question about testosterone test results

[Brucergoldberg]

43 year old male, extremely bad hypothyroidism.  Low testosterone of 215, Dr. put me on the new Axiron which is the testosterone that goes under the arms pits.  Long story short, a month later my testosterone level is 615, i do have more energy and getting some morning wood now.   When i saw the test results, it said my estrogen was 58.  The range on the test was up to 57.   Should i be worried about this?

thank you

[solace21]

Hi,
  I would also like to know what was your original LH levels, if it were in the lower range of the scale, then it is natural for the testes to produce lower range of T.  
The situation could be considered as acceptable, since the value of T is not that low and, may be for your body system, the levels are Ok. In case you need to improve T levels in such a case, I would think that the right way is to improve the LH levels by improving the health of the pituitary rather than by hormone replacement.

Solace

[solace21]

Hi,
  " my prolactin and LH were both normal.  What do you mean by this: "

LH and Prolactin are both produced by the pituitary.It is possible for  the various hormones to be out of range if there is any problem with the pituitary, which could be shown up as an out of range levels of hormones produced by the pituitary and if in fact pituitary is the culprit, the solution lies in correcting it rather than hormone replacement. I got this idea after seeing your raised TSH when your T3/T4 were within range, though low.That is why I asked you about the levels of LH and Prolactin. Also, increased levels of adrenal hormones can affect other hormone levels, so testing of these hormones also is necessary.

"I hope you are aware that T replacement can negatively affect the natural production of the hormone.
WHich hormone are you referring to? "

I meant the natural production of testosterone by by testes. It is because of the high level of T being available due to replacement, the negative feed back in the brain will force the pituitary to produce even lesser LH and in turn the testes will produce lesser T than what it was producing originally.

Solace

[Brucergoldberg]

my prolactin and LH were both normal.  What do you mean by this:


.I hope you are aware that T replacement can negatively affect the natural production of the hormone.


WHich hormone are you referring to?

[solace21]

Hi,
   Higher estrogen levels is one of the possible side effects of T replacement, that is because estrogen is produced by conversion of T in the fat tissues, and it can be a problem. Do you know your estrogen levels before T replacement?

I have also read your post in the thyroid Forum, wherein you mentioned about a higher TSH in spite of   within range T3/T4, before starting the medication. Have you measured your prolactin and LH levels before starting on T ? If not, you should check that, as well as, the levels of adrenal hormones. With the T treatment, LH should now be low any way. If you have higher levels of prolactin or adrenal hormones, the solution to your problems may be in correcting their levels.I hope you are aware that T replacement can negatively affect the natural production of the hormone.

I  have also read elsewhere that selenium is important for thyroid health in addition to iodine. May be you could check if you are short on the daily dietary requirements of selenium in your food and correct if required.

Solace