endo says ..

[the_iron Senior Member Find all posts View Profile Close the_iron]

To Op, you may also want to cut down on masturbation and absolutely eliminate porn. You have started in another thread https://www.pegym.com/forums/erectil...ml#post1476807 that you have been masturbating two times a day since you were an adolescence and that you have recently reduced it to a daily habit. This is way to much and would cause ED.

For your case, I would do 90 days without masturbation alongside with 90 days without porn. For quitting porn, AP90 https://www.pegym.com/forums/progres...anti-porn.html is a great place to join. Good luck

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

Uh huh.

Estrogen would have been another to get .

Seems you have no interest in natural methods of test increase . Everyone wants a pill.

[15yrsED Senior Member Find all posts View Profile Close 15yrsED]

Uh huh.

Estrogen would have been another to get .

Seems you have no interest in natural methods of test increase . Everyone wants a pill.

I never said I wanted TRT. I am open to natural methods. I'm being referred to an endocrinologist. I think the doc is worried about my pituitary gland. I started gogling and now Im freaking out I might had a tumor.


What do you make of my 2006 numbers? Not just Testosterone but the other numbers.

[Pegasus AdministratorPE Gym EditorPEGym Hero ☺ Admin of the Month Mar 2015 Find all posts View Profile Close Pegasus]

I have repeatedly said anything below 500 is likely to cause problems . You have had repeated tests below that and showing a downward tread in total test . Your free test is low though you didn't get the sensitive test as you were advised so it is hard to trust it . Have you got any test showing estrogen ?

Get a dexa test for bf%.

[15yrsED Senior Member Find all posts View Profile Close 15yrsED]

I have repeatedly said anything below 500 is likely to cause problems . You have had repeated tests below that and showing a downward tread in total test . Your free test is low though you didn't get the sensitive test as you were advised so it is hard to trust it . Have you got any test showing estrogen ?

Get a dexa test for bf%.

You cant get free testosterone checked here (Ireland). I have phoned so many clinics and they only test total. Nobody seems to test free testosterone for some reason. You have to calculate (guess) free testosterone.

I didnt come across estrogen in my tests but will have another look. In 2006 the endocrinologist seemed to think everything was ok. My urologist sent me to him if memory serves me right.

I am more worried about having a tumor at this stage

[Azmike Senior Member Find all posts View Profile Close Azmike]

While I can't offer any guidance as to available labwork in Ireland I do agree with Pegasus. You somehow need to get as much accurate data as possible. The most reliable testosterone test is the sensitive test mentioned by Pegasus. Furthermore, most so-called "ranges" as to normal are based upon using the bottom and top 2.5 of those tested in the applicable age group. So whether you need TRT and if so, how much, must include your "symptoms" and not merely lab work. Total is as important as Total Cholesterol-a number but not the most important number. The question is how much T do you "have available to use"? Typically Free T is about 2% of Total T but not always. To really drill down to the critical facts you need to know the numbers of the other items than can prevent your T from becoming available to you. Estrogen. Prolactin and Human Sex Binding Globulin Hormone if elevated can reduce your available Free T. However, even with those labs without a sensitive test for free T3 your picture will still be incomplete. There are numerous online labs but I have no idea if you can use them from your country.

[cotto007 Senior Member Member of the Month Feb 2018 Find all posts View Profile Close cotto007]

Well at least the balls rolling and its been noted and confirmed by the doctor that you have very low test levels. Its now up to this Endo you are to see to figure out the cause .. just guessing off the doctors view that there could be something wrong with the pituitary gland makes me lean towards secondary hypogonadism , but its all just a guessing game without the proper bloodwork . They should have tested SHBG and prolactin and estrogen , not total estrogen but E2 [estrodiol] as well as LH and FSH .

He might do an MRI scan of the brain to check for signs of hypogonadism.