Low T and normal cortisol despite treatment?

[Sighalot]

Been using hcg 450IU 3 times a week for a couple of years and it usually puts T at 18-22 with reference range 10-30, added in tostrex and back in november tested at 47, no retest despite suspicion of false high test, dose of tostrex lowered from full to half.

August 11 my gp tested estradiol at 217 range 50-160, added in 0.1mg arimidex a day didnt feel any improvement so after 2 weeks i increased to 0.2mg a day.
2 weeks ago some other tests was taken including T which was at 3.1 with reference 8-30

3.1 is the lowest result to date for T and thats WITH both hcg and tostrex, the second lowest was 4.9 and it was without any treatment at all.

Another weird thing is that i have been using cortisol for more then 2 months and still tests "normal", prednisolon 10mg for 35 days then 20-35mg hydrocortisone most days.
2 weeks ago i woke up at 4pm took 10mg prednisolon, around midnight i feel asleep and woke up 2am took another 5mg prednisolon and watched movies until morning, about 9am blood was drawn and cortisol tested at 317 with reference range 133-537.

What could cause T to be so low despite treatment working well before?
What could cause cortisol to be mid range despite the use of prednisolone?

Regards

[Cataceous]

For the benefit of others: Tostrex is a 2% testosterone gel, 217 pmol/L for estradiol is about 59 pg/mL, and 3.1 nmol/L of testosterone is 89 ng/dL (!).

The testosterone numbers are pretty mysterious. Maybe that 3.1 result is suspect?

The cortisol number is easier to rationalize, as your steroid doses weren't necessarily high enough to be extremely suppressive. And blood test results can be quite variable.

[Sighalot]

The testosterone numbers are pretty mysterious. Maybe that 3.1 result is suspect?

Im not sure its a false low, historically i always had good libido and erections with low T and worse with normal T, last week both erections and libido have been above average.

The cortisol number is easier to rationalize, as your steroid doses weren't necessarily high enough to be extremely suppressive. And blood test results can be quite variable.

When i use prednisolone its often 10mg a day, back in august 11 cortisol was tested at 110 with reference range 133-537

[Flyingfool]

Nkt sure if I have this right.

But before you were doing OK, but then added a T cream.

If that is true, I have been told that asding virtually ANY exogenous testosterone will shut down your natural production. So if the cream dosage was not enough to make up for your own production, that easily explains why your T levels decreased to below starting the T cream. 

Or would the HCG continue his natural production?  Or would it at least be decreased?

[DanMac]

Nkt sure if I have this right.

But before you were doing OK, but then added a T cream.

If that is true, I have been told that asding virtually ANY exogenous testosterone will shut down your natural production. So if the cream dosage was not enough to make up for your own production, that easily explains why your T levels decreased to below starting the T cream. 

Or would the HCG continue his natural production?  Or would it at least be decreased?

Hi Brother SighaLot so what do you think of what our Brother FlyingFool Said Above? do you think he has a point maybe that 2% Testosterone GEL made you feel worse than what you stated off with? in hormone department

[Sighalot]

If that is true, I have been told that asding virtually ANY exogenous testosterone will shut down your natural production. So if the cream dosage was not enough to make up for your own production, that easily explains why your T levels decreased to below starting the T cream. 

Or would the HCG continue his natural production?  Or would it at least be decreased?

Hcg is a LH mimic that will stimulate the bodies natural production regardless if testosterone is added or not.