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General Category => Testosterone, Hormones and General Men's Health => Topic started by: nysportsman89 on April 03, 2012, 12:40:56 am

Title: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 03, 2012, 12:40:56 am
In 2007, when I was 18, I suffered a penile fracture (blunt trauma to an erect penis). I was masturbating and being too rigorous and I heard a popping sound along with intense pain and bruising. I was so embarrassed about the circumstances of what my family and friends would think if they found out so I didn't go to the doctor or hospital and was hoping it would heal by itself. 

I was so foolish not to because I realize (now) it's a medical emergency. When it happened, there was a little blood in my urine if I remember correctly, I know it wasn't continuous blood in the urine so I don't think I did any major damage to my urethra.  Certain details I don't remember because it was so terrible and I just wanted it to go away. I was in a lot of pain for a week or two after especially in my back. After it happened I had intense burning in my back. It was a sharp burning pain. I think it must have been either my kidneys or adrenals that were affected because of some problems I have now which I'll get to later. I was also tired all the time, feeling like I needed more sleep in order to function.

After a few months, I still had pain and I finally told my parents and went to a urologist. He did an exam and didn't think anything was abnormal but did say I have Peyronie's disease which I knew I had before the penile fracture. He referred me to an endocrinologist who did tests, I think it was a blood test..(I'm gunna call and check now that I think about it) but I remember him saying it was "normal" which at the time I believed. So my problems continued and I've seen many urologists since then that said they didn't see anything wrong and it healed on it's own. Two different ones did a penile ultrasound and said I had normal numbers for blood flow.

After seeing many urologists, one said yea there's definitely scar tissue and said I should go to a university hospital since they try different methods of treatment. My insurance didn't cover these at the time but now a few years later they do so at the end of last year I went and they did a penile ultrasound and determined I had slight scar tissue but everything else seemed normal. They also did a blood test for testosterone and prolactin which the dr. said were in "normal range".

I know this is a lot to read, so I still have more to post about but I didn't want way too much all at once. 
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 03, 2012, 06:17:50 am
So throughout the past few years I noticed I wasn't getting angry at anything, ever. Not even if my favorite sports teams lost or other things that used to bother me. I've had a feeling of indifference. It took me this long to figure out my testosterone must be low. Around a year ago one of the urologists I saw gave me a blood test and said I have hypogonadotropic hypogonadism. At the time I was about to go on a vacation and when I came back I was feeling hopeless like it doesn't matter what I do so I didn't really look into it. He had prescribed Clomid but I was afraid of the side effects and didn't use it.

Finally late last year I was thinking about what this dr. said again and researched it and read about the effects of low testosterone and it brought me here. I'm pretty sure I also have hypothyroidism, my hands are always cold along with a few other symptoms.

So now I went back to the endocrinologist who I saw back in 2007, looking to get a new blood test to check my total and free testosterone, free t4, free t3, follicle stimulating hormone, luteinizing hormone, estradiol, and shbg. I'll post the results when I get them in a few weeks. I have the results from a few other blood tests I had from the past couple of years but I'll post those tomorrow, it's getting late here.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 03, 2012, 02:26:14 pm
Sorry to hear about all the struggles.  Of course, I think you are very wise to get all the numbers pulled again.  You really don't want to ignore low testosterone (or thyroid) depending on the level as it can increase your risk for many nasty medical conditions as you probably know from reading on my site.

Hang in there and realize that almost everything can be healed if you work at it and are diligent...
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 09, 2012, 11:00:03 pm
I should mention I have depression, I've had it before my injury. Although, it got really bad around a year after the injury for a number of reasons and I had a ton of stress which lasted for a long time. So I wasn't sure if that caused less production of testosterone or the injury itself did it or a combo.

I'm under the impression right now that my problems are either from my hypothalamus or pituitary (I plan on getting an mri to check both) plus my thyroid. Some other things about my health:
I'm tall and skinny but after the injury, I started getting stomach fat and also I don't get that much exercise like I should. My energy level is bad, I feel like I need a lot of sleep to function. Also my vitamin D level is low but I'm taking a supplement for it.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 10, 2012, 01:33:35 am
I should get my latest test results next week but I have some old ones from the past few years. Oh and my hdl cholesterol is too low and I think it's because of the other problems I'm having..

