Looking for Advice on Testing and Diagnosis

[Nate02]

Hi everybody! I know I am getting I might be getting on some nerves with all these posts, but I have another question I would like to address. My test results show both hypogonadism and hypothyroidism, and it is very frustrating try to figure out what is the cause . I am a 20 year old college student, and I travel home mid-December for my winter break. I am home till about mid-January. On the 21st I see a doctor whom I hope will help with my situation, but, I have little time before I travel back to school. I have reviewed the tests that the gracious leaders of the site have suggest, but I would love some advice on appropriate tests for me to take. I am asking this prior to my visit to the doctor, because I want to request lab-work from my family physician to be more prepared and not waste time with the doctor. So!- If anyone has advice on if they believe my hypogonadism came first, or it was the hypothyroidism that would be great; as well as, different tests that will prove useful in this diagnosis! Thank you!

Almost forgot! Here are my lab results!

I underlined tests that I felt could cause issue.

Testosterone, Serum: 265 (348-1197)

This was concerning, so another more extensive test followed.

TSH: 2.360 (0.450-4.500)
LH: 4.2 (1.7-8.6)
FSH: 1.1 (1.5-12.4)
Testosterone, Serum: 330 (348-1197)
Prolactin: 8.5 (4.0-15.2)

The next test was issued by an endocrinologist.

Free Testosterone(Direct): 9.4 (9.3-26.5)
Testosterone, Total, Lc/Ms: 253.9 (348-1197)
Lh: 4.1 (1.7-8.6)
FSH: 1.1 (1.5-12.4)

The next test my current endocrinologist ordered because I had been off Prozac for one week and figured why not.

Cortisol: 20.8 (2.3-19.4)
TSH: 4.2: (0.450-4.500)

The first two tests were taken at 11:30 AM and 10:30 AM respectively, and the last two were taken at 8:00 AM.

I had an MRI done, and the results came back clear.

ADDITION:

Thyroid Panel With TSH
TSH: 1.930 (0.450-4.500)
Thyroxine (T4): 9.6 (4.5-12.0)
T3 Uptake: 34 (24-39)
Free Thyroxine Index: 3.3 (1.2-4.9)
Thyroid Antibodies
Thyroid Peroxidase (TPO) Ab: 8 (0-34)
Antithyroglobulin Ab: <20 (0-40)
Luteinizing Hormone (LH): 7.3 (1.7-8.6(
FSH, Serum: 1.3 (1.5-12.4)
Calcitonin, Serum: <2.0 (0.0-8.4)
Reverse T3, Serum: 21.5 (9.2-24.1)
Vitamin D, 25-Hydroxy: 32.6 (30.0-100.0)
Triiodothyronine (T3): 115 (71-180)
Estrogens, Total: 83 (40-115)
Ferritin, Serum: 70 (30-400)
Triiodothyronine, Free, Serum: 3.7 (2.0-4.4)

I do not know if this is important, however, these tests were taken at 8 AM. This could cause for the imbalance in some tests, as I had not eaten. I wonder if this impacted: Calcitonin, Serum; Ferritin, Serum, or Vitamin D, 25-Hydoxy

It is also important to note, I am currently taking 20mg of Adderall in the morning; and 10mg of Prozac at night.

[system admin]

I re-read post. Your doing the right thing! These guys here can help you get prepared

[steroid.com 1]

Where are your Thyroid labs?

Know---> Hypothyroidism will cause Hypogonadism.

We need to see your Thyroid labs

[Nate02]

I re-read post. Your doing the right thing! These guys here can help you get prepared

I know! It's great! I have been pleasantly surprised with the quality of advice I have received on this site.

Where are your Thyroid labs?

Know---> Hypothyroidism will cause Hypogonadism.

We need to see your Thyroid labs

Unfortunately, what you see is what I have had done. As far as my Thyroid is concerned, I have tested the levels of my TSH, FSH, and LH, and that's it! Believe it or not, my endocrinologist is simply trialing me on Synthroid; and if my quality of life doesn't improve, he plans to start me on Testosterone without further testing. He doesn't even seemed concern about finding a diagnosis! Just the treatment for my issues on the surface. Thus, I am in desperate need for more testing, and am seeking advice from the experienced members of this forum.

"Know---> Hypothyroidism will cause Hypogonadism." I've been pondering this cause-effect recently. What is most prominent in my thoughts though, is the level of this connection. If I fully treat my hypothyroidism, will my testosterone levels increase to 500? Or a more appropriate level for a 20 year old, such as 800? I understand this is subjective, and will be found out through treating my hypothyroidism properly. Still though, what is the likelihood of my testosterone increase given the above tests? On a side note, testosterone runs high in my family, and I feel like that is why my symptoms at my hormone levels are severe as they are.

[Nate02]

Hi! I just wanted to notify and ask followers of this thread, old and new, to review the additional lab work I posted. Thank you! I took some initiative and asked my family physician to order the last blood work. I hoped it would help shed light on my hypothyroidism, and if there exists a link between that and my hypogonadism.