4 doctors weighed in:

What is the cutoff number for LH and FSH to classify it has low enough to be considered secondary hypogonadism if testosterone has been tested as low?

4 doctors weighed in
Dr. Shira Miller
Internal Medicine
1 doctor agrees

In brief: Low/Normal

If lh and fsh are low/normal, and testosterone is on the low end, then a trial of Clomiphene citrate or HCG could be done to determine if they are able to increase testosterone levels.
If they are...Then it's secondary hypogonadism.

In brief: Low/Normal

If lh and fsh are low/normal, and testosterone is on the low end, then a trial of Clomiphene citrate or HCG could be done to determine if they are able to increase testosterone levels.
If they are...Then it's secondary hypogonadism.
Dr. Shira Miller
Dr. Shira Miller
Thank
Dr. Soroosh Armandi
Anti-Aging Medicine

In brief: Insurance?

Let me guess, your insurance company needs to know before it'll approve your testosterone.
For men both lh and FSH reference range are 2-18. You need to be above 18 for both. However, these numbers vary lab to lab. The best way to DX andropause is saliva free testosterone levels. But insurances dont like to cover saliva tests, you may get 50% reimbursement.

In brief: Insurance?

Let me guess, your insurance company needs to know before it'll approve your testosterone.
For men both lh and FSH reference range are 2-18. You need to be above 18 for both. However, these numbers vary lab to lab. The best way to DX andropause is saliva free testosterone levels. But insurances dont like to cover saliva tests, you may get 50% reimbursement.
Dr. Soroosh Armandi
Dr. Soroosh Armandi
Thank
1 comment
Dr. Michael Sinclair
If your FSH and LH are too HIGH and your T is low, then you have primary hypogonadism, ie your testicles are not functioning. If your FSH and your LH are low and your Testosoterone is low, then you have secondary hypogonadism. We don't know why that happens, it's natural as you age, but its not pleasant. If Dr. Armandi is correct about your insurance, and you need Testosterone, one option is compounded topical testosterone, it is MUCH less expensive than commercial branded testosterone.
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