A member asked:

Hi i'm a 32 yr male.5ft 10in.198lb.my total testosterone is 295. lh 2.8 miu/ml fsh 2.4 miu/ml.is this secondary hypogonadism.?

2 doctors weighed in across 2 answers
Dr. Thomas Namey answered

Specializes in Rheumatology

First obtain a free : Testosterone level. Second you need an estradiol level, which might indicate excess cyclic aromatase levles.

Answered 10/24/2018

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Perhaps: Good morning Sir, Additional information is needed. Low total testosterone with normal LH/FSH could represent secondary hypogonadism but repeat testing in the AM plus a free testosterone and sex hormone binding globulin will help to clarify. There are things that can impact the testing and give a “false” low total testosterone measurement. See attached algorithm. Be well. Dr. Wood

Answered 4/29/2020

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