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Author Topic: LowT, varicocele and ED, schlerotherapy?  (Read 5221 times)

Fredrik

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LowT, varicocele and ED, schlerotherapy?
« on: May 20, 2013, 10:10:54 am »
Iīm 32 years old and generally in very good shape. Since last summer Iīve experienced ED(and libido has generally been decreasing for years) which initially was treated with PDE-5 inhibitors but at some point they stopped working and I figured out that I probably had low T. Got it measured and it was in the low range, 11,0 nmol/l. After that I had my blood work done and FSH was at 1,5 and LH at 6,9, thyroid problems, estradiol, hemachromatosis etc. were ruled out. The endo said that the "high" LH indicated that the problem probably is in the testicles. Additionally I was diagnosed with a pre-stage Diabetes with blood sugar at 6,2 mmol/l.

We have also just conceived so there seems to be some semen moving around, which the hypothalamus seems to be understanding as FSH was low.

Then I found out I had a grade II-III varicocele (checked with ultrasound at 4,8mm dialeted) and after some discussions with my urologist we decided that I would have a schlerotherapy which will be some time after the summer depending on our great public health system. The urologist wasnīt certain that this would fix the problem however.

Iīm still wondering though and wanted to get a second opinion from people with experience from these matters, could there be some other reason for my, as it seems primary hypogonadism? Iīm not that keen at starting TRT at this age but I understand that it might come to that if the schlerotherapy doesnīt help.
« Last Edit: May 20, 2013, 01:13:57 pm by Fredrik »

PeakT

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Re: LowT, varicocele and ED, schlerotherapy?
« Reply #1 on: May 20, 2013, 04:27:33 pm »
Okay, I don't think we've seen a low FSH, high LH man on the forum before, so that's a new one to be honest.  Usually they seem coupled together.

But let me point out something.  Look at this study:

http://www.androscience.com.br/arquivos/arq_67_2005_TEXTO23.pdf
"Semen profile, testicular volume, and hormonal
levels in infertile patients with varicoceles compared
with fertile men with and without varicoceles"

In this study they divided the men up into three groups, including a "healthy group" and two groups with varicocele (fertile and infertile).  If you look at this study, all groups tended to have the same LH and FSH levels with one exception:  the infertile men with varicocele tended to have elevated FSH, which you don't have of course.

Instead you have elevated LH, so my guess is that this is why your doc is pretty sure that you may be primary.  It sounds like you are doing the right thing, though, in taking care of the varicocele in the hopes that this will improve things, but it may not if you have some underlying issue.

Also, in this page on Male Fertility, I mention the study that  shows testosterone can improve a little post-varicocele surgery:

http://www.peaktestosterone.com/Improving_Fertility  (See #11.)

Here are another couple of important points:

--Your testosterone is not just "in the low range".  It is low.  LabCorp now classifies hypogonadal as anything below 350 ng/dl I believe now.  You are very low for your age and, as I document in my book, this puts you at risk for a host of medical issues.  PM me and I'll send you my book if you want.  So here is the key:  are you having classic low testosterone symptoms, such as mental fog/anxiety/depression/E.D/no morning erections?  Check this out:

http://www.peaktestosterone.com/Testosterone_Levels_Male

--Guess what raises insulin levels and causes blood glucose levels to go haywire generally?  Low testosterone.  Your doctor should have mentioned this to you.  I've got a link on the subject:

http://www.peaktestosterone.com/testosterone_diabetes

One last comment:  the most important thing is to get the insulin/blood sugar issues under control.  If you don't, that will take about 10 years off of your life on average and put you at risk for lots of nasty stuff.  The testicles are important.  Insulin/blood sugar are just as important.  Don't put that on the backburner...
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: LowT, varicocele and ED, schlerotherapy?
« Reply #1 on: May 20, 2013, 04:27:33 pm »


Fredrik

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Re: LowT, varicocele and ED, schlerotherapy?
« Reply #2 on: May 21, 2013, 06:03:40 am »
Okay, I don't think we've seen a low FSH, high LH man on the forum before, so that's a new one to be honest.  Usually they seem coupled together.
Yep, I havenīt found any info on this elsewhere either, but my endo didnīt seem surprised.

Quote
But let me point out something.  Look at this study:

http://www.androscience.com.br/arquivos/arq_67_2005_TEXTO23.pdf
"Semen profile, testicular volume, and hormonal
levels in infertile patients with varicoceles compared
with fertile men with and without varicoceles"

In this study they divided the men up into three groups, including a "healthy group" and two groups with varicocele (fertile and infertile).  If you look at this study, all groups tended to have the same LH and FSH levels with one exception:  the infertile men with varicocele tended to have elevated FSH, which you don't have of course.

