42yr old zero libido blood test results

**waylaid69** · 05-22-2016, 09:12 PM

I just got my blood work back. I've had no libido at all for most of the last 3 years. I don't believe that lifestyle factors are contributing. Sleep is good, diet and exercise is good and I don't have too much stress in my life.
Here are my results. Do you think I would benefit from TRT or not?

Total testosterone 455 ng/dl (240-880)
free testosterone 340pmol/L (225-725)
SHBG 32 nmol/L (13-71)
LH 2 IU/L (1-10)
FSH 2 IU/L (1-10)
Sensitive estradiol 11.7 (13.6-40.8) **
Vitamin D 102 nmol/L (50-150)
Fasting glucose 5.6 nmol/L (3.0-5.4) **

**kelkel** · 05-23-2016, 09:29 AM

Edit and add some ranges please. But at a glance your T is low as your LH is low. You may have something suppressing you and only full Blood Work will reveal that. In other words, it may be fixable and not idiopathic. Other than that, you're getting older and it happens to all of us. Main thing is to do your due diligence and see if there's an underlying issue before you band aid it with TRT.

E follows T to assuming the E range is around 8 - 35 it's on the low end. The range for D usually tops out around 100. You may want to back off a bit if supplementing as being to high for to long can be toxic to your system.

***above are assumptions based on normal ranges.....

**waylaid69** · 05-23-2016, 05:29 PM

Thanks. Changes made above.
I'm not taking any vitamin D and my level of 102 is about right in the middle of the range.
As you can see, fasting glucose is a little high and sensitive estradiol is below range. Testosterone looks low normal.
Do you think that my low estradiol may be the main reason for my lack of libido?
I saw an endocrinologist about 1 year ago with very similar numbers and he told me that I was perfectly normal! He did not consider my LH and estradiol levels to be of any concern.

**kelkel** · 05-23-2016, 07:30 PM

Perfect then re Vit D. Most ranges we see are about 30 - 100 which is why I ended with "assumptions"
Low E will absolutely impact your libido. Get a hold of some cialis in the meantime until you can pinpoint the problem. It will help. One of the healthiest things a man can take anyway.
Start tracking your blood glucose to keep an eye on it.

Always shocks me when I hear any doctor, particularly an endo make comments such as this. How'd they make it out of med school. WTF. In the Finding A Doc sticky at the top of this forum is a good list of BW to obtain which will help clue you in on where the problem lies. Fill in the missing items if possible. Right now your LH is low indicating something is either suppressing pituitary function or there's an issue with your pituitary itself. The main culprits are usually Thyroid, prolactin or cortisol, which should all be tested. You need to rule things out before settling in that it's andropause . This way if you need to start hormone replacement it will be with a clear conscience.

**Ashop** · 05-27-2016, 02:45 PM

Originally Posted by waylaid69

I just got my blood work back. I've had no libido at all for most of the last 3 years. I don't believe that lifestyle factors are contributing. Sleep is good, diet and exercise is good and I don't have too much stress in my life.
Here are my results. Do you think I would benefit from TRT or not?

Total testosterone 455 ng/dl (240-880)
free testosterone 340pmol/L (225-725)
SHBG 32 nmol/L (13-71)
LH 2 IU/L (1-10)
FSH 2 IU/L (1-10)
Sensitive estradiol 11.7 (13.6-40.8) **
Vitamin D 102 nmol/L (50-150)
Fasting glucose 5.6 nmol/L (3.0-5.4) **

You testosterone is lower than I typically like to see.