[Misty0732]

See this search for what an elevated LH level means in men (primary testicular failure, or primary hypogonadism, but that would be good, right?):

Well, while I welcome a decrease in libido (and so does my wife), I don't want to completely lose function as my wife isn't ready for a completely asexual relationship. My desire to view porn or masturbate has virtually disappeared, but I still "force" myself to get aroused at least once per week just to be sure I still can.

Did your doc seem concerned about testicular failure? Are you worried about it? Your doc didn't test for E2 (estradiol) levels, so it's a little hard to make other than broad guesses. You still have pretty normal T levels, which one would also suspect to be low if you were hypogonadal, so you might be on the verge of testicular failure as indicated by the higher than normal LH which might be necessary for the pituitary to secrete in order maintain normal levels of T. Arghhhh, my brain, my brain.....it hurts!

Actually they did check my estradiol level (on my initial test in January). It was 9.5pg/mL (which is the low end of normal), so that's not a concern to him. As far as testicular failure, I'm not worried about sperm production (I have 4 grown children, don't want any more!) but as I mentioned earlier I don't want complete loss of function (at least not yet). If my wife wasn't involved then I would not care about that either, but she is the love of my life and I want to keep her happy.

I don't know the training of a NP. How does it compare to an MD? Does that individual have the training to recognize levels that suggest further diagnostic testing might be needed? You could always shop around for a second opinion if you are really concerned. Just take the lab results and see what they say. Does your doc know you are taking PM? There is a thread that talks extensively about keeping your medical practitioners in the loop, so you don't have to do all the worrying about things like this.

The NP told me she's not as informed on the subject as my doctor. Since I basically told her that I don't want to try testosterone replacement the next step is really up to me. I don't think my doctor will do anything more unless I come in and ask. And no, my doctor doesn't know about the PM. While I trust him with most things the only person I have ever discussed my GID with is my wife (and my anonymous friends on this board ). Perhaps someday, but not quite yet!

Misty