Have I secondary hypogonadism with 570ng/dl (298 - 1098) ?

[Roms]

Hi guys,

Well the question is in the title and here are all the tests I have.
So far I just know I am hypothyroid and hypoadrenal (likely to be secondary but still need ACTH to confirm meaning that I have hypopituitarism) but I beleive my TT is OK and doesn't need replacement.

Please give me your opininon.

Total Testosterone 570ng/dl (298 - 1098)
Free Testosterone 555 pmol/L
LH 3.5 iu/L (0.8-7.6)
FSH 4.5 iu/L (0.7-11)
Prolactin 116 miu/L (53-360)
SHBG 22nmol/L (13-71)
Estradiol 95 pmol/L (<206)

Salivary Cortisol : 8 am 20.5 (12-33)
12 Noon 7.5 (10-28)
4 pm 3.6 (6-11.8)
Midnight 2.1 (1-5)

Salivary DHEA : 8 am 6.9 (12-26.4)
12 Noon 3.6 (7.5-15)
4 pm 5.3 (6-11)
Midnight 3.5 (4-10)

Salivary progesterone: 32pg/ml (5-95)

TSH: 0.47 (0.35-5)
FT4: 10.4 pmol/L (7-20)
FT3: 5 pmol/L (3.3-5.3)
FT3 8 months ago :2.03 pg/ml (2.5-4.4)
B12 : 716 pmol/L (156-672)
Ferritin: 246ug/L (20-330)
Glucose (fasting): 4.6mmol/L (3.5-6)
Folate: 54.4 nmol/L (7-39.7)
Thyroglobulin Ab Negative
Anti thyroid peroxidase 1.73 iu/ml (0.5-5.61)
K: 3.9 nmol/L (3.5 – 5.3)
Na : 138 nmol/L (135-145)

CBC:all in range

[hardasnails1973]

Originally Posted by Roms

Hi guys,

Well the question is in the title and here are all the tests I have.
So far I just know I am hypothyroid and hypoadrenal (likely to be secondary but still need ACTH to confirm meaning that I have hypopituitarism) but I beleive my TT is OK and doesn't need replacement.

Please give me your opininon.

Total Testosterone 570ng/dl (298 - 1098)
Free Testosterone 555 pmol/L
LH 3.5 iu/L (0.8-7.6)
FSH 4.5 iu/L (0.7-11)
Prolactin 116 miu/L (53-360)
SHBG 22nmol/L (13-71)
Estradiol 95 pmol/L (<206)

Salivary Cortisol : 8 am 20.5 (12-33)
12 Noon 7.5 (10-28)
4 pm 3.6 (6-11.8)
Midnight 2.1 (1-5)

Salivary DHEA : 8 am 6.9 (12-26.4)
12 Noon 3.6 (7.5-15)
4 pm 5.3 (6-11)
Midnight 3.5 (4-10)

Salivary progesterone: 32pg/ml (5-95)

TSH: 0.47 (0.35-5)
FT4: 10.4 pmol/L (7-20)
FT3: 5 pmol/L (3.3-5.3)
FT3 8 months ago :2.03 pg/ml (2.5-4.4)
B12 : 716 pmol/L (156-672)
Ferritin: 246ug/L (20-330)
Glucose (fasting): 4.6mmol/L (3.5-6)
Folate: 54.4 nmol/L (7-39.7)
Thyroglobulin Ab Negative
Anti thyroid peroxidase 1.73 iu/ml (0.5-5.61)
K: 3.9 nmol/L (3.5 – 5.3)
Na : 138 nmol/L (135-145)

CBC:all in range

You have possible cortisol issues look at your t4 to t3 ratio causing over active t4 to t3 conversion or that your t-3 is not being pushed into the cell properly causing it to have hypothyroid symptoms due to lack of cortisol

Dr is an idiot T is just find with your Free as it is you are better off like that and need no TRT if he suggest it decline it. focus on adrenals

[Roms]

As I said I am hyppoadrenal so yes I do have a problem of cortisol production along with hypothyroid too ...
Concerning the secondary hypogonadism,this suggestion has been made by someone well known and very respected in another forum...

Any other comment ?

[jinxie1]

Youre not hypogonadal at all. And unless you are under 25, I would say your levels are entirely normal.

[hardasnails1973]

Originally Posted by jinxie1

Youre not hypogonadal at all. And unless you are under 25, I would say your levels are entirely normal.

What have i been saying all along...
Check bio and free T levels would be only thing..

[simpllyhuge]

why only irregular if under 25