Very low LH, FSH, Prolactin...now what?

[grommet]

Hi everyone - first time post...it looks like you guys have a great community here.

Disclaimer: I do not currently take AS but I do weight train 3x a week.

Age: 40
Height: 5'11"
Weight: 175
Frame: Thin to Medium
Body Fat: Average to Low

I went to my urologist this week to help diagnose an intermittent impotence (!) issue - and after some discussion he decided to run a blood panel. Based on my results I think it's clear that my pituitary-centric hormones are way off and probably contribute to my problem.

Total T: 428 (280-800)
Free T: 13.2 (6.8-21.5)
LH: 1.9 (1.7-8.6)
FSH: 2.1 (1.5-12.4)
Prolactin 4.1 (4-15.2)

Based on my limited knowledge of endocrinology - I'm assuming my doctor will look hard at increasing my LH, FSH, and Prolactin levels as they probably are contributing to my low T scores. Any idea what his attack plan will be? Drugs? Which ones? Other?

Thanks in advance!

[flatscat]

hey welcome!!

How old are you and your stats please - ht, wt, bf to start with

flats

[grommet]

Added stats to original post.

[flatscat]

i bet you have researched low t conditions - do you have any other symptoms? Did your uro ask you to fill out a questionnaire about your symptoms?

[grommet]

Yes flatscat - I have many of the traditional low T symptoms (depression, anxiety, lethargy, low endurance, etc)...hence the motivation to meet with the urologist.

The blood panel seems to indicate that my testes are fully capable of creating testosterone - the issue is in the secondary chemical messages (LH, FSH, Prolactin) required by the testes to, in effect - work harder because my T is low. Hence my original question - what are traditional methods for dealing with this?

[Vettester]

Your doc should probably look at running a MRI to play it safe. If everything checks out, then maybe on to HRT, depending on the willingness of your doctor. He might just say your test score is "normal", which then you make a choice to stay or go.