Nemisis RR said:
The test was at 10:20am. I have been showing the signs of aging.
I think your doctor is only looking at a small piece of the picture of HRT. You need E2 levels, Prolactin levels as well as FSH and LH levels in addition to a thyriod profile. Please see the refrence info below. You will have to convert some of the results to different units inorger to compare them
LH and FSH tests need to be done in the early am around 7-8 or the test results will not be accurate.
Can you get your Doc to do run some of these additional tests? Your T seems a bit low given your age and build but not clinically low. Do you have any reasons to suspect that your T levels have dropped significantly or that they have been low for a large portion of your life?
Are you taking any psychotropic meds? Some of them have been shown to affect your hormone levels
Here are some basic levels for Male TRT and Endocrinology
Normal Ranges For Hormone Tests In Men
• Introduction
• Standard test ranges for sex hormones in men
• An explanation of test results for sex hormones in men
• Normal ranges for hormone tests in men references
Introduction
Sex hormones, or steroidal hormones, are important for hair growth. A lack of one or more of these hormones could lead to a absence of body hair in adults, but more significantly an over expression of steroidal hormones and/or a lack of antagonists to steroidal hormones can result in the development of pattern baldness. For women with a diagnosis of androgenetic alopecia, a blood test to examine hormone levels might be desirable to see if there is a systemic cause of the excessive androgen activity. But for men with an androgenetic alopecia diagnosis, a blood test is very rarely done.
Although hyperandrogenicity in men is possible with some prostate and adrenal gland disorders, these conditions are rare. Unless there are multiple symptoms pointing towards a prostate or adrenal gland problem, hormone testing is not generally conducted for men. Male pattern baldness has a distinctive presentation that makes it easy to identify and little additional information is gained from a blood analysis. Almost all men with pattern baldness have normal steroid hormone ranges.
You can of course insist on a blood test if the medical insurance system in your country allows. The most basic hormone testing in males often only includes FSH and testosterone and doctors may be reluctant to do more, but a more comprehensive test would provide more information. A comprehensive blood test for men might include:
• Sex hormone binding globulin (SHBG)
• Estrogens (usually only the estradiol (E2) form is tested)
• Dehydroepiandrosterone sulfate (DHEAS) and/or Dehydroepiandrosterone (DHEA)
• Total testosterone (T)
• Free testosterone (that testosterone which is not bound to other molecules like SHBG)
• Androstenedione (possibly androstenediol too)
• Follicular stimulating hormone (FSH)
Although dihydrotestosterone (DHT) is the primary promoter of androgenetic alopecia it is not generally tested because DHT is a relatively unstable molecule and levels can vary significantly over a short space of time. In addition, the DHT in the blood stream is not a particularly good reflection of the DHT in hair follicles. Steroid hormone responsive hair follicles produce their own DHT through enzyme conversion of DHEAS and T that they receive through the blood stream. To define excessive systemic androgen activity doctors look at the DHEAS, testosterone, and androstenedione results.
Note that in terms of understanding androgenetic alopecia, blood test results only present part of the story. The blood test results indicate what is going on systemically in terms of hormone production. A blood test does not provide an insight into hormonal activity in the skin and hair follicles. Skin and hair follicles produce their own enzymes that can convert mild androgens like DHEA into potent androgens like DHT. So it is possible to have normal blood test results but have significant androgenic activity in the hair follicles. A normal blood test result does not rule out a diagnosis of androgenetic alopecia.
Standard test ranges of hormones in men
Note; only the basic ranges are listed here. The values for children can be significantly different. Normal ranges will be slightly different in different laboratories as there is no calibration of the tests between different labs.
Hormone / antagonist Life stage Value
Progesterone (nanograms per milliliter or nano-moles per liter) Adult < 1.0 ng/ml
(< 3.18 nmol/L)
17-Hydroxyprogesterone (nanograms per deciliter or nano-moles per liter) Prepubertal < 1.1 ng/dl
(< 3.3 nmol/L)
Adult 5 – 250 ng/dl
( 0.15 – 7.5 nmol/L)
Estradiol (picograms per milliliter or pico-moles per liter)
Prepubertal < 10 pg/ml (< 37 pmol/L)
Pubertal < 23 pg/ml (< 84 pmol/L)
Adult < 60 pg/ml (< 185 pmol/L)
Estrone (picograms per milliliter or pico-moles per liter)
Adult 10 – 50 pg/ml (37 – 185 pmol/L)
Estriol (nanograms per milliliter or nano-moles per liter)
Adult < 2 ng/ml (< 7 nmol/L)
FSH (units per liter) Adult 1.0 – 12.0 U/L
LH (units per liter) Adult 2.0 – 14.0 U/L
SHBG (nano-moles per liter) Adult 6 – 50 nmol/L
Dehydroepiandrosterone (DHEA) (nanograms per deciliter or nano-moles per liter) < 6 years 20 – 130 ng/dl
(0.7 – 4.5 nmol/L)
6-8 years 20 – 275 ng/dl
(0.7 – 9.5 nmol/L)
8-10 years 31 – 345 ng/dl
(1.1 – 12 nmol/L)
10-20 years 110 – 900 ng/dl
