I could not agree more that having the bottom range for hypogonadism in the 200's is very outdated. However, on a practical level, the perception of that number by the medical community is rapidly changing. I know that you're very frustrated with docs, but what's going on is actually a quantum shift for them.
I don't know why but doctors only tend to trust studies from the drug companies. I think that's a HUGE mistake and has really destroyed the reputation of Western medicine and is something I cover on my site. But, like it or not, that's the situation.
However, now the drug companies have jumped on board and you have a whole suite of bioidentical compounds being put out by the pharmaceutical companies: Androgel, Testim, Axiron, Forestra and Testopel. Furthermore, HRT has now been extensively studied and things are looking very good from what we can tell at this point.
I know you had a miserable experience with endos and urologists, but many of them are now jumping on board. The reason? They can now prescribe mainstream pharmaceutically-backed testosterones and they are finding that their patients are healthier and happier. And this is becoming profitable for them as well. You'll now get urologists asking their patients if they want Testopel. Let's face it - it's a money maker for them. And even the topicals get a male patient back in the office every three to six months for testing.
So imo over the next five to ten years you are going to see a huge number of urologists and other doctors move towards testosterone therapy at least. We're already seeing that.
In the meantime, though, you get a lot of docs still saying, "Your testosterone of 305 - that's not so bad big fella" and put many men at risk of metabolic syndrome, diabetes, arteriosclerosis and on and on...
So can I ask what direction your physician is taking you? Since you are young, is he going to try to treat you with testosterone or go after the secondary hypogonadism?