04/02/2010 time collected 12:25 pm  at Labcorp

Total Cholesterol: 142 mg/dL   range 100 - 199

Trigs:  87 mg/dL          range 0 - 149

HDL Cholesterol: 42 mg/dL   range >39  although it says for a reduced risk factor for coronary heart disease to have >59 mg/dL

LDL Cholesterol:  83 mg/dL     range  0 - 99

TSH:  2.76 uIU/mL         range 0.450 - 4.500

Creatinine 1.02 mg/dL     range 0.76 - 1.27




11/30/2010  time collected 10:05 am at Quest Diagnostics

Creatinine 0.7 mg/dL        range 0.5 - 1.5

TSH, sensitive 2.77 mIU/mL         range 0.35 - 5.50

PSA total  0.38 ng/mL                range 0.00 - 4.00

FSH 0.5 mIU/mL                        range 1.5 - 12.4

Luteinizing hormone  2.3 mIU/mL        range 1.7 - 8.6

Prolactin 10.2 ng/mL                 range 4.6 - 21.4

Estradiol 26 pg/mL                    range 7.6 - 42.6

Vitamin D, 25-hydroxy  24.2 ng/mL       range 25 - 80

Total T 313 ng/dL          range 250 - 1100

Free T 79.5 pg/mL          range 35.0 - 155.0




02/18/2011 time collected 11:58 am at Labcorp

Total T 241 ng/dL         range 249 - 836

Free T 6.1 pg/mL          range 9.3 - 26.5

Vitamin D, 25-hydroxy   26.8 ng/mL     range 32.0 - 100.0


11/03/2011 time collected 8:28 am at Labcorp

Total T  480 ng/dL            range 348 - 1197

Prolactin 8.2 ng/mL           range 4.0 - 15.2



02/24/2012 time collected 11:13 am at Labcorp

Creatinine  0.91 mg/dL         range 0.76 - 1.27

Total Cholesterol 135 mg/dL   range 100 - 199

Trigs 109 mg/dL      range 0 - 149

HDL Cholesterol 39 mg/dL      range >39   again it said it's recommended to have >59

LDL Cholesterol 74 mg/dL       range 0 - 99

DHEA 194 ng/dL        range 31 - 701

Total T 289 ng/dL       range 348 - 1197

TSH 3.89 uIU/mL        range 0.450 - 4.500

Vitamin D 25-hydroxy  35.2 ng/mL      range 30.0 - 100.0

T4  5.6 ug/dL           range 4.5 - 12.0

T3  132 ng/dL          range 71 - 180

Progesterone 0.6 ng/mL     range 0.2 - 1.4

Estrogens, total  64 pg/mL   range 40 - 115
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 10, 2012, 01:52:28 pm
Sorry to be so slow to respond.  Crazy day yesterday!

Okay, so let's start with the fact that you have very low testosterone. Both your free and your total are very ugly.  Can you tell me what your doctors said?

Anything below about 350 or 375 can really cause guys major issues.  Nasty things can start happening:  mood starts going down and eventually depression starts setting in.  Insulin starts rising.  You head towards borderline anemia.  And, to make matters worse, the inside of your penis begins to atrophy leading to various degrees of venous leakage.  Libido plummets and erectile dysfunction sets in.  And that really helps out the ol' depression, eh? 

All of this is what I document in my book Low Testosterone by the Numbers and I've chatted with literally hundreds of guys with the same story.

Then you go to the doc and he/she says, "You're fine.  What's your problem?  You in the normal range.  It's got to be all in your head."  So you limp around in

Also, how much Vitamin D are you taking?  How many IU?

I can't advise you whether or not to go on HRT, but all of the following are known to help significantly with depression and mood:

1) HRT (testosterone therapy)
2) Fish oil (omega-3's)
3) Exercise
4) Vitamin D

If you get these under control, you might very well be a completely new person.  It's very hard to function when your testosterone hits a certain level.  Been there!
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 12, 2012, 11:12:44 pm
Well for 2 of those testosterone tests where I had 313 and 241, it was from one doctor who had prescribed me Clomid, but I never tried it because I didn't know much about it and was afraid of the side effects. I never got to talk to him after those 2 tests though, when I went the last time to his office the nurse saw me instead because of an emergency or something and I never went back again. At that time, I never looked into low t really so I didn't think it was the problem but now I wish I did.

