Can You Help Interpret My Blood Serum Tests?
Wondering if you can help me out. My latest blood serum testing came back as follows:
Estradiol - 52 pg/mL
Estrone - 32 pg/mL
(Range: Premenopausal 15 - 350 pg/mL)
Progesterone - 29.5 ng/mL
(Range: Luteal Phase 3.3 - 25.6 ng/mL)
Testosterone Free - .3 ng/dL
(Range: .3 - 1.9 ng/dL)
Testosterone Total - 20 ng/dL
(Range: 8 - 60 ng/dL)
DHEA-S - 150 mcg/dL
(Range: 18 - 244 mcg/dL)
Vitamin D level in the 60's (ng/mL)
I currently am on prescription bioidentical progesterone and the smallest amount of bioidentical estradiol gel available (so the ranges above take this into account).
The problem is my low testosterone. I have had it tested a few times in the past and it has always been on the low end. I have ZERO libido. I work out and still can't lose a layer of fat around my waist (everywhere else I am in great shape and have muscles - it is just in my stomach area). My bioidentical specialist suggested some compounded bioidentical testosterone cream to help with losing the body fat and increasing my sex drive. She does not want me to increase progesterone at this time (as she feels my level is where it needs to be). She really doesn't want to increase estradiol since I am feeling pretty good for the most part on the lowest dose. She thinks my testosterone could afford to be a little higher and this is what my body may be missing. She is happy with my Vitamin D3 levels (I supplement 5,000 iu daily).
Can I have your thoughts on this and what you think about my ratios overall? Do you think I would be a viable candidate for a trial of bioidentical testosterone (I believe she suggested a dosage of 2mg daily of the cream)?
Any comments are appreciated. Thank you Wray!