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Originally Posted by KidCapriB it really depends on what type of hypogonadism you have; there are 2 main types, primary & and secondary. which one you are can only be fully determined by a blood test reviewing your Total Testosterone, LH, FSH, and Estradiol. Low levels of LH and FSH typically indicate secondary hypogonadism, more of a pituitary(and possibly hypothalamus) problem where not enough of these chemicals are being sent out to the testes, hence the low testosterone. High levels of LH & FSH on the other hand indicate more of a problem involving your balls; with your pituitary recognizing not enough testosterone is being produced, it attempts to remedy the problem by sending out an abundance of the latter chemicals. This is done in vain however, as the testicles are proving their inability to produce the testosterone. When determining what approach to take, another point to consider is how exactly you began having the low T; was it due to an injury, steroid abuse, etc? |
Good point what Kid told you is what should have been done in testing before you started on
TRT now it's to late. All you can do now is a
Clomid or
HCG Stimulation
test to see if your levels go way up if they do then your Seconday and your probelm is do to your pituitary gland not sending enough of the messages to your testis to make T. Read this the tests are in this.
http://www.aace.com/pub/pdf/guidelines/hypogonadism.pdf
If you see a Endo he will take you off
TRT and try to retest you but this dose not work because after being on
TRT for sometime stoping
TRT makes you go lower then you first base
test and you can crash bad so bad you will not be able to work. So with a good Dr. doing other things it's possable to find out way your low in the first place. Yet the treatment is about the same so even when you find out not much will change. Unless you have a tumor the can be treated most can 't they are just watched.
If I were you I would go to this link.
http://www.allthingsmale.com/publications.html
Read and print out
TRT: A Recipe for Success and the
HCG update. Give this to your Dr. and tell him you want to start on shots and add
HCG to your
TRT this if your Seconday will make you levels jump way up. I have been on
TRT for over 24 yrs always told I am primary meaning my testis don't work well. I went on 100mg. of Depo T shots every week and after 6 weeks I added in HCG 500 IU's 3 x's a week after my 15 th shot of HCG we tested and my total T doubled. So now I know my testis do work and I am Hypopituitary do to a bad head injury some 24 yrs. ago. So now we treat my low DHEA, Cortisol, Thyroid and Glucose. Just give it to your Dr. and tell him you want to try this.