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What Does My Lab Test Result Indicate?
Question: Hello doctor i have low fsh Lh im 36 years old and i really dont know what that means
Brief Answer:
Testosterone
Detailed Answer:
I have reviewed your attached laboratory results.
FSH and LH levels in the blood are best interpreted in light of simultaneous blood Testosterone levels, especially if they are on the lower side as is the case with you.
So for example if your blood levels of Total or preferably Free Testosterone (by a specific method called Equilibrium Dialysis) are below normal, and in that context if your blood FSH and LH are also low, then it indicates a problem with the pituitary gland. Further testing is then necessary to determine the exact cause.
Typically endocrinologists make sure the individual is not using or abusing male hormones such as testosterone and related substances
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Prolactin
Ferritin
Total Testosterone
SHBG (Sex Hormone Binding Globulin)
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day
Testosterone
Detailed Answer:
I have reviewed your attached laboratory results.
FSH and LH levels in the blood are best interpreted in light of simultaneous blood Testosterone levels, especially if they are on the lower side as is the case with you.
So for example if your blood levels of Total or preferably Free Testosterone (by a specific method called Equilibrium Dialysis) are below normal, and in that context if your blood FSH and LH are also low, then it indicates a problem with the pituitary gland. Further testing is then necessary to determine the exact cause.
Typically endocrinologists make sure the individual is not using or abusing male hormones such as testosterone and related substances
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Prolactin
Ferritin
Total Testosterone
SHBG (Sex Hormone Binding Globulin)
25 hydroxy Vitamin D
None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Could this mean infertility ?
Brief Answer:
Follow up
Detailed Answer:
It is too early to comment on this.
The results of the above tests will give us preliminary ideas
Follow up
Detailed Answer:
It is too early to comment on this.
The results of the above tests will give us preliminary ideas
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
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