Bloodwork. Secondary hypogonadism, purely adrenal, or neither?

[mikzsan]

Hi


Im just hoping someone here could help.


One doc thinks its all adrenals, and another thinks hypogonadism with adrenal too.


Symtpoms:
Im 31, have ED, poor sleep, loss of muscle. Aches. Possibly related to accutane in past. No known cause. MRI is normal.



What I tried:
Adrenal:
Never got much relief. I still take preg, but its only subtle. DHEA pooped out quickly and raised E2 mainly. Low dose cortisol also pooped out.
Im looking into panax ginseng.


Test:
Used to take HCG and T gel (from doctor) and noticed a response. Not amazing, but it got me to about 5/10. Definitely better on it than not. I never tried clomid.



The reason the other doc said I dont have a test issue is because he thinks my levels are normal and said my LH levels would also be abnormal if something was wrong. I didnt' know what to make of that , especially his LH comment.

Hoping someone can shed some light.


Bloods:
Note: MRI was normal. Minerals / RBC/ WBC all normal. Sorry about the international units... Im in Aus.


Cortisol AM 190 nmol/L Ref (170-550)


Thyroid
Free T4 13.7 pmol/L Ref (11-22)
Free T3 4.8 pmol/L Ref (3.2-6.4)
TSH 1.28 mU/L Ref (0.5 - 5)


LH 3.8 IU/L Ref (1.8-9.2)
Estradiol 54 pmol/L Ref (<160)

Test 14.2 nmol/L Ref (12-31.9)
SHGB 33 nmol/L Ref (17-56)
Free Test 308 pmol/L Ref (260-740)

DHEAs 4.5 umol/L Ref (4.3-15)