Originally Posted by montana1984
Please help me!!
I am 28 yr old male felt low with poor sex drive and general tiredness blood test revealed low test 12.6 or 350, but high LH and FSH levels, doc sent me to endo but he is reluctant to put me on HRT as my test level creeps just in to the "normal range".
Feeling very frustrated but thinking about taking clomid as ive heard this may help, but if my lh levels are high anyway will it have a positive impact on test levels?? dont want to take anything uneccissarily or do any damage can anyone please advise me?
This has been going on for 3 years really struggling to cope any help on here would be greatly appreciated
Sorry for your suffering. I'm going through the same thing, so I know how rough it is. What most doctors fail to understand is that the reference ranges for testosterone levels provided by the lab are NOT based on age. They are a VERY general guide of men of ALL ages testosterone levels, and as such are practically useless in my opinion.
A few studies have been done showing the average testosterone levels of men in different age groups. Men around 25-30 years of age on average have approximate testosterone of 600-700 ng/dl. So even though the range shows you as 'in range', your levels are low for a man your age, and are most likely contributing to the negative effects you're experiencing.
Your LH and FSH most likely signal a testicular disfunction, as they raise when you're pituitary gland senses your body is not producing enough testosterone in an attempt to coax your testicles into producing more. If there is a problem with your testicles, regardless of the pituitary signaling them to, they will not be able to produce more. That is what causes primary hypogonadism.
Taking clomid will likely not help raise your test levels if esscessive conversion to estrogen or binding by SHBG isn't the cause.
If I were you, I'd see a urologist and find out if you have a testicular injury, or something else going on, causing them not to work properly. They can do some imaging tests to determine what is going on. Just don't give up on getting the results that you want and feel are necessary. Most doctors nowadays don't take the patients quality of life into account, and just go the route that's the least hassle, and most likely to be covered by insurance. No one knows how you feel better than you do, and if this is effecting your life negatively, don't hesitate to get a second opinion (or third, fourth, fifth!).
I know it's very discouraging not being taken seriously, and not getting results, especially when your life is being negatively effected by it, but just read up on everything you can, and don't quit until you get the results you want and are feeling good again. Doctors are there to help the patient, most just have seemed to of forgotten that. Keep us posted on your progress and good luck to you!