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Husband with low T...anyone else?

CHDickey

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Hey ladies!!

I am trying to find someone who has been through this or is going through this. We had an appointment with an urologist that went awful. He diagnosed my DH as I fertile, so insurance denied everything. So moving on to doctor #2 Wednesday in hope we can move along. Now at 13 months of ttc!:(
 
hi there!
What do you mean by low T?

My DH was diagnosed with low sperm count, low motility and low morphology and we were told we had low chances to conceive naturally so we were referred to do IVF. So we did IVF, twice, but no success.
Then to our great surprise, last month we found out I'm pregnant! We had been TTC for 2 years.
So don't lose hope, just keep the faith. It can happen!:thumbup:
 
Low T is low testosterone. We have not done a SA yet but assuming it will be low as well!
 
Mine's is so low. 4.2, which I think translates to 121 in American units.

Are his testicles small? I recently noticed that while one was normal, just smallish, the other one felt like a smushed grape. I figure that once we finally see the fertility urologist, they will want to put him on clomid or HCG (I hope) and try to get those number up before trying to find any sperm in a biopsy.

Low T can be treated. Did he have his LH and FSH tested too? Whatever you do, do NOT let him start on testosterone. That will make him infertile.
 
Ok good to know!! He is 209 with normal fsh and lh. Which I hope is good!!
 
I have to agree with CanadianMaple - my DH has been diagnosed with low T and low LH and FSH levels so was put on Testogel (even though we repeatedly kept saying that we've been TTC for 2 years and them saying it won't affect his sperm) and after having 3 SA, it's now been recognised that the Tgel has been making him even more infertile leaving us with only the options of IUI (low chance) and IVF unless the effects can be reversed and his sperm quality increased - so please please please challenge the doctors if they tell him to go on tgel and if they say it won't affect his fertility - it will!
 
I have to agree with CanadianMaple - my DH has been diagnosed with low T and low LH and FSH levels so was put on Testogel (even though we repeatedly kept saying that we've been TTC for 2 years and them saying it won't affect his sperm) and after having 3 SA, it's now been recognised that the Tgel has been making him even more infertile leaving us with only the options of IUI (low chance) and IVF unless the effects can be reversed and his sperm quality increased - so please please please challenge the doctors if they tell him to go on tgel and if they say it won't affect his fertility - it will!

Some doctors are just very uninformed of what testosterone supplement does to sperm counts. HCG and clomid or tamoxifen can increase his own testosterone which increases sperm production.

Some studys:
Here's a study showing low-dose Clomid therapy (25mg ED) boosts testosterone by 250% in 4-6 weeks:

Clomiphene citrate effects on testosterone/estrogen ratio in male hypogonadism.
Shabsigh A, Kang Y, Shabsign R, Gonzalez M, Liberson G, Fisch H, Goluboff E.
Department of Urology, NY Presbyterian Medical Center, New York, NY, USA.
J Sex Med. 2005 Sep;2(5):716-21.

AIM: Symptomatic late-onset hypogonadism is associated not only with a decline in serum testosterone, but also with a rise in serum estradiol. These endocrine changes negatively affect libido, sexual function, mood, behavior, lean body mass, and bone density. Currently, the most common treatment is exogenous testosterone therapy. This treatment can be associated with skin irritation, gynecomastia, nipple tenderness, testicular atrophy, and decline in sperm counts. In this study we investigated the efficacy of clomiphene citrate in the treatment of hypogonadism with the objectives of raising endogenous serum testosterone (T) and improving the testosterone/estrogen (T/E) ratio. METHODS: Our cohort consisted of 36 Caucasian men with hypogonadism defined as serum testosterone level less than 300 ng/dL. Each patient was treated with a daily dose of 25 mg clomiphene citrate and followed prospectively. Analysis of baseline and follow-up serum levels of testosterone and estradiol levels were performed.

RESULTS: The mean age was 39 years, and the mean pretreatment testosterone and estrogen levels were 247.6 +/- 39.8 ng/dL and 32.3 +/- 10.9, respectively. By the first follow-up visit (4-6 weeks), the mean testosterone level rose to 610.0 +/- 178.6 ng/dL (P < 0.00001). Moreover, the T/E ratio improved from 8.7 to 14.2 (P < 0.001). There were no side effects reported by the patients.

CONCLUSIONS: Low dose clomiphene citrate is effective in elevating serum testosterone levels and improving the testosterone/estradiol ratio in men with hypogonadism.This therapy represents an alternative to testosterone therapy by stimulating the endogenous androgen production pathway.

PMID: 16422830 [PubMed - indexed for MEDLINE][/FONT]

Study showing a hypogonadic 30-year old male, suffering permanent shutdown from steroid abuse, fully recovered natural hormone levels and HPTA function from 2 months of 100mg Clomid therapy:


Use of clomiphene citrate to reverse premature andropause secondary to steroid abuse.
Tan RS, Vasudevan D.

Department of Family and Community Medicine, University of Texas Health Sciences Center, Houston, Texas 77030, USA. [email protected]

OBJECTIVE: To report a case of symptomatic hypogonadism induced by the abuse of multiple steroid preparations that was subsequently reversed by clomiphene. DESIGN: Case report. SETTING: University-affiliated andrology practice within family practice clinic. PATIENT(S): A 30-year-old male.

