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I am going to call my nurse practioner again today and request she send Waldinger's treatise to the Endo. In order that I be more prepared, can you tell me exactly what the tests below mean that Waldinger used on his two patients ?Laboratory investigation was normal, apart from features of primary testicular insufficiency; total testosterone 8 nmo1/1 (ref: 8.3–34 nmo1/1), free testosterone 30 pmo1/1 (ref: 45–108 pmo1/1), dehydroxytestosterone 0.62 nmo1/1 (ref: 0.90–3.70 nmo1/1), LH 5.7 U/1 (ref: 1.5–12.0), FSH 25.8 U/1 (ref: 2.0–8.0), prolactine 210 mU/1 (ref: 75–275 mU/1).Endocrine investigation revealed eugonadism: total testosterone 14.8 nmo1/ 1 (ref 8.3–34.0 nmo1/1), SHBG 20 nmo1/1 (ref 20–55 nmo1/1), LH 3.2 U/1 (ref: 1.5–12.0), FSH 4.6 U/1 (ref: 2.0–8.0), PSA 0.4 μg/1 (ref < 4.0 μg/1).
Because my health problems are much more serious than POIS, I've moved on to studying the WHOLE PICTURE of my entire hormone profile, and what that means to me in real life terms. The tests I've listed on this forum's first page are very comprehensive and covered most of what I needed to know. I hope they'll be of help to you too.
Girlwind,I needed to have some rationale for requesting these tests. Waldinger apparently did not think this was a sexological problem or he wouldn't have ordered the endocronological tests. I don't think that this Endo will address this problem. He'll only look at the vitamin D, B-12 and iron deficiencies...but I'll query him.Thanks,Steve D.
I think you will be much better off in the long run if you learn how to read the lab results yourself. However, you should know that you DO NOT NEED AN M.D. to order blood tests. I know it's backasswards, but that is the unfortunate reality of the medical world.
I am currently scheduled for: CBC,Comprehensive Metabolic Panel, Iron Panel, Lipid Panel, Vitamin B-12 T4, Free, TSH Ultrasensitive,T3 Total, Testosterone, Free and TotalVitamin D levelPart of loving myself comes in the form of taking care of myself physically , including good medical care. Another part of loving myself is taking care of myself financially. The above tests are all free for me. I'll spend some time researching what other tests mean and what might be helpful. The MyMedLab.com sight was very enlightening.
Girlwind Did you learn anything personally from your LSH and FSH?
Quote from: SteveD on 27/02/2009 20:25:43Girlwind Did you learn anything personally from your LSH and FSH?Unfortunately I did those tests at the WRONG time of month, so they were inconclusive. (It would have been a goodidea if the doctor had specified this to me BEFORE I wasted my money on them!)
Girlwind,Sorry that happened to you...LH and FSH, along with total testosterone, are the only tests common to Waldinger's two original patients. My NP has already ordered Testosterone, Free and Total. I thought, using this document, I might be able to persuade them to do LH and FSH. However, I got a call from her today and she says that Waldinger's paper is a 'case study, not a recognized syndrome' and that it is 'old, 6 years old', and that the Endo will not see me for that purpose, although I am free to ask him about it when I see him...and I will.Steve D.
I'll check in on occasion to see how you are doing here. My best to you. ~~Girlwind
Steve---Glad to see you are doing well. Orgasmic sexuality is my LEAST concern. As you noticed, I have not commented on the effects of arousal with respects to orgasmic sexuality. But I do know that for me, arousal is the cause of considerable inflammation and discomfort, even without ejaculation. This is because my nervous system does not specifically differentiate between certain sexual stimulation. My major goal is simple: Peace of Mind
Girlwind,Thank you for the links. I am grateful and am reading through them all, one at a time.Hope you are healthy and thriving. I am able to leave some of the health issues behind, a little bit at a time, and just begin to do more 'normal' things like work on my career and make money. I couldn't do that, wisely, without dealing first with POIS, anemia and food ...but, I am reasonably happy with all those issues now. Whew!Thanks for being a part of that, for me.Your friend,Steve D.