FSH question.

[Guest guest]

I have had for many years non-specific symptoms that could be caused by many

things. One of them was hypogonadism, that I recently began looking at. I do

pass the Adam questionnaire, but that was always attributed to depression. I do

have moderate sleep apnea (15 events per hour) and during my first two tests,

some kind of inflammation was going on with my prostate, causing high PSA (15)

and ALT and AST liver enzymes were elevated. The AST is back in the normal range

31 of 0-37 (was highest at 61), and the ALT is a little high at 44 of 0-37

(highest was 186). My culture for infection came back negative, and various

other infections were ruled out. Could any of this caused my low readings and

then the seeming rebound below?

My first test for total T was 8.3 (5.5-25.2) in SI units, a month later I was

tested (and I could feel it trying to go up the 2 flights to the blood clinic)

at 4.4. My Prolactin, FSH, and LH were normal.

I travelled to see an endocrinologist (and get the sleep apnea properly

diagnosed) as the waiting here is about a year.

He is a by the numbers guy. No total T was measured. Tfree is 22.4 of 25-80

pmol/L. FSH is 11 of 2-8 IU/L, LH is 4 of 2-6 IU/L, Total Prolactin is 3 of 2-18

ug/L, and Bioavailable T is 9.9 of 2-15.4 nmol/L.

He was considering Androgel until the bioavailable result arrived literally at

the last minute. We will repeat the bioavailable in one month.

Does this seem right to rely on bioavailable? I wonder about the slight rise in

FSH and why my Total T seems to bounce around, but in the pretty low range.

Also, my Thyroid is OK. Subclinical just means no symptoms to him, though the

numbers were always very low.