Am I Primary or Secondary?

[Keep_It_Moving]

total t 390 range 348-1197
lh 7.4 range 1.7-8.6
fsh 4.5 range 1.5-12.4
estradiol 17.7 range 7.6-42.5

next labs

total t 287
lh 5.2
fsh 3.1
estradiol 11

[macmathews]

Primary

Mac

[hammerheart]

That looks like a combination of both... you mentioned psych meds in some other thread, I am being nosy asking what they are?

[Keep_It_Moving]

i take 800mg seroquel
10mg zyprexa
3mg kpin
2-4mg xanax

these are my psy meds.

[NACH3]

i take 800mg seroquel
10mg zyprexa
3mg kpin
2-4mg xanax

these are my psy meds.

I'd say Primary but....

Those meds can impact your T levels(benzo's for long periods/opiates etc) - why both klonopin & Xanax(that's a boat load of benzos)?

How are you now... Stable?! Are you diagnosed w/PTSD?! I ask b/c they wanted to try all these meds on me after my car accident and they found it was PTSD/& anxiety disorder

[kelkel]

That looks like a combination of both...

I would lean toward this as well without having a track record of LH / FSH values to compare. Hypogonadism is not always one or the other.

[hammerheart]

Those meds can impact your T levels(benzo's for long periods/opiates etc) - why both klonopin & Xanax(that's a boat load of benzos)?

That's where my question wanted to land... it would be interesting to compare, if available, any bloodwork prior to Zyprexa and/or Seroquel use.

[NACH3]

That's where my question wanted to land... it would be interesting to compare, if available, any bloodwork prior to Zyprexa and/or Seroquel use.

Kinda got that feeling, bizzarro...

Agree on any comparable BW for sure(especially LH/FSH values) as many as OP has?!

[Keep_It_Moving]

Kinda got that feeling, bizzarro...

Agree on any comparable BW for sure(especially LH/FSH values) as many as OP has?!

i dont have any bloodwork prior to seroquel and zyprexa unfortunately...

[Keep_It_Moving]

I would lean toward this as well without having a track record of LH / FSH values to compare. Hypogonadism is not always one or the other.

so youre thinking a combo of both?

[IncreaseMyT]

From my experience its really hard to diagnose primary or secondary from blood draws. 24 hour urine sample will give the total amount of LH and FSH produced in a day for a more accurate assessment.

Even then its hard.

The best way is to rule out primary hypogonadism with HCG stimulation.

BTW when you start taking testosterone you are inducing primary hypogonadism.

This is the main reason to run HCG with your TRT.

Hope this helps.

[Keep_It_Moving]

From my experience its really hard to diagnose primary or secondary from blood draws. 24 hour urine sample will give the total amount of LH and FSH produced in a day for a more accurate assessment.

Even then its hard.

The best way is to rule out primary hypogonadism with HCG stimulation.

BTW when you start taking testosterone you are inducing primary hypogonadism.

This is the main reason to run HCG with your TRT.

Hope this helps.

this was very helpful...as i am running hcg along side my trt protocol.. thanks imt