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Suggest Treatment For ED, Low Sperm Count And Low LH And FSH Levels
Question: I have low LH & FSH hormones level...its causing erectile dysfunction, memory loss,low sperm count and farsightedness.
I've felt a cyst on my left testicle and it appears to be split, my desire for sex even when looking at females as a heterosexual is gone ...how can this problem be solved....
I've felt a cyst on my left testicle and it appears to be split, my desire for sex even when looking at females as a heterosexual is gone ...how can this problem be solved....
Brief Answer:
Testosterone
Detailed Answer:
I am sorry to note your ED problem.
I see your FSH and LH are low but it is more important to interpret these in light of the blood testosterone levels.
So it would be necessary to do a blood test for Serum Testosterone in the morning before 9 am or so. Later in the day, testosterone levels normally decline and you would read a falsely lower value.
The ideal test would be to do a Serum Free Testosterone by Equilibrium Dialysis method. So if you have a local laboratory which can do so, it would be perfect. However, as this test is not easily available, the following tests are good alternatives:
Serum Total Testosterone
SHBG
Albumin
These will allow us to indirectly calculate the estimate Free Testosterone, which gives a fair idea of the actual free testosterone concentrations in the blood.
When I se someone like you in my practice, I also order the following tests in addition to a thorough physical examination:
CBC
Electrolytes
Liver function tests
Kidney function tests
TSH
Free T4
Prolactin
HbA1c
I have taken note of the other copings such as the constipation and the cyst like split in your testicle. this will require an in-person assessment. So I suggest you see a Urologist for this
Testosterone
Detailed Answer:
I am sorry to note your ED problem.
I see your FSH and LH are low but it is more important to interpret these in light of the blood testosterone levels.
So it would be necessary to do a blood test for Serum Testosterone in the morning before 9 am or so. Later in the day, testosterone levels normally decline and you would read a falsely lower value.
The ideal test would be to do a Serum Free Testosterone by Equilibrium Dialysis method. So if you have a local laboratory which can do so, it would be perfect. However, as this test is not easily available, the following tests are good alternatives:
Serum Total Testosterone
SHBG
Albumin
These will allow us to indirectly calculate the estimate Free Testosterone, which gives a fair idea of the actual free testosterone concentrations in the blood.
When I se someone like you in my practice, I also order the following tests in addition to a thorough physical examination:
CBC
Electrolytes
Liver function tests
Kidney function tests
TSH
Free T4
Prolactin
HbA1c
I have taken note of the other copings such as the constipation and the cyst like split in your testicle. this will require an in-person assessment. So I suggest you see a Urologist for this
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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