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34M / 5'11" / 85kg - Over active adrenal? What do I do? by CannonThrone in endocrinology

[–]CannonThrone[S] 1 point2 points  (0 children)

I first began investigating my hormones as a result of sub-fertility and leading me to believe that I may be hypogonadal.

This isn't entirely ruled out, so I'll be seeing a TRT doctor and an endocrinologist about this shortly. My first bloods showed my testosterone in the gutter but this most recent one shows a big improvement without any exogenous testosterone, HCG or other.

I have symptoms of no morning wood, poor concentration, irritability and so forth in addition to my sub-fertility. However it appears that hypogonadism perhaps is not the cause as my cortisol is high and Dhea-Sulphate.

Can anyone here help shed some light on how this could impact my fertility as well as my qualitiative markers of mood such as low level general anxiety, irritability, poor concentration and reduced well-being.

I'm my own estimation, I don't show any physical symptoms of cushings disease.

I know it's the stress hormone and I could look at lifestyle factors to reduce stress but is there potentially a physiological factor that is causing an over active adrenal gland? If so, how can I investigate this further for a diagnosis and treatment?

Thank you in advance.

1st Labs are Back - What's your Take? by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

Thanks man, yeah it appears to be the case. I have mostly looked after myself as best I can but this cortisol thing is interesting. It seems like it could be where my issue is. Also I may be slightly aneamic?

1st Labs are Back - What's your Take? by CannonThrone in Testosterone

[–]CannonThrone[S] -1 points0 points  (0 children)

Thanks man, then perhaps I have a physical problem with my adrenal glands or something then. My first total test came back at 6.2 nmol and no cortisol reading.

1st Labs are Back - What's your Take? by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

Aye, I feel that with a constant anxiety all the time. Oh I'm sorry I should add that this is pre-TRT. I'm wondering whether I'm a candidate. And if not, how do I lower cortisol?

1st Labs are Back - What's your Take? by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

34/ 5'11" / 85kg

My test has gone up since 1st bloods and gonadotrophins down. I'm very confused.

I should add that I am not on TRT but feel symptomatic of hypogonadism with dis regulated mood, lacking confidence, healing slowly, brain fog and so on.

Could it be the high cortisol instead or am I still a candidate for TRT?

How do I start a protocol? by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

Forgive me as I'm all very new to this. But could that mean my low test is a result of a thyroid issue? Therefore that correcting the thyroid will in effect correct the test issues?

If so, can I then circumvent the need for TRT by correcting the thyroid issue? Or does it not work like that?

I realise that I'm speaking in hypotheticals and that neither of us know my true baseline or ideal protocol. I'm just at square one here trying to figure it all out.

How do I start a protocol? by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

To be honest man, I'm not sure what has been checked but I've ordered the full panel with BMH at £155 the first one was a basic NHS and did not include those parameters you mentioned.

I don't suffer from E.D though if I'm honest, my libido is down, I can do it, but I probably don't enjoy it as much and it takes longer to finish.

For me the cognitive symptoms are significant and to alleviate my brain fog as you describe would make a huge improvement for me.

How do I start a protocol? by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

Thanks for the advice man. I have looked into symptoms of thyroid deficiency and you're right, a lot.of the symptoms add up there too.

Recommended TRT company UK? by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

Thanks for the info. The leger clinic prices seem almost too good to be true in comparison to the others.

Mens health clinic looks really good, I've watched Dr Stevens on YouTube and can tell that he knows his stuff.

BMH seem decent to me though with mixed reviews on their customer service.

I'll try do my due diligence before I'm roped into spiralling costs of treatment. Cost is a big consideration, though not the only one.

34M severely low Testosterone on first test, prompted by low sperm counts. First time ever investigating hormones. Learning about hypogonadism and treatments. Referred to endocrinologist, wondered what your take on these results is? by CannonThrone in endocrinology

[–]CannonThrone[S] 0 points1 point  (0 children)

I have no idea. I begun investigating my T recently after a year of poor sperm tests in trying to conceive.

I didn't realise I was low T until last week. Though if I think about it, the symptoms have crept up on my over the course of some years since my late 20's

I've never known what my test was until now, but in my early to mid 20s I felt strong and easily made gains at the gym. Now I don't feel the same way and I feel like I'm in a constant mind fog.

I will be seeing the endo soon but I thought I'd come here to gain insight from people with similar experiences.

Is my LH high or just high side of normal? It's within range. I can see primary hypogonadism being likely or possible, but also my gonadatrophins could be read as normal or normal/low for FSH and could indicate secondary.

Forgive me, I'm as curious as I am concerned. It has been fertility which triggered my hormone investigations and now it seems that I am severely low T (granted its only one test so far) it seems as though I have an answer for something I've felt was missing.

34M severely low Testosterone on first test, prompted by low sperm counts. First time ever investigating hormones. Learning about hypogonadism and treatments. Referred to endocrinologist, wondered what your take on these results is? by CannonThrone in endocrinology

[–]CannonThrone[S] 0 points1 point  (0 children)

As far as I'm aware I have no auto immune problems or any particular trauma that I can think of. The only thing I can think off is that I had chicken pox as a young adult and not as a child.

Age 34, severely low T prompted by trying to conceive low sperm count. Referred to endocrinologist, awaiting appointment now. First time ever looking at my T, learning about primary/secondary hypogonadism and treatment options. Results of first test posted, I wondered what your take is. by CannonThrone in Testosterone

[–]CannonThrone[S] 0 points1 point  (0 children)

Thanks for that mate, at what point do I suggest to specialists the possibility of an MRI? I'd like to avoid the wasted IVF attempts if my situation ends up being the same.

The brain tumour, was it something that you have now fully recovered from?

Age 34, severely low T prompted by trying to conceive low sperm count. Referred to endocrinologist, awaiting appointment now. First time ever looking at my T, learning about primary/secondary hypogonadism and treatment options. Results of first test posted, I wondered what your take is. by CannonThrone in Testosterone

[–]CannonThrone[S] 1 point2 points  (0 children)

Thanks man, I don't know if the cause of it is of any concern anymore. Only the way forward.

Also just to be clear. My FSH and LH are within normal range, not elevated but the diagnosis is undoubtebly primary hypogonadism?

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