(3.8 – 31.2 nmol/L)
> 20 years 160 – 800 ng/dl
(5.6 – 27.8 nmol/L)
Dehydroepiandrosterone sulfate (DHEAS) (micrograms per deciliter or micro-moles per liter) 1-8 years 10 – 20 µg/dl
(0.3 – 0.5 µmol/L)
8-10 years 30 – 50 µg/dl
(0.8 – 1.4 µmol/L)
10-12 years 30 – 40 µg/dl
(0.8-1.1 µmol/L)
12-14 years 80 – 140 µg/dl
(2.2 – 3.8 µmol/L)
14-50 years 110 – 690 µg/dl
(3.0 – 18.7 µmol/L)
Androstenedione (nanograms per milliliter or nano-moles per liter) < 6 years 0.1 – 0.2
(0.3 – 0.7 nmol/L)
6-8 years 0.1 – 0.3
(0.3 – 1.0 nmol/L)
8-10 years 0.1 – 0.3
(0.3 – 1.0 nmol/L)
10-12 years 0.3 – 0.7
(1.0 – 2.4 nmol/L)
12-14 years 0.5 – 1.0
(1.7 – 3.5 nmol/L)
> 14 years 0.8 – 2.3
(2.8 – 8.0 nmol/L)
Androstenediol (nanograms per milliliter) 0.2 – 2 ng/ml
Total testosterone - morning sample (nanograms per deciliter or nano-moles per liter) Prepubertal 8 – 14 ng/dl
(0.28 – 0.49 nmol/L)
Pubertal 84 – 480 ng/dl
(2.91 – 6.24 nmol/L)
Adult 300 – 1000 ng/dl
(10.4 – 34.7 nmol/L)
Free testosterone - morning sample (picrograms per milliliter or pico-moles per liter) 20 –40 years 15.0 – 40.0 pg/ml
(520 – 1387 pmol/L)
41 –60 years 13.0 – 35.0 pg/ml
(451 – 1213 pmol/L)
61 –80 years 12.0 – 28.0 pg/ml
(416 – 971 pmol/L)
Dihydrotestosterone (nanograms per milliliter or nano-moles per liter) Prepubertal < 3 – 13 ng/ml
(< 0.1 – 0.4 nmol/L)
Adult 30 – 100 ng/ml
(1.0 – 3.4 nmol/L)
Deoxycorticosterone (nanograms per milliliter or pico-moles per liter) Prepubertal 2 – 34 ng/ml
(61 – 1030 pmol/L)
Adult 2 – 19 ng/ml
(61 – 576 pmol/L)
Cortisol (micrograms per milliliter or nano-moles per liter) Adult morning 5 – 20 µg/ml
(140 – 552 nmol/L)
Adult afternoon 2.5 – 10 µg/ml
(69 – 276 nmol/L)
Prolactin (nanograms per milliliter) 0 – 15 ng/ml
An explanation of test results for sex hormones in men
Testosterone - Understanding the hormone test results from men is much simpler than analyzing test results from women. The average adult male, not surprisingly, produces significantly more testosterone than women do. A high level of total testosterone is not necessarily a problem in terms of androgenetic alopecia susceptibility. If the testosterone is mostly bound testosterone then the hormone is unable to activate testosterone receptors. What is more important for understanding androgenetic alopecia is the level of free testosterone - those hormone molecules capable of interacting with androgen receptors on cells. The percentage of testosterone in the male body that is free is typically 0.3% - 5%. An optimal level is about 2% free, unbound testosterone. Excessively high levels of free testosterone may suggest a hyperandrogenic problem. Free testosterone levels are highest in the morning and gradually drop throughout the day so normal values for a blood sample taken in the afternoon will be slightly lower than those shown above. Testosterone production is stimulated by Leydig cells in the testicles. Low levels of testosterone combined with low FSH and LH are diagnostic of hypogonadotropic hypogonadism.
Dehydroepiandrosterone (DHEA) - However, the total testosterone and free testosterone levels only present part of the androgen story. Androgen responsive hair follicles produce enzymes capable of converting other, less potent androgen hormones into, testosterone and dihydrotestosterone. The primary source converted is DHEA or DHEAS. Potentially, the more DHEA in the blood, the more that can be converted to more potent androgens in the hair follicles. A high DHEA and/or DHEAS level signals a potential increase in androgenetic alopecia susceptibility. Dehydroepiandrosterone sulfate (DHEAS) is the sulfated form of Dehydroepiandrosterone (DHEA). DHEA is a relatively unstable molecule and it mostly gets converted to DHEAS before circulating in the blood stream. For the purpose of understanding androgenetic alopecia, DHEA and DHEAS can be regarded as basically the same thing.
Luteinizing Hormone (LH) - In men, LH stimulates Leydig cells and production of testosterone. A problem with LH levels alone is very rarely seen, so testing is only needed if the testosterone level is found to be abnormally low.
Prolactin - A level two or three times that of normal may indicate a pituitary tumor, such as a prolactinoma, which may lead to decreased sperm production. Elevated levels can be treated with the drug bromocriptine.
Sex Hormone Binding Globulin (SHBG) - Increased androgen production in general leads to lower SHBG. The normal range for SHBG in men is lower than in women. SHBG is an antagonist to testosterone. SHBG binds to testosterone and renders it inactive. Bound testosterone cannot interact with androgen receptors on cells so it has no impact on hair follicles. A reduced SHBG level suggests a possible increase in susceptibility to androgenetic alopecia. However, while a high SHBG level is theoretically good in terms of avoiding androgenic hair loss, too much SHBG can be a problem for men. Men require a certain amount of free testosterone to maintain muscle mass, sex drive, and possibly bone mass too. An excessively high SHBG level can reduce the net action of androgens in maintenance of these body systems. So an SHBG level at the upper end of the normal range is the ideal situation limiting the risk of androgen action on hair follicles while permitting an acceptable level of free testosterone to maintain other body functions.
Please Scroll Down to See Forums Below 