I'm thinking I should still try Clomid as one option maybe. I don't know if I'll go back to that doctor since it's far from where I live.

The test that said I had 480, that doctor said I was "normal". That reading was at 8:30 in the morning where it usually peaks so I knew when he said that, it didn't make sense.

My most recent drawing at 289, the nurse called with the results and said it was low and to get it checked in 6 months.

The thing I'm concerned about too is my thyroid messing up my recovery, I'm not sure if I get my t levels back with hcg therapy if that will last and also fix my thyroid or my thyroid won't allow it to last. Also my adrenals, if I screwed them up with the penile fracture, like I said when it happened there was sharp burning pain in that area of my back but idk if it was my adrenals or kidney. Maybe it was just an infection that cleared up and hopefully not major damage. I need to get all of the endocrine glands working together at the same time.

I don't want to use HRT. I first wanna try hcg therapy. I'm hoping to restart normal production. Maybe clomid would do it if hcg therapy doesn't. I take 1,000 IU of vitamin D.

You're right about atrophy in the penis. It's been terrible. The tissue has hardened in some areas. First on my left side of the shaft, and when that happened it caused pain and it's affected nerves because nerves up and down the left side of my body started feeling pain and loss of some sensation. It's hard to describe but along my arm, leg, hand, foot, abdomen, lower back, chest and up to my neck it feels like nerves contracting or shrinking in length and would get tighter and contract after masturbating. It has to be from the nerves in my penis. It's starting to happen on the right side of my penis and consequently the right side of my body. The left side happened less than a year ago and it seemed more drawn out with the contraction and now the right side seems to contract faster.

Maybe it's not the nerve itself that hardened in the penis and instead the muscles and they are touching the nerve, idk. I hope I can reverse that and soften those hard areas once I get my test levels back up. I hope it's not permanent damage.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 13, 2012, 12:46:06 pm
Quick comment:  I should have been more careful in my wording.  The studies show that venous leakage can be largely recovered from (generally) once testosterone is restored.  So I didn't to sound overly ominous.  It's almost like watching a plant wither in a drought and then watering it again and it reblooms.  So, overall, it's usually not a true "scar tissue" situation that can't be restored.

The feedback system you are talking about there doesn't surprise me.  Low T atrophies the nerves and connective tissues within the penis.  However, there are interesting examples of nervous system feedback, such as neurocardiology, that are reminscent of what you are talking about there.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 16, 2012, 02:30:17 am
you mean some of this might be related to my brain and heart which is affecting the nervous system?

When I masturbate now, the nerve pain seems to get worse and cause more nerve contracting throughout my body and cause more hardening in areas of my penis. So I'm thinking I shouldn't have any sexual stimulation until my test levels go back up.

I'm supposed to get my latest results Tuesday and hopefully my Dr. agrees to try hcg or clomid or something.

Do my numbers seem to indicate insulin resistance? I do have some belly fat.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 16, 2012, 12:53:16 pm
I'm not sure what would cause what you are talking about.  Venous leakage is simply subtle changes in the  internals of the penis.  You can't really "feel" it.  You basically just notice it when during any rompin' and rollin' because you either have trouble achieving or maintaining an erection.

What you're describing reminds me of a guy who felt he had some nerve damage from a mole removal at the base of his penis.  But, no, I don't know of a mechanism as to how all of that would happen.  Good question for a knowledgeable doc who is willing take a few minutes to talk to you.

Btw, there are many great things about your numbers.  Congrats on them. 

There is really no great way to test for insulin resistance unless you are a researcher. For a normal "Joe" like you and me, it's a little tougher.  Normally you look for symptoms of Metabolic Syndrome and sometimes you can get a clue from a fasting glucose test.

But the best way is to test by dropping any excess weight, increase your exercise (without overtraining) and go to low glycemic load meals.  If this makes a dramatic difference in how you feel and the belly fat starts melting, then you've got your answer.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 17, 2012, 04:58:56 am
from my 2/24/12 blood test I had glucose done while fasting. From researching, they call it fbg for fasting blood glucose but on my results it's labeled glucose serum but it must be the same thing. mine was:

Glucose, serum  89 mg/dL       range 65-99


I was wondering, how bad did your t levels get?
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: spiderman on April 17, 2012, 08:57:22 am
Hi there...I'm the guy Peak T is referring to that had the potential nerve damage...check my posts..

