Re: More questions before next doc visit

[Guest guest]

It looks like your testis can make enough T your pituitar is kicking in but

testis are not. But then I am not up on Clomid stim. testing.

Co-Moderator

Phil

> From: marc200134470 <cfs38@...>

> Subject: More questions before next doc visit

>

> Date: Saturday, April 16, 2011, 2:39 PM

> The docs nurse called me middle of

> the week that they had received my latest blood work, and he

> had had the time to review it.

> I have an appointment Tuesday morning about 9AM.

>

> Usually you can't get any info from her, but this time I

> managed to get a small amount over the phone. I guess they

> worry about all the HIPPA laws, and crapola like that.

> On the positive side every time you leave his office, you

> have a little blue folder with copies of all your results,

> and any inserts/instructions he wants to put in.

>

> Here is what I know, and it is not what I was hoping for.

> My last T level was 222, and my LH was 3.0 right before I

> started the Clomid challenge.

>

> Anyway my blood was taken the morning after the seventh

> dose as per his instructions around 9AM.

>

> My LH jumped to 9.8 but my T only reached 389 I think is

> what she said.

> I couldn't get any more exact figures from her, but she

> said my DHT was still low.

>

> Anyway here is my question for anyone in the know.

> I have a 'hand-out' from the visit that resulted in the

> Clomid challenge. This has Shippens name on the bottom, and

> is dated 7/2006.

>

> Basically says if FSH/LH is increased by 50% or greater

> that the HPTA is intact. Don't know what my FSH did, but my

> LH went up way above 50%.

>

> Next is an increase in T of 50% or better indicates the

> testes are OK.

> A 50% increase for me would have been 333 which I exceeded

> by about 50 points.

>

> It then says if there is a 'robust' response in total T, as

> in 700 ng/dl that Clomid may be used to boost TRT.

> Suggestion is 10 to 25mg. three times weekly.

> Obviously that did not happen for me.

>

> Going by this limited info, it seems my HPTA is intact as

> well as my testes,......right?

> What is next for me to do,....HCG, or do I simply need to

> start TRT?

>

> Obviously I will be waiting to see what my doc says, but I

> am trying to prepare with any relevant questions.

> I feel like crap plain and simple, although I started to

> feel a small amount better towards the end of that week I

> took the Clomid. One big thing I noticed was my mental

> clarity increased a large amount. I was pulling info out of

> my head basically on demand like I used to a couple of years

> ago.

>

> I just want to start whatever I need to feel better

> physically.

> The 'challenge' I took was based on Shippen also,....it was

> 25mg's for 7 days taken at bedtime in case that matters.

>

> Thanks again for any replies as always!

>

>

>

> ------------------------------------

>

>

[Guest guest]

Pretty much what my thoughts are as well Phil.

The confusing part is the info about an increase of 50% or greater in total T

indicating the testes are OK. I exceeded that by a small amount.

My LH kicked into overdrive as you said, but I did not get a similar result

percentage wise in my T increase.

Now that I think about it, I presume HCG for the next step would be ruled out

from these results.

The Clomid is to make the connection from the hypothalamus to the pituitary.

HCG is to replace the LH signal from the pituitary if it is not

functioning,......do I have this correct?

If so, my pituitary seems to be working fine after the stimulation. This is way

above my head in terms of fully understanding, as I can think of several

questions right now that I won't bother anyone with.

Just thought I would throw this out there for now. I will see what he has to say

Tuesday AM.

>

> It looks like your testis can make enough T your pituitar is kicking in but

testis are not. But then I am not up on Clomid stim. testing.

> Co-Moderator

> Phil