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What Do My Blood Test Reports Indicate?
My age is 34 years, i had no puberty symptoms like facial hair growth, i consulted a urologist and he prescribed me tests, as per test results testosterone (17.4 ng/dl), FSH (0.69 mIU/ml) & LH (1.0 mIU/ml) were quite low, he prescribed me presage 5000IU injection & proviron tablets, i used to have two injections per week, within three months i used to have good erections and pubertal characters like facial hair growth started, recently i have once again tested above and results are testosterone (726 ng/dl), FSH ( 0.3 mIU/ml) and LH ( 0.07 mIU/ml), now testosterone level is fine but FSH & LH levels are quite low, what do you suggest in this condition to proceed with? my marriage has been planned after six months and i m worried whether to go for marriage or not? i have also came to know that both FSH & LH are responsible for male fertility, is it correct? Please suggest if any further investigation is required or if there is any treatment to cure this permanently?
Wed, 3 May 2023
Hi,
Based on the information provided, it seems that you may have had hypogonadotropic hypogonadism, which is a condition where the body doesn't produce enough hormones to stimulate the testes to produce enough testosterone. The injections and tablets that were prescribed to you likely contained the hormones that were missing, and it seems that they were effective in increasing your testosterone levels.
However, your recent blood test results show that your FSH and LH levels are still quite low. These hormones are produced by the pituitary gland and are responsible for stimulating the testes to produce testosterone. Low levels of FSH and LH can affect male fertility and may also indicate an underlying condition that requires further investigation.
It would be best to consult with an endocrinologist who can review your test results and medical history and recommend further investigations or treatment options. Your endocrinologist may suggest repeating the blood tests, performing imaging tests like an MRI to look at your pituitary gland, or conducting a semen analysis to assess your fertility.
Regarding your marriage plans, it is important to discuss your concerns with your partner and consider options for family planning. Depending on the underlying cause of your hypogonadism, there may be treatments available to improve your fertility. It's important to seek medical advice and discuss your options with your partner before making any decisions.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
Based on the information provided, it seems that you may have had hypogonadotropic hypogonadism, which is a condition where the body doesn't produce enough hormones to stimulate the testes to produce enough testosterone. The injections and tablets that were prescribed to you likely contained the hormones that were missing, and it seems that they were effective in increasing your testosterone levels.
However, your recent blood test results show that your FSH and LH levels are still quite low. These hormones are produced by the pituitary gland and are responsible for stimulating the testes to produce testosterone. Low levels of FSH and LH can affect male fertility and may also indicate an underlying condition that requires further investigation.
It would be best to consult with an endocrinologist who can review your test results and medical history and recommend further investigations or treatment options. Your endocrinologist may suggest repeating the blood tests, performing imaging tests like an MRI to look at your pituitary gland, or conducting a semen analysis to assess your fertility.
Regarding your marriage plans, it is important to discuss your concerns with your partner and consider options for family planning. Depending on the underlying cause of your hypogonadism, there may be treatments available to improve your fertility. It's important to seek medical advice and discuss your options with your partner before making any decisions.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
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