Advice on testosterone replacement therapy (TRT) needed or not

[matt_s]

Advice on TRT needed or not

Hi,

My situation is this, I have Testosterone and free testosterone levels right on the lower border of the so called normal range. LH is high, due to a physical disorder. So, my system will not produce any more T on it's own. I have visited doctors talking about a possible testosterone replacement therapy (TRT) treatment. I met a specialist a couple of days ago who advised me to not start this now (36 years of age).

He told me by looking at my body, that even though my levels are low my body is getting enough of T. This was based on:
-Body hair, I have a lot of it.
-Hair on my head is thinner, have been constant so for ten years though
-Muscle mass (5 feet 10", 198lbs, 15% bf). This has not come for free though, been training for all my life.

Do anyone here has any take on this? Is it so that different persons have different sensitivity for Testosterone and can manage with lower levels.

 

[methos]

Of course everyone is different. Just curious, you did not mention why you are looking into testosterone replacement therapy (TRT). Do you have low T symptoms?

 

[Frustrated1]

Hi,

My situation is this, I have Testosterone and free testosterone levels right on the lower border of the so called normal range. LH is high, due to a physical disorder. So, my system will not produce any more T on it's own. I have visited doctors talking about a possible testosterone replacement therapy (TRT) treatment. I met a specialist a couple of days ago who advised me to not start this now (36 years of age).

He told me by looking at my body, that even though my levels are low my body is getting enough of T. This was based on:
-Body hair, I have a lot of it.
-Hair on my head is thinner, have been constant so for ten years though
-Muscle mass (5 feet 10", 198lbs, 15% bf). This has not come for free though, been training for all my life.

Do anyone here has any take on this? Is it so that different persons have different sensitivity for Testosterone and can manage with lower levels.

What are your numbers? High, Low, lower levels and in range doesn't mean much. I'm currently at my mid level, guess what that number is.
What's your physical disorder?
High LH only means that your body is not sending the signals for more T.
Your Dr. may be an idiot, don't be surprised if he really knows nothing about low T. Don't expect an endo to know anything either. I just read that you went to a "specialist". Yes they mostly suck when it comes to male HRT. For example a script for an injection e3w when the half life is ~8 days. Da.

What we do know is that you have concern, or else you wouldn'be be here. What are your symptoms?

 

[matt_s]

13 nmol/L for T, and 6,7 nmol/l for free T, LH 19 E/L . LH orders the testes to produce testosterone, in my system it is high due to the fact my testes are producing too little of it.

The doctor I talked about has a lot of experience from male testosterone replacement therapy (TRT). Anyway, the symptoms I did feel was tired, lower sex drive, very bad recovery from training, mild anxiety etc.

Aside from that, there is no doubt that my levels are low and that low T has side effects, so why not raise it to normal levels with TRT?

 

[Nordic11]

High LH only means that your body is not sending the signals for more T.

Are you sure about this?

 

[neugene]

Before starting testosterone replacement therapy (TRT), try to get your natural levels up. You said your lh numbers were up, see if he would try an Aromatase inhibitor (AI) and Human Chorionic Gonadotropin (HCG) to get your balls going.

 

[matt_s]

Are you sure about this?

It is the opposite of what he says, high LH means your body is sending signals to the testicles to produce more T. A constant high Lh means the testicles are not responsing to this.

 

[matt_s]

Anyone know of any doctors in this area that are active online?

 

[Frustrated1]

Are you sure about this?

Sorry I said that wrong. Typing on a cell phone does that sometimes.

It is the opposite of what he says, high LH means your body is sending signals to the testicles to produce more T. A constant high Lh means the testicles are not responsing to this.

Actually a high LH is because the pituitary secretes LH, which signals the leydig cells to make more testosterone, the pituitary knows when to stop because it can read the estrogen. This is the reason why an Aromatase inhibitor (AI) can increase testosterone.