I guess the title says it all:) I need your advice guys, I really dont know what to think. I recently did a series of test, and found out my testosterone was low. Low like 6.92nmol/l(around 192mg/dl), and since Im just 23 we decided to do another one plus FSH and LH. And the testosterone came 8.55nmol/l(246ng/dl) and my FSH was 4.48mU/ml(ranges: 1.5-12) and LH was 4.19mU/ml(ranges: 0.8-6.0). Now whats funny is that the ranges for testosterone are 5.2-22.9nmol/l which I think is really broad, cos 5.2 converted to ng/dl is 149.
So my questions are:
Do I have low testosterone, and what do FSH and LH mean here? Ive read that if they are like normal to low with low t it means secondary hypogonadism, is that so?
Im obese plus Im on SSRI(antidepresants) can this somehow made my t low, and can it be the case that I dont need somekind of therapy.
I also did a glucose test, and It came slightly higher, like 6.1 is the upper border and I was 7.9, can that cause low t, or yet better can it be caused by low T.
Im a hairy guy, and I wear a full beard, so how can I have low T, althoug my libido sucks lately, I mean I can force myself to do the thing, althoug I have fine errection.
Now sorry for bothering you, and thanks for every advice and answer in advance. And btw the site and the forum are great, lots of reliable data.
Just got a sec here: the family is keeping me hopping, but here are a few comments:
--The normal "old school" hypogonadal lower range here in the U.S. was 260-280 ng/dl. So, yes, anything in the 100's would be abyssmally low. And it looks like you are doing your conversions right btw.
--SSRI's are notorious for hammering libido and causing erectile dysfunction. You can experiement with different SSRI's, with your doc of course, and one SSRI is known for sometimes improving things: Wellbutrin. http://psycnet.apa.org/index.cfm?fa=search.displayRecord&UID=1994-30820-001
"Improvement in fluoxetine-associated sexual dysfunction in patients switched to bupropion"
Talk to your doc as this kind of stuff is more art than science.
--You have to take depression very seriously as it is hard on hormones, raises cortisol and can even hammer neurons. I struggled with dysthymia most of my adult life and about half of it was probably low testosterone. Low testosterone worsens mood:http://www.peaktestosterone.com/testosterone_depression
However, depression is usually multi-factored and so, while getting your testosterone out of the basement can help, it may not be a cureall. Here are other natural solutions that can make a huge difference:http://www.peaktestosterone.com/depression_cures
--If you are very overweight, say 50+ pounds, losing weight may dramatically increase your testosterone. The reason is that that amount of weight actually induces a kind of secondary hypogonadism and it occurs when the ratio of free testosterone to free estrogens reach a certain low. It is possible to double your T with massive weight loss, but there are no guarantees. However, if you really cut calories, it can actually be hard on testosterone levels. I have many comments on losing weight if you are int'd.
--Some SSRI's are associated with weight gain.
--Low testosterone definitely has a lot to do with blood sugar/insulin issues. As testosterone falls, insulin rises. This is one of the reasons that low T is associated with cardiovascular issues, diabetes and prediabetes.
--If you would like my book on the subject, I'll send it to you for free. Just PM me. It'll give you a lot of great information to discuss with your physician and that's why I wrote the book.
--Clear everything through your doc as you have some special circumstances going on of course.
Gotta keep moving. You're doing the right thing by starting to work on this now. Give it some time and in six months to a year, you can be a completely different person.
Hit me up again with any questions I left out...