Dr. Ramchandra Lamba
Psychiatry
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Patient's Query
Hello doctor,
I am 41 years old. My height is 5'7" and I weigh about 74 kg. I am suffering from ED.
T3-110, T4-9.4, TSH-1.37
Total cholesterol 238 (last year), and 249 recently.
25 OH Vitamin D (total) 58.87 ng/ml.
Blood glucose random-104
Blood glucose post prandial 124 g/dL
HbA1c 6.3
T level 330, TSH 1.660 Uiu/ml, FSH 250, LH 400, Prolactone 540, Free testosterone 75.90 pg/ml. There is a smoking history of 20 years (one packet per day) but I completely quit from the last six months. Doctore give me four to five testosterone injections and a sachet to drink with hot water. Later an endocrinologist told no need for medicine and hormones are functioning properly.
Hi,
Welcome to icliniq.com.
All your tests are normal except for high level of FSH (follicle-stimulating hormone) and LH (lutenizing hormone) and prolactin and your endocrinologist advises for no medicine.
For managing your ED (erectile dysfunction) try the life style modifications and use of Sildenafil or Tadalafil as on when required basis.
Avoid alcohol and tobacco products if using currently.
Go for a regular morning walk at least 45 minutes daily or go for exercise daily.
Spend more time during foreplay.
Take adequate sleep.
Eat healthy food and drink plenty of water.
I hope this helps.
Patient's Query
Thank you doctor,
My FSH 2.49 miu/ml , LH 4.20 miu/ml , prolactin 5.39 ng/ml. And after two months, the values are FSH 2.50 miu/ml, LH 4.00 miu/ml, Prolactin 40 ng/ml. Why in the evening T level goes below the normal range?
Hi,
Welcome back to icliniq.com.
Then it is fine. Actually there is always variation in hormone levels during evening times, morning time and night time. The standardized test results are accordingly assessed and there is no need to worry if there is some variation depending upon the time.
Do try lifestyle modifications and continue it for a long time and you will see the good results.
Patient's Query
welcome back sir. As of now there is no need for other investigation. Age is a factor but your age is not much concern now as you are only 41 . your diet is good and avoid too much tea. Milk ,banana, roots and black eye beans are good sources of vitamins so continue them. Take salad and leafy vegetables and fruits. So as of now do regular exercise. Take healthy food. Good life style. Thanks and regards
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Psychiatry
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