Test Spike on Clomid... now what?

velocityidp

New Member
I'm 29. On a well known TRT doctor's advice, I went on 12.5mg Clomid about 8 days ago for low testosterone. The first day, I felt my T levels rise dramatically. Now I'm having big time sexual issues. Here's the letter I sent to him. Any comments from you guys out there? Would be much appreciated....

Here are my labs:

My Lab Trends
My Lab Values (newest in yellow)


---------------------------------------
Dr. ###,

I've been on Clomid treatment for low testosterone/LH for several days. Hours after the first dose, I noticed a rapid increase in testosterone flooding my body, marked by more facial oil, "hot flashes," stronger erections, more aggressive feelings, greater sense of wellbeing, one of my testes was much larger, etc. One day later that subsided, and though testes still get larger after Clomid dose, I now feel worse than before the med. Zero libido, orgasm is harder to reach (which has never happened), and major ED is starting to set in (also never happened). I've also experienced signs of a depressed feeling coming on that I didn't have before Clomid and have put on 6 lbs of fat weight in the last 5 days.

I need to know if Clomid is wise to continue -- it feels like it's doing harm.

Please also note my hypothyroid condition (on 1.75gr thyroid replacement) and I'm still getting a bit cold. Clomid has warnings about taking the drug with an "uncontrolled thyroid function." It appears that low thyroid function can cause deceased testosterone production, and low thyroid (even subclinical 2.0 < TSH < 3.0) can impact LH response. I started a new does of thyroid while starting Clomid under your direction.
--------------------

I'm wondering if you guys have any thoughts, recommendations or suggestions?

This new situation is destroying my life even more. Please let know if I should halt or continue Clomid.

Thanks!





LABS:

TSH 3.510 (0.450-4.500uIU/mL)
T4,Free(Direct) 1.09 (0.82-1.77ng/dL)
Triiodothyronine,Free 3.1 (2.0-4.4pg/mL)
Thyroid Peroxidase (TPO) Ab 19 (0-34)
Reverse T3 184 (90-350pg/mL)

Estrone (E1) 3.5 (3-12)
2-Hydroxyestrone 4.4 (--)
16-a-Hydroxyestrone None
4-Hydroestrone 0.6 (--)
Estradiol (E2) 2.2 (0-7)
Estriol (E3) 2.6 (1-16)
Total Estrogens 8.3 (4-22)
Testosterone 32 (45-85)
DHT 7.7 (0-13)
Androstanediol (S?AD3?17?) 74 (48-578)
Androstanedione 37 (--)
Dehydroepiandrosterone (DHEA) 77 (5-1476)
Androstenetroil (5-AT) 603 (42-710)
Androsterone (AN) 3386 (798-4705)
11b-OH-Androsterone (OHAN) 1172 (461-1692)
Etiocholanolone (ET) 2206 (689-3252)
11b-OH-Etiocholanolone (OHET) 60 (134-1186)
Progesterone None
Pregnanediol (PD) 196 (32-501)
5-pregnene-3?, 17?, 20?-triol (5-PT) 240 (28-1062)
Cortisone (E) 189 (92-366)
Tetrahydrocotisone (THE) 3403 (1362-5788)
Tetrahydrocorticosterone (THB) 246 (32-238)
5-allo-Tetrahydrocorticosterone (5?-THB) 507 (135-588)
Tetrahydro-11-dehydrocorticosterone (THA) 181 (52-277)
Cortisol 129 (35-168)
Tetrahydrocortisol (THF) 2372 (942-2800)
5-allo-Tetrahydrocortisol (5?-THB) 1285 (796-2456)
 
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