A few points

1) If you had depression before the injury chances are your T will have been dropping like a stone anyway. After the injury the combo of the two will have put you down to the lowest of the low.
I had a similar experience after my trauma but was unaware of what was up as I had no knowledge at the time of T levels, depression etc...

2) IMO at your age the chances of getting your T to reasonable levels without some external help are slight, so Clomid might be a good start. You should be way up near the 700 mark at least and no supps will get you there.
I have struggled and was extremely low but over the last few years but was brought back to life with this site advice, and experimenting using different supps and vits etc...still improving as I go

3)Your thyroid can be sorted with medication. My friend had hypo, tired all the time etc but is fine now but on medication for life.....no effect on T levels.
Depression makes you tired anyaway so you might not have a problem. Your body wants to shut down and heal itself automatically if it has issues...(I used to fall asleep at the drop of a hat after going to comfortable surroundings during my peak anxiety times a few years ago)

 4) Feed your penis fresh blood...arginine and citrulline help massively, fresh blood heals damaged tissues...but I would restrain from the mastubation bit and allow healing...just get him hard for the blood flow instead.
The good news is you have had an ultrasound and bloodfow is normal. When you start to heal the internal tissues and get your T up again you should feel so much better..

5) More good news...The fact you have nerve pain indicates that they are ok..so may just be the scar tissue to be fixed...and it can

Stick in ..you can only get better..we have all been there... good luck

Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 17, 2012, 01:33:58 pm
Great comments. 

As usual, I'll add my cautions though:  citrulline and arginine are very powerful for many middle-aged men, but some men may be at risk, so read this:

http://www.peaktestosterone.com/Herpes_Arginine
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 17, 2012, 06:02:57 pm
Hi there...I'm the guy Peak T is referring to that had the potential nerve damage...check my posts..

A few points

1) If you had depression before the injury chances are your T will have been dropping like a stone anyway. After the injury the combo of the two will have put you down to the lowest of the low.
I had a similar experience after my trauma but was unaware of what was up as I had no knowledge at the time of T levels, depression etc...

2) IMO at your age the chances of getting your T to reasonable levels without some external help are slight, so Clomid might be a good start. You should be way up near the 700 mark at least and no supps will get you there.
I have struggled and was extremely low but over the last few years but was brought back to life with this site advice, and experimenting using different supps and vits etc...still improving as I go

3)Your thyroid can be sorted with medication. My friend had hypo, tired all the time etc but is fine now but on medication for life.....no effect on T levels.
Depression makes you tired anyaway so you might not have a problem. Your body wants to shut down and heal itself automatically if it has issues...(I used to fall asleep at the drop of a hat after going to comfortable surroundings during my peak anxiety times a few years ago)

 4) Feed your penis fresh blood...arginine and citrulline help massively, fresh blood heals damaged tissues...but I would restrain from the mastubation bit and allow healing...just get him hard for the blood flow instead.
The good news is you have had an ultrasound and bloodfow is normal. When you start to heal the internal tissues and get your T up again you should feel so much better..

5) More good news...The fact you have nerve pain indicates that they are ok..so may just be the scar tissue to be fixed...and it can

Stick in ..you can only get better..we have all been there... good luck

When I was depressed before the injury, I didn't notice any drop. My libido seemed fine and wasn't having erection problems. The ultrasounds I had were a few years ago when I was still able to get erections kinda okay still so the blood flow now is probably not as well as it was then even. I should mention I'm 23.

The trauma you mention, is this from a mole removal or did you also have an injury to your penis?

Do you happen to know the medicine your friend used for hypothyroidism?

I agree I will need some external help to get my numbers up. Did you use any hrt/hcg/clomid or just supps and vits?

Title: Re: Penile fracture, low test, and hypothyroidism
Post by: spiderman on April 18, 2012, 04:22:35 am
Hi again...No injury just the small op that affected me...
Not sure if nerve was pinched or slight tissue damage at the time...

My T levels were taken about a year and a half down the line at a time where I couldn't have been any lower and came back about 350...I am convinced that they are up round the 450- 500 mark now as I don't have most of the symptoms of low T any more.

