Interpreting blood test results

[Heli_Pilot]

Disclosure: Posting under an alias.

Here are my blood results and I wanted a bit of help to see if there is a problem (yes I will seek professional assistance in due course).

Backgound: libido not as high as it was even 6 months ago and haven't had morning wood in years (except on the v odd occasion). Finding it hard to retain muscle for years and trouble sleeping on and off along with what appear to be sudden drops in mood/motivation. The company I've had the private blood tests with state that need testosterone replacement therapy and suspect primary hypogonadism but my GP says my levels are good.

13 July 2020 - at GP
Age: 40

Serum 17alphydroxyprogest lev 5.9 nmol/L 1.20 - 3.70nmol/L
Serum androstenedione 7.4 nmol/L 0.80 - 4.70nmol/L
Serum testosterone 29 nmol/L 7.00 - 27.00nmol/L


12 August 2020 – at GP
Age: 40
Serum 17alphydroxyprogest lev 2.9 nmol/L 1.20 - 3.70nmol/L
Serum androstenedione 3.3 nmol/L 0.80 - 4.70nmol/L
Serum testosterone 26.2 nmol/L 7.00 - 27.00nmol/L


12 August 2020 - PRIVATE
Age: 40

Albumin – 45.6 [Normal range 35 – 50] g/L
Testosterone – 24.00 [Normal range 8.64 – 29] nmol/L
SHBG – 44 [Normal range 18.3 – 54.1] nmol/L
Free-Testosterone (Calculated) 0.430 [Normal range 0.2 – 0.62] nmol/L

27 Jan 2022 – at GP
Age: 42

Serum Testosterone – 24.50 [Normal range 8.3 – 30.20] nmol/L
Serum SHBG – 38 [Normal range 14 – 71] nmol/L


12 Sep 2022 - PRIVATE
Age: 42

Albumin – 40.9 [Normal range 35 – 50] g/L
Free Androgen Index – 46.3 [Normal range 24 – 104] Ratio
Testosterone – 21.60 [Normal range 8.64 – 29] nmol/L
SHBG – 46 [Normal range 18.3 – 54.1] nmol/L
Free-Testosterone (Calculated) 0.385 [Normal range 0.2 – 0.62] nmol/L
Prolactin – 484 [Normal range 86 – 324] mU/L

12 Sep 2022 – at GP
Age: 42

Testosterone(Abbott) - 23.5 nmol/L [Normal range - 8.30 - 30.20nmol/L]
Serum FSH level - 4.7 IU/L 1.00 - 12.00IU/L

[liam1986]

You need to get some e2/estradiol numbers. You have none.

You have got test levels, so a fair assumption would be you high high estrogen too.

High e2 would give the symptoms you describe.

The prolactin test shows high too.

I would even be tempted to check for pituitary (over active, not supressed) issues. Get some lh/fsh numbers or take a pregnancy test. If you get a positive seek medical treatment.

Edited by liam1986 on Saturday 24th September 08:17