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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For 'testosterone-2.0,TSH-0.8 And LH-16.0'

am 40, weights 80kg and about 178 cm. my LH is16.0m.iu/ml,FSH is 21.om.iu/ml,prolactin is 14.0ng/ml,testosterone 2.0ng/ml,TSH is 0.8uu/ml(male). dooctor say it is not good. please what do i do to corrrect this case since i have not been able to father a child.
Tue, 21 Oct 2014
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Endocrinologist,  's  Response
Hi,
The investigations suggest that you testes is not functioning properly.
I need to know few additional data - Is your testicles small in size, is this blood tests repeated on a different day- morning sample, are you able to produce semen.
In my practice what I do is do a repeat hormonal test (LH, FSH, Testosterone) in the morning. If it is still showing high LH, FSH the chance of fertility is through testicular biopsy - sperm extraction and IVF. I think you should consult an infertility specialist immediately

Hope I have answered your query. If you have any further questions I will be happy to help

With warm regards,
Dr Ajish TP (MD,DM)
Consultant Endocrinologist.

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Suggest Treatment For 'testosterone-2.0,TSH-0.8 And LH-16.0'

Hi, The investigations suggest that you testes is not functioning properly. I need to know few additional data - Is your testicles small in size, is this blood tests repeated on a different day- morning sample, are you able to produce semen. In my practice what I do is do a repeat hormonal test (LH, FSH, Testosterone) in the morning. If it is still showing high LH, FSH the chance of fertility is through testicular biopsy - sperm extraction and IVF. I think you should consult an infertility specialist immediately Hope I have answered your query. If you have any further questions I will be happy to help With warm regards, Dr Ajish TP (MD,DM) Consultant Endocrinologist.