Test result in! (Help) im confused on the results and her response

I noticed she said the blood was drawn in the afternoon. That could explain a lot about the low levels.

To answer your question though, yes, 490ng/dl is quite low for a 23yr old. However, that blood work is biased and your probably not actually at 490. You need to be retested and have blood drawn first thing in the morning. Within a couple hours of waking up before a night of good sleep. Your previous bloods were pretty great.
 
I had them drawn at around 9 though!

Why does it say in her comments that it was drawn at 3.12pm then?

If you did have it drawn at 9 then yeah it's pretty low. You should look into Clomiphene monotherapy, and if that fails then look at hCG + dual SERM therapy.
 
You need follow up blood work. LH, FSH, Estradiol, Prolactin, Vitamin D, TSH, CBC, Meta-bolic Profile. Let's try and figure out what is going on.

Edit: Never mind. I see them now. Seriously... just type them in next time or put them in just one screen shot showing everything. Don't make use open up 6 pics.
 
And I also suppose I shojkdnt mention my test cycle last year? I told her about the ph that caused the knots.
 
Ok thanks, Ya I just told her about the ph I took when I was about 19. Then shortly after tried a test cycle, felt it was bunk and dropped it. Used letro on cycle and clomid as pct. then a year or so later I did a test e cycle, was about 12 or so weeks 500 a week, letro and clomid and raloxifene. I tried the ral. And such before and after cycle for the knots I was having from the ph. A short time after I took cycle and did my pct, a year or so later (past winter) my knots hurt again. So finally went to her through my college , and she ruled out gyno. Do to shape feel etc and said it may be scar tissue from gyno that went away. Because after gaining a solid 30lbs of fluff this winter it started hurting again. So idk what to do from here and could use any help possible guys!
 
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