Need a new DR..which type to help with my levels??

[ELBOZ]

Long story short Ive been monitoring my test levels for three years and they keep declining, i always said i would wait til 35 for TRT and im almost there and can no longer wait.

34yrs old
5'9
200

Today i finally brought it up to my Dr because energy , libido mood is at its worst ever.
2013 402
2014 333
2015 376

Are the tests I presented to him

Of course typical Dr crap, he said oh thats good your fine, those are normal , only worry if they are under 300...WTF

Also on this latest test i got for the first time ever low results on this LH 1.0 FSH 1.4

His response to that is dont worry about that only women should worry about those kind of levels..WTF again

Whats you opinion? Honestly i need a new Doc huh?

In regards to that what kind of Doc should i attempt to see and get diagnosed by a urologist or an endo?

thanks to all

[djgreen]

have your tried to raise them naturally by eating clean and exorcising? most docs don't know about steroids or TRT so a regular doc isn't the best bet try going to a anti ageing clinic in your area.

[ELBOZ]

MMMM isnt there a specialist to this sort of thing though?

Endo or urologis or something?

[djgreen]

im not sure what a urologist would know about TRT? but anti aging clinics do specialize in it. do a Google search on offices that do testosterone replacement therapy in your area.

[djgreen]

what are your levels right now?

[ELBOZ]

i posted them above 376 total, I dont have free test numbers.

There are some anti aging clinics but was trying to go with insurance to try and have some cost covered even a small percentage would help.

Is the LH and Fsh mean im shut down or what does that mean exactly that it came out low on the results?


Thanks

[djgreen]

FSH and LH are secreted by the anterior pituitary in response to gonadotropin-releasing hormone (GNRH) secreted by the hypothalamus. In both males and females, FSH and LH secretion is regulated by a balance of positive and negative feedback mechanisms involving the hypothalamic-pituitary axis, the reproductive organs, and the pituitary and sex steroid hormones. FSH and LH play a critical role in maintaining the normal function of the male and female reproductive systems. Abnormal FSH levels with corresponding increased or decreased levels of LH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased FSH levels are associated with menopause and primary ovarian hypofunction in females and primary hypogonadism in males. Decreased levels of FSH are associated with primary ovarian hyper-function in females and primary hypergonadism in males. Normal or decreased levels of FSH are associated with polycystic ovary disease in females. In males, LH is also called interstitial cell-stimulating hormone (ICSH). Abnormal LH levels with corresponding increased or decreased levels of FSH, estrogens, progesterone, and testosterone are associated with a number of pathological conditions. Increased LH levels are associated with menopause, primary ovarian hypofunction, and polycystic ovary disease in females and primary hypo-gonadism in males. Decreased LH levels are associated with primary ovarian hyperfunction in females and primary hyper-gonadism in males.

QuestDiagnostics.com

[ELBOZ]

In other words i should look into hyper-gonadism

[djgreen]

yes..
if I were you I would call my insurance and make sure they cover TRT and if they do find out the details they mite pay for a clinic, if they wont pay for anything other than a doctor than I would start doing some doc shopping and making calls and seeing which one is the most educated about TRT.

[ELBOZ]

Thanks green for the info..do you recommend a certain specialty like an endo? Or should I just start with a new primary care one since my current one failed to see anything wrong with these levels

[djgreen]

honestly on paper it looks like your T levels are in the lower normal range for someone your age. so I can see why your doc said that, however if your levels were a lot higher when you were younger then you can still suffer from low T and still seem to be in normal range. just call around and do research on a doc that knows about TRT in your area would be a good first option

[kelkel]

Either get a copy of your blood work from your current doctor or pull more comprehensive blood work as listed in the Finding A Doc Sticky thread at the top of this forum. Many things can cause hypogonadism such as elevated prolactin, cortisol, hypothryoidism, trauma or even pathologies. So step one is to try to find the cause, not just band aid the problem, and that is done with full BW. Yes, it very well may be your time for TRT but going into it with a clear conscience means a lot, at least it would to me.

When it comes to what type of doctor? Title doesn't matter, just that they know hormones. TRT is not rocket science quite honestly. Between a Uro or Endo I'd choose a Uro first and foremost. In the sticky I referenced are some tips on finding a doc that can save you some time. If looking for a clinic then take a look at LowTestosterone.com - $199 All-Included Testosterone Treatment.

I seriously encourage you to find the root cause before initiating TRT.