INTERVENTION(S): Clomiphene citrate, 100-mg challenge for 5 days, followed by treatment at same dose for 2 months.

MAIN OUTCOME MEASURE(S): Clinical symptoms, androgen decline in aging male questionnaire, total T, FSH, LH.

RESULT(S): Reversal of symptoms, normalization of T levels with LH surge, restoration of pituitary-gonadal axis.

CONCLUSION(S): Clomiphene citrate is used typically in helping to restore fertility in females. This represents the first case report of the successful use of clomiphene to restore T levels and the pituitary-gonadal axis in a male patient. The axis was previously shut off with multiple anabolic steroid abuse.

PMID: 12524089 [PubMed - indexed for MEDLINE]

Here's another study showing only 7 days of Clomid therapy increased total testosterone by 100% and, more importantly, free testosterone by over 300% in young men:

The effects of aging in normal men on bioavailable testosterone and luteinizing hormone secretion: response to clomiphene citrate.
Geriatric Research, Education, and Clinical Center, Veterans Administration Medical Center, Seattle, Washington.

Serum testosterone (T) levels in men decline with age while serum LH levels, as measured by RIA, increase. To assess if the decline in serum T levels in healthy aging men is paralleled by an age-related decline in the bioavailable non-sex hormone-binding globulin (SHBG)-bound fraction of T and to determine whether there are age-related changes in LH secretion or LH control of T production, we studied 29 young (aged 22-35 yr) and 26 elderly (aged 65-84 yr) healthy men. All men had single random blood samples drawn, and 14 men in each age group underwent frequent blood sampling for 24 h, both before and after 7 days of clomiphene citrate (CC) administration. Both mean 24-h serum total T levels and non-SHBG-bound T were reduced in elderly men compared to those in young men (P less than 0.05), while estradiol and SHBG levels were similar in the 2 age groups. Serum FSH determined by RIA and LH by RIA and bioassay were higher in the elderly men compared to those in young men (P less than 0.05), but the ratios of LH bioactivity to immunoreactivity and the LH pulse frequency and amplitude were similar. After CC administration, mean serum total T and non-SHBG-bound levels in young men increased by 100% and 304%, respectively, while in older men these values increased by only 32% and 8%, respectively. However, CC-stimulated LH pulse characteristics and serum levels of estradiol, SHBG, FSH, and bioactive and immunoreactive LH were similar in the 2 groups. Thus, both at baseline and after CC stimulation, elderly men had significantly lower serum total T and non-SHBG-bound (bioavailable) T levels than did young men, despite similar or increased levels of bioactive LH and similar bioactive to immunoreactive LH ratios and LH pulse characteristics. These results suggest that major age-related changes in the hypothalamic-pituitary-testicular axis occur at the level of the testes and are manifested by decreased responsiveness to bioactive LH. Administration of CC to young and elderly men resulted in similar changes in LH pulse characteristics and LH bioactivity and immunoreactivity, suggesting preserved hypothalamic-pituitary responsiveness in the elderly.
 
Mine had low T, but all his test came back flying. THe only issue we experienced was his lack of interest. We did an IUI and got lucky for the first try. I know it can be frustrating but hang in there.
 
Thanks Lisap2008 - very interesting. I will raise this with DH's doctors when we see them in a few weeks as alternative courses of treatment.
 
This is an older thread but my husband has the same issue. He had a low sperm count that is how we found the low T, normal FSH, LH. He also had normal prolactin estrodial etc. Are you currently doing any treatment? We are on hold until July as fertility urologist wants yet another SA. Seems like its just a big old waiting game all the time!
 
I have to agree with CanadianMaple - my DH has been diagnosed with low T and low LH and FSH levels so was put on Testogel (even though we repeatedly kept saying that we've been TTC for 2 years and them saying it won't affect his sperm) and after having 3 SA, it's now been recognised that the Tgel has been making him even more infertile leaving us with only the options of IUI (low chance) and IVF unless the effects can be reversed and his sperm quality increased - so please please please challenge the doctors if they tell him to go on tgel and if they say it won't affect his fertility - it will!

Holy Balogna! :grr: My husband has low T... Usually it means he is tired and has a low sex drive. His doctor set him up with Testosterone shots, but he only got 2-3 of them before he quit going. The shots weren't helping his energy levels at all...

If I had known that the supplements could be affecting his ability to have children in the future I may have tried to strangle his doctor! :growlmad: We haven't done any checkingg in to his sperm count, motility, or viability yet... We were hoping to just do the TTC thing at the end of this year and not have to do all the testing and what not. :winkwink:
 
This is an older thread but my husband has the same issue. He had a low sperm count that is how we found the low T, normal FSH, LH. He also had normal prolactin estrodial etc. Are you currently doing any treatment? We are on hold until July as fertility urologist wants yet another SA. Seems like its just a big old waiting game all the time!
my partner has very low count but just had test back with really high T
fsh & lh & prolocain & cholestol normal.
just doesnt make any sence at all....
 

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