Hypothyroidism libido a testosterone

[hdbernalp]

Hi, i have 37 years, some years ago i began to suffer low libido and bad quality erections, i went to urologist and endochrinologist, both told me that my problem was psychological, but at that time i had TSH on 4.5, they told is subclinical hypothyroidism, years later  the problem has been worsening and now my TSH is on 6.3, other endocrhinologist told be that it wouldn ´t cause any trouble ´caus other hormones are ok
T4Free=1.1ng/dl
T3Free=0.37ng/dl
Testosterone Total=4.51 ng/ml
prolactin=11.72 ng/ml

I dont know if my sexual problems could be caused by the subclinical hypothroidism, aand thyroid issues, what do you think? any advice?

[hdbernalp]

I visited a new endo, i have new general test

Antibodies TPO 14UI/ml Range 0-34
Cortisol      404 nmol/L 171-436
TSH           4.28 uUI/m  0.27-4.2
Free T4      1.48 ng/dL 0.93-17
FSH            3.15 mUI/n 1.5-12.4 mUI/ml
LH               4.78 mUI/n 1.7-8.6 mUI/ml
Prolactin     7.09 ng/mL  4.04 - 15 ng/ml
Total Testosterone 4.79 2.8 - 8.0

But still feel sluggish, i was worried that could be cortisol too, my next appointment is until febraury :(

[hdbernalp]

Ranges are

TSH     6.23                      0.27 to 4.2
T4Free 1.1 ng/dl               0.93 to 1.7
T3Free 0.37ng/dl              0.2 to 0.44
TestosteronTot 4.51 ng/ml 2.8 to 8.0
prolactin 11.72 ng/ml         4.04 to 15.2

[Barb135]

Please verify the result and reference range for the Free T3; the one you have listed doesn't look like anything I've ever seen before.  

Your TSH is too high and your Free T4 is too low in the range.  

Your problem is definitely "not" psychological; you have hypothyroidism and it certainly can cause low libido, but your testosterone is on the low side, as well.

Can you tested for thyroid antibodies to determine whether or not you have Hashimoto's?  Hashimoto's is an autoimmune thyroid condition that attacks, and eventually, destroys the thyroid.  The tests you need are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb).  

[hdbernalp]

I´m from latinoamerica, ranges are different, about antibodies both are negative, thanks for your answer

[Barb135]

Yes, I realize ranges are different in different countries, but the range you listed is very narrow, which is extremely odd, even for Latin America.  

It's recommended that Free T4 be maintained at about mid range; yours is only at 22% of its range, which indicates that your thyroid is not producing enough hormones.  It's also recommended that Free T3 be maintained in the upper half to upper third of its range.  Your Free T3 is at 71%, but that means almost all of the Free T4 being produced is being converted to Free T3 to keep you going.  

Have you had any adrenal hormones, such as cortisol and/or DHEA, tested?  DHEA is a precursor to testosterone.

[hdbernalp]

No i´m  gonna talk with a new endochrinologist, thanks for your comments

[Barb135]

You're welcome; please keep in mind that not all endocrinologists are good thyroid doctors and all good thyroid doctors are endocrinologists.  

Please keep us posted on your progress and let us know if you have further questions.

[Barb135]

Oops, sorry...  I meant "not" all good thyroid doctors are endocrinologists...

[hdbernalp]

I know, anyway i found a recomended doctor in the city where i live on a fb group

[Barb135]

Please post the reference ranges for the labs posted, as ranges vary from lab to lab and have to come from your own report.

Vitamin D is not the cure all and will not replace, either, thyroid hormones or testosterone.

[des900]

Please mention the lab reference range too.

Anyway from the results you gave you need both thyroid hormone pill at some dose.

Also please check out your Vitamin D level as low Vitamin D can bring the problems you mentioned.