Don't know the medicine but it is standard issue for people with hypothyroidism. They trial you to see how much is going to be the correct dosage as the levels of hypothyroidism vary.

I just used supps and vits. Lots of experimenting like most of us on here and cycling the supps..but as it turns out the vits and aminos for me seem to be far more effective than most of the supps other than a couple of exceptions. I would be inclined to take optimum amounts along with what you can on top of any outside therapy....careful with the aminos though.

Recommend you get another ultrasound to as it sounds like you have more tissue problems now and they could be identified....For info and just to give you hope ..my man was cold and limp when flaccid at one stage but he is now warm and full and bigger again ..its the blood flow thing for sure.

 





Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 18, 2012, 05:08:32 am
I went to the endocrinologist today and got my blood results back. Most of my numbers came back within the "normal range". Only thing that came back below the range was my fsh so he ordered another test for it but I'm not going back to him. It's a good thing I know about websites like this and that doctors aren't always experts and sometimes are way off.

I also got my numbers from some tests I had not long after the penile fracture in 2007.

5/18/2007 time collected 10:22 am at Quest Diagnostics
(this was around a month and a half after the penile fracture)

Total T  331 ng/dL         range at the time was 241 - 827


6/19/2007 time collected 3:46 pm at LabCorp

Free T4  1.05 ng/dL        range 0.92 - 1.53

Total T  236 ng/dL          range 241 - 827

Free T  9.5 pg/mL           no range given lol

LH  1.4 mIU/mL             range 0.5 - 5.3

TSH 3.033 uIU/mL         range 0.370 - 6.000

Prolactin 7.1 ng/mL       range 2.1 - 17.7


So these 2 tests were both within a few months after my injury and to me sound like the secondary hypogonadism already developed, I didn't think my test levels were that low already but now that I think about it I was very tired and sleepy a lot and my energy was pretty bad. Yet my erections were still not that bad that year and continued to be decent until late 2010 when they started getting weaker. 2008 was the year when I really went under a lot of stress for months and months so that stress wasn't the first to cause those kind of numbers. It's confusing that I still had decent libido and erections (although I did notice they weren't as good at they used to be) even though my test levels were that low. My thyroid was better then than it is now so maybe that has a lot to do with it.


So here are my latest results:

3/29/12 time collected 3:08 pm at LabCorp

Total T  377 ng/dL        range 348 - 1197

Free T  14.89 ng/dL      range 5.00 - 21.00

Free T %  3.95 %         range 1.50 - 4.20

LH  1.9 mIU/mL           range 1.7 - 8.6

FSH  0.4 mIU/mL         range 1.5 - 12.4

Free T4  1.23 ng/dL      range 0.82 - 1.77

Free T3  3.6 pg/mL       range 2.0 - 4.4

Estradiol  22.7 pg/mL    range 7.6 - 42.6

SHBG   29.8 nmol/L      range 16.5 - 55.9


I planned on this dr. not helping me lol so I already had another endocrinologist appt with a new one set up in a couple weeks. If he doesn't help me I'll probably go back to the urologist who had prescribed me the clomid and see if he'll try hcg or knows another dr. closer to me who will do the same treatment.

Is my estradiol too high and should my shbg be lower for my t levels to benefit?

I don't know if I was having a good day or my condition improved a little because I thought at 3 pm my t levels would definitely be below the range. Makes me wonder how high it was at 8 am that day. I figured that around late morning my t levels would be in the 300's not the afternoon. Hopefully it's a sign of improvement.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 18, 2012, 01:54:21 pm
Two comments:

--You estradiol looks good.  You wouldn't want it much lower if that's what you're asking.  Your T/E ratio isn't too good, but again you don't really want to lower your E too much more.  Read this article by LEF:

http://www.lef.org/magazine/mag2010/may2010_Why-Estrogen-Balance-is-Critical-to-Aging-Men_01.htm

NOTE:  They're trying to sell chrysin imo, which has the side effect quite often of slowing down the thyroid, so take that with a grain of salt.

--Yes, your T levels are still lowish.  One of the issues the good docs look at is:  are you still experiencing classic low T symptoms?  The upper 300's and lower 400's are very hard on some guys.  Still others just fine there with no symptoms whatsoever.  So it's very individual.

Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 18, 2012, 09:30:14 pm
Hi again...No injury just the small op that affected me...
Not sure if nerve was pinched or slight tissue damage at the time...

