Hormone questions/Possible trt

jae23

New member
I'm new here and I was reading through the forums but they didn't really answer my questions. I apologize if this turns in to a long read but I seriously need help.

So here's the deal, I'm a 5'9, 19 y/o male. 3 years ago I weighed 184, I was overweight, but active. I played soccer and tennis in high school. By the summer of 2013 I lost 30 pounds and eventually settled at 160. Despite this, I still had a pot belly as well as gyno. I got the gyno removed a week before my 18th birthday. Now that it was was gone, I decided to lose the rest of the weight. I had been lifting for year so I figured I would look better. 3 months of dieting and I lost 2 pounds of water, which I knew was water because it would fluctuate back to 160, and I tried so hard to lose just 10 pounds. So January 2016 comes along, I'm 160 lbs and still look the same. Since then I've gained 24 pounds, with a pot belly, but with definition on the rest of my body.

Over the past few months I've been back and forth with doctors and blood work. Everything is normal except for two things: Estradiol and FSH.


Estradiol: 40 pg/ml; Ref. Range: < or =39
FSH: <0.7 mlU/ml; Ref. Range: 1.6-8.0
LH: 4.4 mlU/ml; Ref. Range: 1.5-9.3
Total Test: 583 ng/dl; Ref. Range: 250-1100
Free Test: 123.6 pg/ml; Ref. Range: 35.0-155.0


I suspected something was wrong with my hormones. Now that I have the results, I realized I have a lot of the symptoms that I would just brush off.

My questions are, what if my doctor refuses to treat me with TRT for the low FSH? Or refuses to treat Estradiol? Should someone my age, with clear signs of hormonal imbalances, be treated with TRT?
 
The short answer is no... not without exhausting all else first.

Your testosterone is fine and your free test is more than fine. Estradiol is borderline high, but certainly within the margin of error, especially for the standard assay.

Going on TRT will certainly not raise your FSH, or improve fertility in case you're worried about that.

Do you really want to have to inject yourself for the next sixty years?
 
The short answer is no... not without exhausting all else first.

Your testosterone is fine and your free test is more than fine. Estradiol is borderline high, but certainly within the margin of error, especially for the standard assay.

Going on TRT will certainly not raise your FSH, or improve fertility in case you're worried about that.

Do you really want to have to inject yourself for the next sixty years?

No, I'd rather not. But the only treatment I found for low fsh is trt. What else could I do.
 
No, I'd rather not. But the only treatment I found for low fsh is trt. What else could I do.

TRT does not treat low FSH. TRT would bring your FSH down to zero. Literally zero. Your body would stop producing FSH while using exogenous testosterone and could result in infertility.

As said by Mprtz, your TT is above average for someone your age. You do not have hormone problems. The only issue that your low FSH may be causing is the possibility of infertility. You could ask to have your sperm count checked.
 
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