Blood Work Questions ( LH&FSH, T4)

[OoberVir]

I recently have had some extensive blood work done and I wanted to see if I could get some insight on some of the results. I am on TRT (120mg test cyp, hCG 500 x 3 a week and Aromasin ). My LH, S (on a range of 1.7-8.6 mIU/mL) and FSH, Serum (1.5-12.4 mIU/mL) both came back as <0.2. Is it normal to have LH and FSH this low while on TRT w/ hCG? Also my T4 Free, Direct (range 0.82-1.77 ng/dL) came back as .78. I plan on having all these values retested soon (with a more complete thyroid panel as opposed to just T4). I was curious if you guys know what these low values might be indicating, if anything. Thanks

[austinite]

Have you ever determined the cause of Low T? You're only 25 and would be a good candidate for a restart.

[OoberVir]

No I haven't determined the cause yet. I had been dealing with the symptoms for 5 years and I only attempted hCG monotherapy before committing to testosterone . The monotherapy caused my T levels to drop even lower. What would be the reasoning behind the restart? And what could I do or talk to my doctor about in an attempt to determine the cause?

[powerlifterty16]

No I haven't determined the cause yet. I had been dealing with the symptoms for 5 years and I only attempted hCG monotherapy before committing to testosterone. The monotherapy caused my T levels to drop even lower. What would be the reasoning behind the restart? And what could I do or talk to my doctor about in an attempt to determine the cause?

if hcg didnt work id stay with trt..what were your lhfsh then?

[The Deadlifting Dog]

Oobervir,

It is perfectly normal for LH and FSH to be very low when taking testosterone . (Basically your body senses that you have enough testosterone in your system and thus your pituitary gland stops producing LH and FSH.)

Taking testosterone with HCG will not increase your LH or TSH. The HCG does cause your testes to produce testosterone since HCG is very similar in molecular structure to LH. However the HCG does not stimulate your pituitary gland into producing more LH or TSH.

Your low free T4 is a possible sign of hypothyroidism.
More testing is warranted.

[kelkel]

Oobervir,

It is perfectly normal for LH and FSH to be very low when taking testosterone . (Basically your body senses that you have enough testosterone in your system and thus your pituitary gland stops producing LH and FSH.)

Taking testosterone with HCG will not increase your LH or TSH. The HCG does cause your testes to produce testosterone since HCG is very similar in molecular structure to LH. However the HCG does not stimulate your pituitary gland into producing more LH or TSH.

Your low free T4 is a possible sign of hypothyroidism.
More testing is warranted.

This ^^^.

You need to find a doctor capable of locating the root cause. Barring testicular injury, head trauma or pathologies you are to young for NOT knowing the cause of this.

[Vettester]

Agree with above ... Your TRT protocol will totally suppress HPTA gonadotropin production.

On the thyroid, your T4 really isn't going tell us all that much. We need to see how your T3 conversion rate looks. FT3 & RT3 would be ideal, and various antibodies labs (TPO & TgAb for hashis).