LH as you correctly stated is a pituitary test... and if that is low and the T is low, then I would assume the pituitary is at fault for the faulty signal rather than the adrenal. I don't see in your testing the adrenal hormone that converts to testosterone - dhea sulfate - so your doctor is guessing, rather than knowing - that it is low.
So, given the information that you have, I don't know why you would assume adrenal when it looks more pituitary. I would seek out another opinion and get more testing - in particular, bioavailable testosterone which would test all forms, estradol as you need to check that even in men, dhea sulfate and I would ask for more pituitary testing like prolactin and if he suspects adrenal - cortisol and ACTH, renin, aldosterone etc.
Low T can be high cortisol as well! So, it is just not a simple thing. Please do more research and get more answers. As well, why is your blood count so low? I am not good at interpreting that but gee? Did your doc say anything?
He never mentioned anything about the low blood counts, so I assumed it was normal for a guy of my age to be a bit lower. I'll be sure to ask my GP though.
As for the Addison's, I was diagnosed earlier this year with low cortisol, high ACTH, low blood sugar, low blood pressure, low sodium, so it was an easy diagnosis of Addison's for him. He said because of this, the damage done is the cause. He did run a cortisol check on this blood work, but it only shows that my cortisol medication is working. He said that the cortisol will help mimic my adrenals producing cortisol, but wont help with the Testosterone. I am also on Florinef if it helps. Here were the other tests he ran, but no DHEA or Renin, he never mentioned it. He talks to me very little and just run tests and puts me on meds if needed, never communicates anything to me unless I nag his secretary life crazy.
So basically to sum it up, he feels my damaged Adrenal's are causing my Testosterone levels to be this low. As I said before, I can somewhat agree on that, but how would my damaged Adrenals affect an LH reading?
Prolactin: 6 (range < 16)
Cortisol: 290 (range 150 - 650)
ALK Phos: 40 (range 40 - 120)
Sodium: 135 (range 135 - 146)
Potassium: 4.6 (range 3.2 - 5.0)
Glucose: 3.7 (range 3.6 - 6.5)
I have heard of and know people with elevated cortisol who have low testosterone - because high cortisol suppressed testosterone. However, I (as a layman) have not heard of anything cortisol or adrenal related that directly lowers T. Yes, DHEA converts to either T or E - but uh - he needs to test it. Having the high ACTH does indicate that your adrenals are the source of your issue as the pituitary is trying harder to signal the adrenals and they just are not listening. However, the low LH is far more likely to cause the low T than the adrenal. Just like with the other hormonal loop - if it was the LH, then it would be higher if it was trying to signal the other glands, not lower! It all works in feedback loops so you have to test the whole loop and find the issue.
There are some links in the health pages that may give you more help - have you tried those?
Are you on replacements for cortisol? Which one? I also take florinef.