Instead you have elevated LH, so my guess is that this is why your doc is pretty sure that you may be primary.  It sounds like you are doing the right thing, though, in taking care of the varicocele in the hopes that this will improve things, but it may not if you have some underlying issue.

Let us hope that this is the right thing and based on your answers it seems that this might be my best shot currently available. What could the underlying issues be? I think that Iīve been checked for most of the possible causes but the varicocele was the only thing which could be found.

Quote
Also, in this page on Male Fertility, I mention the study that  shows testosterone can improve a little post-varicocele surgery:

http://www.peaktestosterone.com/Improving_Fertility  (See #11.)

Yes, Iīve seen several studies supporting this theory so letīs hope that it will work for me as well, it will indeed be interesting to see what happens post-surgery.

Quote

Here are another couple of important points:

--Your testosterone is not just "in the low range".  It is low.  LabCorp now classifies hypogonadal as anything below 350 ng/dl I believe now.  You are very low for your age and, as I document in my book, this puts you at risk for a host of medical issues.  PM me and I'll send you my book if you want.  So here is the key:  are you having classic low testosterone symptoms, such as mental fog/anxiety/depression/E.D/no morning erections?  Check this out:

http://www.peaktestosterone.com/Testosterone_Levels_Male

Well, at least Iīm having terrible mood swings and my morning erections are almost gone. ED has been present for soon a year.

Quote
--Guess what raises insulin levels and causes blood glucose levels to go haywire generally?  Low testosterone.  Your doctor should have mentioned this to you.  I've got a link on the subject:

http://www.peaktestosterone.com/testosterone_diabetes
Quote
I was aware of the relation and have a followup insulin test in some months.


One last comment:  the most important thing is to get the insulin/blood sugar issues under control.  If you don't, that will take about 10 years off of your life on average and put you at risk for lots of nasty stuff.  The testicles are important.  Insulin/blood sugar are just as important.  Don't put that on the backburner...

PeakT

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Re: LowT, varicocele and ED, schlerotherapy?
« Reply #3 on: May 21, 2013, 01:15:03 pm »
Well, I think your approach makes a lot of sense. I'm not sure the varicocele is going to take care of all of that, but you have to start troubleshooting, i.e. fix one thing at a time and go at it step-by-step.

One very positive story about varicocele repair is Sam's.  Just use the search button above and you should be able to find it.  He didn't get much of a testosterone boost, but it really helped him out in other very important ways.
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: LowT, varicocele and ED, schlerotherapy?
« Reply #3 on: May 21, 2013, 01:15:03 pm »


Fredrik

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Re: LowT, varicocele and ED, schlerotherapy?
« Reply #4 on: October 28, 2013, 12:41:13 pm »
Hi,
I had my varicocele embolization 1,5 weeks ago and so far no big change symptoms. The procedure in itself was quick and painless, now an easy dull ache in the left testicle can be felt since a day or two. I would guess that this could be related to the procedure, hopefully the testicle might now be more active and therefore aching. The other possibility is of course that the testicle would be less active now but as it seems that the left testicle has increased in size I expect that the first option is more probable.

The varicocele can still be found by palpation but in my opinion it is slowly getting smaller. How quickly should it be gone?

A question to the forum though, when should I schedule lab works to check up on T levels? And on the other hand, for example LH(since high previously) would be interesting to follow up on as well but are there other numbers which could also be interesting?



PeakT

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Re: LowT, varicocele and ED, schlerotherapy?
« Reply #5 on: October 28, 2013, 10:01:24 pm »
Any of the men with varicocele surgery able to answer  this?
« Last Edit: October 28, 2013, 10:06:49 pm by PeakT »
THE MOST COMPREHENSIVE BOOK ON TRT/TESTOSTERONE:
https://www.amazon.com/Natural-Versus-Testosterone-Therapy-Myer/dp/1523210532/ref=sr_1_1?ie=UTF8&qid=1499116128&sr=8-1&keywords=natural+versus+testosterone+therapy
And check out my New Peak Testosterone Program: http://www.peaktestosterone.com/peak_testosterone_program
If you are on medications or have a medical condition, always check with your doctor first before making any lifestyle changes or taking new supplements.  And low testosterone is a medical condition.

Peak Testosterone Forum

Re: LowT, varicocele and ED, schlerotherapy?
« Reply #5 on: October 28, 2013, 10:01:24 pm »