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Old 09-23-2010, 11:00 AM   #1
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herynkc HB User
Very Low Testosterone, 20 Year old Male, Need Advice

Hi,
I am a 20 year old male who has been severely suffering from many symptoms of low testosterone for the last year. I feel as though since I was 17 my testosterone levels have slowly decreased to the point where they have currently diminished to close to nothing. 2 months ago I was tested and my testosterone was at 22 ng/dl, which I know is extremely low for my age. Since then I was prescribed 5 mg of androderm daily and have taken that everyday since. About a week ago my levels were retested and they are now at 57 ng/dl. My doctors recommends I increase the dosage to 10 mg of androderm daily, however I dont feel as though it will make a substantial difference. He also said I could try and have routine injections instead, but I am trying to avoid that if at all possible.
Is a difference of 35 in my before and after testosterone levels really a big enough difference to claim the androderm is doing anything at all? Because if 5 mg is doing next to nothing I am doubtful that 10 mg will do much more. Should I even bother with the androderm patches anymore?
Has anyone had similar problems? What exactly would be a normal testosterone range for a person my age, I have seen comments of 300 to 1000 ng/dl for 30 year old men on other forums however havent been able to find anything for my exact age. Can anyone recommend another alternative to what I have mentioned? Any advice is appreciated, I am fairly lost on what exactly I should do, and I dont feel as though my doctor is giving me many options.

Last edited by herynkc; 09-23-2010 at 11:14 AM.

 
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Old 09-24-2010, 05:29 PM   #2
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JimO HB User
Re: Very Low Testosterone, 20 Year old Male, Need Advice

Herynkc:

The "T" levels you describe are extremely low for your age. Testosterone cream may help a little, but testosterone shots might be dangerous. I suggest you see an endocrinologist and have a full workup. In a man your age, low testosterone levels such as you describe can be caused by a pituitary tumor. Such tumors are usually benign and easily removed.

 
Old 09-24-2010, 08:01 PM   #3
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

Thanks jimo,
I have been to an endocrinologist,, that is who prescribed me the androderm and who is suggesting possibly getting bi-weekly injections. What do you mean by a full workup? I have had an abundance of blood work done this year. My testosterone free and total have been consistently low, however my tsh and lh seem to be normal. I am told that the problems is not with the testicles but rather something with my pituitary gland. I did have an mri done to check for a pituitary tumor and the test revealed that I do not have one. I have been to 7 or 8 doctors this year, 3 of them being endocrinologists, and none of them have found a reason to explain the cause of the low testosterone levels.

 
Old 09-27-2010, 12:44 PM   #4
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

I'm not a big fan of bi-weekly injections. They tend to cause large fluctuations in T levels from excessive high at start of period to excessive low at end. Also, the excessive high T level at start of 2-week period tends to cause a rise in estrodiol as the excessive T converts to it. The cream is a better solution.

Unfortunately, neither (at your age) is really a solution. Someone needs to spend the time to find out why your T levels are so low. Something is seriously out of balance in your body that is causing the deficiency. Possibly a nutritional deficiency?

 
Old 09-29-2010, 01:57 AM   #5
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

A recent blow to the head or a severe viral infection can cause pituitary damage that kills the cells that make LH and FSH. Also some chemicals can affect the pituitary are well. Recent exposure to dangerous chemicals is also a possibility.

Once lost, it is rare to regain pituitary function.

If you go for the shots, once a week is better, and you can do those yourself. They are not painful if done with a 29 guage needle. I find the creams and gels too much a bother to remember every day.

Yes 10mg will work better than 5mg. There is a certain threshold below which T doesn't work well enough. You could easily find that the 10mg makes a big difference to how you feel and perform.

 
Old 10-01-2010, 01:01 PM   #6
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

Get your estradiol E2 tested. if your T is low & the E2 is high you will have fatigue problems & probably boobs.

 
Old 10-01-2010, 05:57 PM   #7
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

Thanks everyone for the posts, the info is much appreciated. My estradiol was tested by an endocrinologist in may, the test showed that it was at 37 which I believe is normal for me. I undoubtably have fatigue problems, however i dont feel my estrogen levels are off only testosterone. I will suggest to my doctor that I have my estradiol level retested next time I have bloodwork. I have done a bit of research, and I read that testosterone replacement therapy can potentially increase estradiol / estrogen, so I want to make sure I dont create more problems with the TRT if it is in fact making my estrogen go up.

Hopefully this situation with my pituitary function wasn't caused by a blow to the head or exposure to chemicals, I dont recall any significant occasion where these things may have happened. However I really dont think I can ever know for sure...

Another problem that has persisted for the last 8 or 9 months, is that I have to urinate quite frequently. Every night I get up at least 2 to 5 times for urinate. Throughout the day I urinate very often aswell. I do drink a good amount of water and eat an adequate amount of fruit and vegetables, but I dont feel I should be peeing twice an hour. Any ideas if this urination problem could be related to the malfunctioning of the pituitary gland?

 
Old 10-02-2010, 07:04 AM   #8
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

Frequent urination is also a sign of high E2. 37 is high E2 on a range that is up to the 50s.

Yes Testosterone can cause more E2. The best way to avid it is not to do too much T at one time.

Instead of injecting 200mg every two weeks, inject 50mg every 3 days or maybe 100 mg once a week. this keeps the T levels more even.

If the E2 goes up take 1/4 of a tablet of Arimidex 2 or 3 time a week. It stops the conversion of T into E2.

Boob growth is a sign of very high E2.

Last edited by JinL; 10-02-2010 at 07:05 AM.

 
Old 10-02-2010, 07:37 AM   #9
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

Frequent urination is also a sign of a pituitary problem especially if each time you urinate you have a large volume frequently. The pituitary makes a hormone called vasopressin which regulates water in the body. Low V will result in diabetes insipidus - a non-sugar form of diabetes. An analysis of your urine will be able to verify if this is the problem. There is a nose spray that can be used to replace the missing hormone.

 
Old 10-04-2010, 12:59 PM   #10
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Re: Very Low Testosterone, 20 Year old Male, Need Advice

Along with getting the tests others have listed I'd also recommend the injections. I fought with the creams for about 6 months and they didn't work, couldn't get over 300ng. I'm 29 and blue collar so the Dr. thought I may be sweating it right back out.

Took the first injection of 400mg Test. En. and felt better the next day, giving myself 200mg a week for 6 weeks or so to get levels up and then retest. MUCH better after 4 weeks. Get over the needle phobia and try it, I give them to myself so no extra trips to the Dr. it's cheaper too since my insurance pays for 5cc a month. I use a 22guage 1.5" and have almost no pain, you just have to relax and take your time.

Also look in the bookstore (the forum blanks out the name of the biggest one in the net for some reason) there's several books on the subject I'm reading the one by Vergel right now, easy to read and so far is covering all the bases.

Last edited by BigNick73; 10-04-2010 at 01:02 PM.

 
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