My T levels were taken about a year and a half down the line at a time where I couldn't have been any lower and came back about 350...I am convinced that they are up round the 450- 500 mark now as I don't have most of the symptoms of low T any more.

Don't know the medicine but it is standard issue for people with hypothyroidism. They trial you to see how much is going to be the correct dosage as the levels of hypothyroidism vary.

I just used supps and vits. Lots of experimenting like most of us on here and cycling the supps..but as it turns out the vits and aminos for me seem to be far more effective than most of the supps other than a couple of exceptions. I would be inclined to take optimum amounts along with what you can on top of any outside therapy....careful with the aminos though.

Recommend you get another ultrasound to as it sounds like you have more tissue problems now and they could be identified....For info and just to give you hope ..my man was cold and limp when flaccid at one stage but he is now warm and full and bigger again ..its the blood flow thing for sure.

thanks. what vits, supps, and aminos are working for you? Also did your pinched nerve or tissue damage go away after getting your T levels up?

Yea, I'm going to look into another ultrasound. Although from my last ultrasound, they detected slight scar tissue (not sure if that was actual scar tissue from the injury or atrophy of nerves/tissues) but it was after I already had some atrophy with the hardening feeling and nerve pain on the left side of the shaft.

It's a difficult thing to describe. I know this much, after it happened on the left side of the shaft it caused pain along the left side of my body and now it's happening on the right side of the shaft and also the right side of my body. So whatever is happening to my penis it's causing these problems to the rest of my body.

It has caused tightness in my arms, neck and lower back on each side now. When I touch the areas, they feel like a rope that's getting tighter. I'm not sure if those are muscles or ligaments or tendons or nerves.

I'm starting to suspect that maybe some of my problems are made worse by mercury I'm exposed to. I have one dental mercury filling. From researching, I believe it's very bad to have these and I'm looking to get it removed.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: spiderman on April 19, 2012, 05:48:17 am
To be honest I havent had my T levels checked again but slowly felt I was getting better.
I get a twinge occasionally in the area but I think the tissue repaired itself over time..

As mentioned before you really have to check out and see what works for you (and I think we all change our routine on here) but recently for me...

Aminos- arginine and citrulline also been checking out acetyl l cartinine.
Vits...C, D and multis along with Fish oil...also Coq10..Vit D is the biggy here
Supps/herbs..the most natural and tried and tested ones...Maca, Muira, Ginko, Ginseng..

Been checking out testofen which seems to work...and cut out the sugar!

Don't look too hard into things that might not be related like the filling as you can drive yourself mad looking for reasons..

I tend to stick to Vits and aminos at the moment with the occasional herb as I think you can overload...

I think your body given the correct nutrients heals..it may take time but it happens...the most important thing i see for youself is to get checked out properly at the hospital as its causing nerve problems with the rest of your body which aint good...so you really need proper treatment before you do anything else.

All the best


Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 19, 2012, 01:57:59 pm
but as it turns out the vits and aminos for me seem to be far more effective than most of the supps other than a couple of exceptions. I would be inclined to take optimum amounts along with what you can on top of any outside therapy....careful with the aminos though.


Why don't you post a thread on this.  Sounds like an interesting topic that might help some guys out?
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 20, 2012, 03:17:41 am
Two comments:

--You estradiol looks good.  You wouldn't want it much lower if that's what you're asking.  Your T/E ratio isn't too good, but again you don't really want to lower your E too much more.  Read this article by LEF:

http://www.lef.org/magazine/mag2010/may2010_Why-Estrogen-Balance-is-Critical-to-Aging-Men_01.htm

NOTE:  They're trying to sell chrysin imo, which has the side effect quite often of slowing down the thyroid, so take that with a grain of salt.

--Yes, your T levels are still lowish.  One of the issues the good docs look at is:  are you still experiencing classic low T symptoms?  The upper 300's and lower 400's are very hard on some guys.  Still others just fine there with no symptoms whatsoever.  So it's very individual.

Yea I'm still experiencing symptoms. What numbers do I use to determine my T/E ratio? Total T and Estradiol?

Is my SHBG good or is it too high? I think my Free T should be a little higher along with obviously my Total T.

