ok, real progress today for me....went to Mens Health Boston (yes Peak, where the Dr. Morgentaler, who wrote that book, practices). He's like a rock star i think, and doesnt even take patients. Saw a colleague of his, and he was great.
Unlike the endo, he *was* concerned with my bone density, and immediate did another bone scan on the spot. He also did my blood again, and right away, based on my levels from the endo, said "we need to get that test level up."
Here's the bigger breakthrough: he did something the endo either didn't think to do, or just didn't know about. He had me drop trou. Why didn't that happen before? He immediately found a varicocele on the left side of my testicles.
He said that could very well have something to with my low sperm count, and even part of my low testosterone. So, we are going to talk more about tackling that. He wants my blood results back, and wants a hospital to do a full sperm analysis (he was dumbfounded by my home test - they just hit the market). And March 21, we will plan our full attack.
1.) surgery for varicocele? i would assume
2.) attacking the low test/bone density. He quickly ordered me to take 500 milligram of calcium, and to up my vitamin D intake (already take 2000 iu). For low T, three options - anastozole, which he won't recommend, given the low bone density. Peak, as you said, he believes my E is low so that's not a good option. Next is Clomid, which i think we'll try. Though it doesn't always take care of low T symptoms, even if it raises T. Not sure i get that. The third was something i can't remember now, but its a THREE TIMES a week injection. Sounds like the most powerful method, but most intrusive.
Finally - quick, decisive, and plan of attack style appointment. I feel better knowing that the varicocele could be the answer. don't feel excited to have surgery on that area, even minor, but what are you gonna do...just want to get it over with.
Ok, just thought i'd update.