| Muerta 2005-02-15, 8:15 am |
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<ed_luloo@yahoo.com> wrote in message
news:1108400551.750663.208310@g14g2000cwa.googlegroups.com...
> OK so I saw the uro on Friday who indicated that my fsh and lh were low
> and low normal. In the urologists opinion the problem stems from that.
> She suggested getting an MRI done. I had an earlier MRI and no tumor
> had been found. Also prolactin level was normal. Urologist did
> examination and genatalia was normal size. Testicles were also find
> and the uro ordered a scrotal ultrasound. Also I got some scary news
> that I might have problems having children because my sperm count would
> probably be low due to fsh and lh and T therapy would probably bring it
> down even lower. Urologist also noted that penis seemed fine and there
> is no nerve damage though I mentioned that the head of penis does not
> enlarge as much when erect as it used to. Now i'm even more freaked
> out cause the thought of not having a kid is even worse. At least for
> erections coulda used trimix or a pump. got my semen analysis which
> was hard to do. COuldn't ejaculate at the hospital so had to come home
> and wife help me. Even her aiding me wouldn't help I had to have
> intercourse with her and then when I was about to ejaculate pull out
> and ejaculate in the plastic cup. Funny thing is last Saturday I didn't
> have a hard time getting an erection but had a hard time ejaculating.
> Anyways should be hearing this week about semen analysis. Hopefully
> there should be a solution around this problem. I want to have kids
> and a normal sex life. My endo said that not to worry about being
> infertile until semen analysis comes back. Also endo doesn't think I
> have probs with pituitary because my prolactin level is normal. Uro
> doesnt think I have problem with testes cause they seem normal and my
> fsh and lh are low. i talked to endo about hcg stimulation and he said
> once all the work up is done he will look into it. I'm so damn confused
> and stressed. Been reading about all kinds of endocronlogical
> disorders and don't seem to find any that fit my case. I did have
> gynecomastia in my teenage years and had to get surgery to resolvve
> issue. Other than that I'm normal in fact I'm very hairy have a deep
> voice.
ed, talk to the endo about HMG therapy, it's the endo's first line attack on
fertility issues with men. It simulates FSH and raises sperm level.
Basically, it causes an increse in the number of sertoli cells that produce
sperm.
HCG (different thing) therapy simulates LH and raises the number of leydig
cells that produce testosterone.
I've done them both, and if your testes are in decent shape, and the
hypogonadism isn't "primary", that is the testes are history, either therapy
works good.
Check the A.A.C.E. guidelines for hypogaodism
http://www.aace.com/clin/guidelines/hypogonadism.pdf
That is the "bible" for endo's.
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