Also do you think my DHEA should be higher? From my blood test 2/24/12:

DHEA 194 ng/dL        range 31 - 701

Thanks for all the advice PeakT
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 20, 2012, 12:50:13 pm
Well, I would not sweat calculating your T/E ratio.  Here's some basic info about it though:

http://www.peaktestosterone.com/Testosterone_Estrogen_Ratio

The bottom line, though, for middle-aged and above males is that we just need to get our estradiol in a good range - not too high and not too low - and maximize our T.  Imo men do best with testosterone between 500-700 based on emails that I receive.  However, there is considerable variability with that and, as I've mentioned, some men are just great in the low 400's without apparent symptoms or health consequences.

So here's the bottom line imo:

1) You want to get your T to the point where you are symptom free.  You must look at things like weight gain and mental fog as well.
2)  Again, you want your estradiol in a reasonable range - not too high or low.
3)  You want your free T between 1.5-2.5%, ideally 2%.  If your testosterone is lowish and your free T is 1.5%, that could be an issue.
4)  Make sure your thyroid is okay.

Imo if you follow the above three rules, you don't need to directly worry about SHBG.  Now it's true that SHBG is a factor in the above, but it's quite variable and the above three have been studied more.  In addition, if you correct the above three, all the rest will generally take care of itself.

If you can get yourself in these ranges, along with a good diet, exercise and maybe a few of the important supplements, you are going to dramatically improve your quality of life. 

You don't want to be just surviving - you want to be thriving...
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on April 21, 2012, 08:52:41 pm
Is DHEA an important factor? So it's better to have 3.95% free T at least for now considering I have a low total T.

I heard of a blood test for bioavailable T. Is this much different than free T?
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on April 21, 2012, 10:31:48 pm
Well, it's probably not good to be deficient and, of course, you are on the lowish side.  However, DHEA research is very interesting and quite a contrast with testosterone.  Whereas testosterone therapy has produced strong, noticeable and provable benefits in the research, DHEA has been much more questionable. 

In the case of DHEA, it really hasn't done as well as anticipated.  The results have been rather lackluster overall:

http://longevity.about.com/od/researchandmedicine/a/DHEA.htm

Talk to your doc, though - I'm not a researcher!  For example, they tied low levels of DHEA to many conditions.  However, what you always have to do is test to see if giving the molecule actually helps with what you think it will and that has not been too successful to date anyway.

Also, there was a big controversy that it might cause prostate cancer.  However, most of what I have read is that the opposite is most likely true, i.e. that DHEA actually protects against prostate (and many other kinds of) cancer. 

Here's a couple of int'g articles on the prostate cancer issue:

http://www.lef.org/magazine/mag2004/mar2004_cover_dhea_02.htm

http://www.vrp.com/hormone-support/dhea-dehydroepiandrosterone-is-dhea-contraindicated-in-men-with-benign-prostatic-hypertrophy-bph-or-prostate-cancer

I have read that testosterone therapy will lower DHEA somewhat and that some docs will even give supplemental DHEA because of it.  Creams are preferred I believe.

Some of the anti-aging docs also give some DHEA to help improve libido, mood and so on.  But, again, it has not proven to be the panacea that everyone thought 15 years ago...
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on May 08, 2012, 07:16:52 am
Yea I think DHEA is important for normal test levels. Is bioavailable t more important to measure than free t?

Title: Re: Penile fracture, low test, and hypothyroidism
Post by: PeakT on May 08, 2012, 03:02:35 pm
Yea I think DHEA is important for normal test levels. Is bioavailable t more important to measure than free t?

Bioavailable testosterone is actually the ideal but from what I have heard is not commercially available for the regular Joe like you and me at this time.
Title: Re: Penile fracture, low test, and hypothyroidism
Post by: nysportsman89 on May 08, 2012, 08:42:30 pm
oh ok. So I went a few weeks ago to the neurologist and I asked him about my latest brain mri which was in Sept. and he said the hypothalamus and pituitary looked fine, no tumors or anything.

I think my pituitary is working correctly because my TSH is on the high end of the normal range (which sounds like my thyroid isn't quite right) but my hypothalamus must not be working correctly since my LH and FSH are low. It means not enough GnRH is being produced. From all the chronic stress I've dealt with, the excess cortisol is probably what caused the GnRH production to slow. The question is what can boost GnRH?