Blood work after 3 months clomid....questions?

[energizer bunny]

Blood work No 4 is after 3 months of clomid monotherapy at 50mg eod. It seems to be working, blood work is up, i feel better (tho not great) sex drive has actually went down a bit?? any ideas on this?

By these results, does this mean i am secondary hypogonadal?

i realise these last bloods arent complete but money is tight right now and these cost me £150.


Blood Work 1

BIOCHEMISTRY

TRIGLYCERIDES 1.2 mmol/L < 2.3
CHOLESTEROL 4.2 mmol/L Optimum <5.0
HDL CHOLESTEROL *1.6 mmol/L 0.9 - 1.5
HDL % of total 38 % 20 and over
LDL CHOLESTEROL 2.1 mmol/L Up to 3.0

ENDOCRINOLOGY

TESTOSTERONE 7.9 nmol/L 7.6 - 31.4
Reference Ranges apply to adults

SPECIAL PATHOLOGY

Free Testosterone *7.59 pg/ml 8.8 - 27.0
Test repeated

ENDOCRINOLOGY

17-Beta OESTRADIOL 59 pmol/L 44 –

BIOCHEMISTRY


FERRITIN 39 ug/L 30 - 400

ENDOCRINOLOGY

THYROID PROFILE 2

TOTAL THYROXINE(T4) 66 nmol/L 59 - 154
THYROID STIMULATING HORMONE 3.10 mIU/L 0.27 - 4.2
FREE THYROXINE 15.5 pmol/l 12.0 - 22.0
FREE T3 5.3 pmol/L 3.1 - 6.8

IMMUNOLOGY

THYROID ANTIBODIES

Thyroglobulin Antibody <10.0 IU/mL 0-115(Negative)
Method used for Anti-Tg: Roche Modular

Thyroid Peroxidase Antibodies 7.6 IU/mL 0 - 34
Method used for Anti-TPO: Roche Modular

Blood work 2

Bone profile
normal no action necessary
serum calcium 2.30mmol/L (2.12-2.60)
corrected serum calcium level 2.28mmol/L (2.20-2.60
serum inorganic phosphate 1.02mmol/L (0.80-1.50)

Urea and electrolytes
normal no action necessary
serum sodium 145mm0l/L (133-146)
serum potassium 4.4mmol/L (3.5-5.3)
serum urea level 5.9mmol/L (2.5-7.8)
serum creatinine 71mmol/L (70-110)

Liver function test
not normal but no action necessary
serum total protein 71g/l (60-80)
serum albumin 49g/l (35-50)
serum total bilirubin level 16umol/L (<21)
alk phos 66u/l (30-130)
serum ALT level 42u/l (<40)

serum lipids
normal no action necessary
serum cholesterol 4.5mmol/L (no ref range)
serum triglycerides 0.6mmol/L (0.5-1.7)
serum HDL level 1.4mmol/L (1-1.5)
total cholesterol:HDL ratio 3.2
non HDL cholesterol level 3.1mmol/L

serum TSH level 2.27mu/L (0.3-4.7)
normal no action necessary

serum testosterone 10.0nmol/L (9-25)
normal no action required

FBC
not normal but no action necessary
eosinophil count 0.01 10*9/L (0.04-0.40)
Haematocrit 0.397 L/L (0.400-0.500)
HB 132.0g/L (130-180)
lymphocyte count 2.28 10*9L (1.00-4.50)
MCH 32.0pg (27.0-34.0)
MCV 96.4fl (83.0-101.0)
monocyte count 0.49 10*9/L (0.20-0.80)
neutrophil count 2.88 10*9/L (2.00-7.00)
platelet count 211 10*9/L (150-450)
RBCs 4.12 10*12/L(4.50-5.50)
WBCs 0.01 10*9/L (4.00-11.00)
basophil count 0.01 10*9/L (0.00-0.10)
erythrocyte sedimentation rate 22mm/hour (1-10)

plasma glucose level 5.0mmol/L


Blood work 3 (November 2013)

