Please help me evaluate blood test....20 years old and I need some help...

[KTM_Wrench]

First a background (20 years old, 6'2" 165lbs)

At 12 years old I noticed I had a varicocele in my left testicle. I was embarrassed about this, I never told anyone until I was 16 when it was confirmed. At 13 years old I developed gynecomastia . I was told repeatedly it would disappear, and it did NOT disappear even to this day.

Fast-forward to 16 years, I was concerned that this varicocele had something to do with an apparent hormonal imbalance. I had defied genetics and grew to 6'2". I had very little muscle mass, yet I still had gone through puberty. (pubic hair and such). I decided to ask my doctor at 16 for a testosterone and estradiol test. Test came up at 330, and Estradiol came up at 42. Doc said I was alright and had nothing at all to worry about.

Fast forward to 20 years old. Still have varicocele and gynecomastia. I have gained weight, and consider myself fairly strong...though have had VERY slow gym progress despite proper training. I have weak erections, sore joints, and occasionally feel very fatigued throughout the day. I bloat easily I begun to do research again and my varicocele and have noticed a STRONG correlation with hormonal abnormalities and varicocele. I am specifically worried that having the varicocele pre-puberty screwed me up big time.

I decided to go forth and get my blood tested, and get checked up on for my varicocele. My varicocele is fairly minor, though it can be see without touching it. Doctors said it can not have affected hormone levels, and they refuse to operate due to discomfort. I am going to another urologist for a second opinion. As for the BLOOD TESTS, I am quite surprised at the results considering my symptoms.

Testosterone Total- 818 (>250)

PROLACTIN 14 2-18 ng/mL

LH 5.7 1.0-12.0 mIU/mL

FSH- 3.0 (1-12 MiU/ML)

ALKALINE PHOSPHATASE 66 37-117 U/L

ALT 22 <36- U/L

CREATININE 0.92 <1.34- mg/dL

GLOMERULAR FILTRATION RATE - NONAFRICAN AMERICAN >60 >60- mL/min

GLOMERULAR FILTRATION RATE - AFRICAN AMERICAN >60 >60- mL/min

COMMENT, GLOMERULAR FILTRATION RATE SEE NOTE

GLUCOSE, FASTING 102 60-99 mg/dL

CHOLESTEROL 124 <239- mg/dL

TRIGLYCERIDE 77 <199- mg/dL

HDL 36 >40- mg/dL

LDL CALCULATED 73 <129- mg/dL

LDL, GOAL <130 DESIRED

POTASSIUM 4.2 3.5-5.3 mEq/L

SODIUM 143 133-145 mEq/L

WBC COUNT 6.1 3.5-12.5 K/uL

RED BLOOD CELLS COUNT 4.91 4.10-5.70 M/uL

HGB 15.2 13.0-17.0 g/dL

HEMATOCRIT 44.7 39.0-51.0 %

MCV 91 80-100 fL

RDW, RBC 12.7 11.9-14.3 %

PLATELET COUNT 186 140-400 K/uL



NEUTROPHILS %, AUTOMATED COUNT 38 41-79 %

LYMPHOCYTES %, AUTOMATED COUNT 53 13-44 %

MONOS %, AUTO 7 5-14 %

EOSINOPHILS %, AUTOMATED COUNT 2 0-6 %

BASOPHILS %, AUTOMATED COUNT 0 0-2 %

NEUTROPHILS, ABSOLUTE, AUTOMATED COUNT 2.3 2.1-7.4 K/uL



What are my results telling me? My doctor refused to test FREE TESTOSTERONE. HE said the importance of this test is wildly overblown and an internet thing. I obviously have high total testosterone, well, normal testosterone for someone my age. What should my course of action be? Should I ask to have my Free T checked? SHBG? What do i need to have tested to make sure I am being looked at from ALL angles. Am I over-reacting? The only symptoms I told my doctor was lower libido then what I feel is normal.

Please help me in my journey to health.

Thank you for anything.


NOTE: Health is one of my interests. I eat very healthy for somebody my age, and am constantly researching to optimize my health.


Thanks again, sorry for the length.

[zaggahamma]

age and many variables lead me to say

2ND, 3RD OPINIONS FROM SPECIALISTS...

i see u are in that process...yes free test should and probably will be ordered and the one doctor saying that is an internet thing is a reason for him to be fired just for that...WEIRD THESE PEOPLE

sorry about the cards u been dealt..you'll need patience with these doctors but with all your variables and age youre gonna need all the advice and possible knowledge and treatments available..

you were fasting for this blood work right? no coffee, etc. on the way? any talk of diabetes with that slightly high out of range glucose?

would i be correct to assume you thought of doing steroids since your posting this here on this site?

are u considering surgery for the gyno?

sorry for more questions than answers but they just make sense.

[KTM_Wrench]

I have never considered steroids . I feel that this community knows more about manipulation of hormones then anyone else. No, I have not considered gyno surgery, well, seriously at least. All I have his slight puffy nips, can barely tell even with a t-shirt.

Doc complied in giving me tests in

-Free T
-Estradiol
-HCG

After I get these results, what should my next move be? If Free T comes up normal could libido issues be mental only?

Yes, 12 hour fasting. I ate a big burrito right before the 12 hour mark., could be reason for elevated glucose i presume.

[zaggahamma]

I have never considered steroids . I feel that this community knows more about manipulation of hormones then anyone else. No, I have not considered gyno surgery, well, seriously at least. All I have his slight puffy nips, can barely tell even with a t-shirt.

Doc complied in giving me tests in

-Free T
-Estradiol
-HCG

After I get these results, what should my next move be? If Free T comes up normal could libido issues be mental only?

Yes, 12 hour fasting. I ate a big burrito right before the 12 hour mark., could be reason for elevated glucose i presume.

bro i wish i could tell you...after 12 hours you'd think you'd be aight....doc say anything bout the 102 level?

where was the burrito from? j/k...sorry...was thinking of chipolte when i read that..

best thing i can think of bro is to get this uro's opinion, see what he offers, get another opinion, etc....

did the first doc offer any treatment for the symptoms you complained of or just pass you along?