Dear,
I am 25 years old from Italy and would like some clarification on hormonal values.
For some time I have been carrying out blood and semen analyzes to check testicular function due to a previous varicocele (operated with scleeroembolisation) and reduced didymi trophy (9 and 8cc).
Current hormonal values are as follows:
Fsh: 1.7 mIU/ml
LH: 3.0 mIU/ml
Total testosterone: 310 ng/dl
Moderate asthenospermia
Sperm/ml 5,000,000
Normal form 1%
I complained of loss of erections and, once the presence of a "partial venous deficit" was verified via dynamic color Doppler ultrasound, I was prescribed Cialis (tadalafil) 5mg.
According to my andrologist, testosterone is low for age but it is not possible to supplement/stimulate due to the limits of Italian law.
Do you agree? How is it possible to consider "doping" the administration of testosterone to a boy with 310ng/dl of T - the value of an eighty-year-old - when AIFA note 36 considers "reduced concentrations of total testosterone < 12 nmoles/L or 350 ng/ dL”?
Furthermore, shouldn't these hormonal values and hypotrophy be "symptoms" of an underlying problem? What do you recommend investigating, if necessary…