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Old 09-20-2007, 10:35 PM
JanSz JanSz is offline
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Default Re: Penile Atrophy, Zero Libido, Ejaculatory Anhedonia, Bloodtests Back

Quote:
Originally Posted by PainIsGrowth View Post
Hello Forum,
Thank you very much for providing the right direction to look for finding what is going wrong in my body. I had the recommended blood tests done from this post, done at Quest.
Penile Atrophy, Zero Libido/sensitivity, Help

Again, here are my main symptoms.
* Zero Libido/Sex Drive
* Bad Erectile Dysfunction even when using max doses of Cialis or Levitra
* Loss of Morning / Spontaneous / Nocturnal Erections
* Penile Tissue Changes (narrowing, shrinkage, curving, numbness, wrinkled)
* Penis Feels "disconnected" from head or body

****Complete loss of pleasure during Orgasm, this is new during last month. I know oxytocin is created by the pituitary, so I'm wondering is something is damaged there? I literally have no sensation during sex/masturbation, a slight sensation at approach of orgasm, and then nothing when there used to be a massive euphoric rush and tingly sensation thoughout my body. This is worrying me the most now.
Here are the results: In Range Out of Range Refererence Range
Estrogens, Fractionated, LC/MS/MS
Estrone, LC/MS/MS 23 pg/ml
Reference Range: < OR = 68

ESTRADIOL, ULTRASENSITIVE 48 H pg/mL
Reference Range: < OR = 29


Estriold, Serem <0.10 ng/mL
Reference Range:
Adults: 0.2 or LESS

Hepatic Function Panel
Only listing things out of range:
ALBUMIN 5.2 H Range : 3.6 - 5.1 g/dL
AST 88 H Range: 10-40 U/L
ALT 81 H Range: 9 -60 U/L

New Testosterone Results, FREE BIO TOTAL LC/MS/MS Range:

Testosterone Total 1081 250-1100 ng/dL
Testosterone Free 127.8 46.0 - 224.0 pg/mL
Testosterone BioAva 301.7 110.0-575.0 ng/dL
SHBG 44 7-49 nmol/L
Albumin Serum 5.2 H 3.6-5.1 g/dL


Estrogens, Total Serum 116 pg/mL Reference Range 130 or LESS

Progesterone, LC/MS/MS .3 ng/mL Reference Range .3 or LESS

PREGNENOLONE 39 ng/dL Reference Range 10-200

Dihydrotestosterone FREE Serum: PENDING, will know tomorrow
ESTRADIOL, FREE, LC/MS/MS PENDING, will know tomorrow

CBC = everything within range

ALDOSTERONE 13 ng/dL

CORTISOL, TOTAL 26.9 mcg/dL H
Reference Range for 8AM (7-9AM) 4.0 to 22.0
Reference Range for 4PM (3-5PM) 3.0-17.0
(I took this bloodtest at 11am, after a stressful situation trying to get the doctor to order these tests)
Range
DHEA Sulfate 302 110-510 mcg/dL
FSH 1.4 L 1.6-8.0 mIU/mL

LH 3.9 1.5-9.3 mIU/mL
Prolactin 8.7 2.0 - 18.0 ng/mL
T-4, Free 1.3 0.8 - 1.8 ng/dL
TSH, 3rd Gen 2.23 0.40 - 4.50 mIU/L
PSA, total 0.8 < or = 4.0 ng/mL

T3, FREE 297 230- 420 pg/dL
************************************************** ********************************************
I know its a lot to look at, but I really appreciate anyone's help. I'll post the DHT and free estradiol tomorrow when I get it, but until then, please let me know what you think the most likely cause of these symptoms are. Urologists up to this point offer nothing but cialis, which barely works. Within the last month, the ejaculatory anhedonia is really scary! Is the low FSH with the high estradiol ultrasensitive enough to warrant an MRI for a brain tumor? How can I bring the Estradiol down naturally? Is my LH really "normal", and what causes FSH to be low? My old testosterone and thyroid results were done in June, so if you reference them, thats the date. Thanks again.
Estradiol high ----> Liquidex 0.75cc/E3D retest in 6 weeks
-----------------------
FreeT low
with your
SHBG=44
you need
TotalT=around 1500 (off the chart
to get there you need over 200mg/week of testosterone
Do 200mg/week on E3D schedule, retest in 2-3 months
do HCG Novarel, 500iu/shot
do both T & hcg shots on same day, E3D schedule, use 30ga 1/2" needle, subq shots around navel for both T& hcg, at the same time take LiquiDex
Goal
FreeT~300 using dr Shippens chart, post #41
Jan's BloodTest April13/2007 - Page 2

Do blood testing per post #44
----------------
T3, T4, FREE very low, get up to 4grains Armour Thyroid then start blood testing.
You want both at the top of range. You may be on top of FreeT3 and still be short on FreeT4, will have to use little bit of Synthroid at that time.
Carefull ramping up on Armour, watch pulse and temperatures, do not go over 90bpm resting
-----------------
DHEA low, get 100mg/day, test and adjus dose, you want to be at 500-650
------------------
Get prescription compounded pregnenolone cream, 100mg/mL, use 2grams/day, retest, adjust dose
-----------------------

AST
ALT

Last edited by JanSz; 09-20-2007 at 10:44 PM.
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