
Originally Posted by
Vettester
Like you noted, your LH is not low. If anything, it's in the upper range. The concern I see is that you have low serum, but that isn't supported with low LH. Low LH and low serum usually means 'secondary'. High LH and low serum usually indicates 'primary' hypo, resulting failure in the leydigs/testicles. Since you stated you didn't really notice much with the HCG, then to me it's leaning in the direction of primary.
If the HCG was successful, then your endogenous serum production would have increased (mine went >1,000ng on a HCG solo protocol a few years ago, but that's another story ...), which in turn would/should have suppressed LH production via the negative feedback loop process. To me, the logic says that the exogenous LH (HCG) didn't work, your test never increased, thus your HPTA has been signaling for some testicular feedback and not getting any (feedback would be increased serum).
You said you had another set of labs in the back pocket, so wait a few weeks and run them again. What I'm suggesting is just theory and speculation, so what you really need to do is align yourself with a good physician (A4M possibly) who can really get down to the root of this for you. If it is primary, then you obviously want to know why, and rule out any issues/pathologies.