Testosterone -7.3 nmo/l (8.4-28.7)
Free Testosterone-9.64 pg/ml (8-27)
SHBG-13 nmo/l (17.3-65.8)

FSH-6.3 u/l (1.5-12.4)
LH-5.8 u/l (1.7-8.6)
Oestradiol-57 pmo/l (28-156)
Prolactin-188 mu/l (102-496)


Blood work 4 (May 2014)

Testosterone- 19.7 nmo/l (8.6-29.0)
Haemoglobin A1c- 35 mmo/l (20-42)

[dhickey]

My opinion on SERMs

Need to also check LH, FSH, E2 and Free T every time.

Get E2 in the optimal range.

Reduce SERM dose and/or frequency to get to the minimum dose needed for the desired results. Every few weeks worked for me.

I would also make sure DHEA-s is at the top of the range.

[energizer bunny]

Cheers for the reply mate,,,,,,,i would love to get all the blood work every few weeks BUT at £300 a go i just cant afford it right now.

spoke to my endo today and i am going to half the dose for 3 months, then get bloods again, so ill be on 25mg eod.........see how this goes.

[dhickey]

That sucks. We can order testing online and just show up a testing facility. It's cheap and you don't have to deal with idiot doctors.

[energizer bunny]

Blood Work 5

Well back to square one and even worse!.....the clomid wasnt making me feel much better so decided to come off it and wait 3 month to see if it had kick started my natural production.....didnt work now back to the start......this is an on going problem i have been trying to sort for 2 years.....i have had enough of the docs bullshit and feeling like shit!........self medication will be starting 2015....

Free Test 6.570 pg/ml (7.2-23.0)

Testosterone 8.01 nmol/l (8.6-29.0)

[kelkel]

In the meantime, look deeper into your thyroid. Hypothyroidism or sub-clinical hypo can cause hypogonadism.

[energizer bunny]

In the meantime, look deeper into your thyroid. Hypothyroidism or sub-clinical hypo can cause hypogonadism.

Cheers kelkel....

I have been tested 2 x for thyroid problems and both times the docs have said im fine! lol........from my thyroid results above do you see any problems?

[kelkel]

Yes, probably hypothyroid. Most doc's will tell you you're ok as long as TSH is within range. The same as many do for your testosterone as they don't really know them. Problem is the range used on most lab reports is out dated. Newer standards are .3 - 3.0. TSH by itself is a weak indicator of thyroid health but yours was over 3 and over 2 on the tests above. Plus low FT4.

Take some time and read at Stop the Thyroid Madnessâ„¢ - Hypothyroidism and thyroid mistreatment

[energizer bunny]

Yes, probably hypothyroid. Most doc's will tell you you're ok as long as TSH is within range. The same as many do for your testosterone as they don't really know them. Problem is the range used on most lab reports is out dated. Newer standards are .3 - 3.0. TSH by itself is a weak indicator of thyroid health but yours was over 3 and over 2 on the tests above. Plus low FT4.

Take some time and read at Stop the Thyroid Madnessâ„¢ - Hypothyroidism and thyroid mistreatment

Thats Great! thanks a lot........im at my wits end with all the bullshit.....just need guidance and getting none from any doctor....ill take a good read of that........

cheers again, i really appreciate your help,

[energizer bunny]

Todays results........i have been taking thyroid medicine since Kelkel gave me the information above. I dont feel any different even though my test has gone up 5 points..........my diet has been great and i have been taking 10000 iu vit d each day........

any thoughts?

Testosterone -13.3 nmo/l (8.6-29)
SHBG-41 nmo/l (14.5-48.4)

FSH-6.2 u/l (1.5-12.4)
LH-6.3 u/l (1.7-8.6)
Oestradiol-87 pmo/l (28-156)
Prolactin-204 mu/l (86-324)