Doctor explains How to Understand Male Hormones and Fertility

Dr. Eric Tygenhof takes you through how the most important male hormones can impact fertility. Having a better understanding of what the hormones do and how they interact will allow you to make sense of your tests. He discusses the relationships between testosterone, estrogen (estradiol), LH, FSH, prolactin, and inhibin and how these hormones can impact sperm counts and sperm quality.
Dr. Eric Tygenhof is a board-certified expert urologist specializing in general urology, with a particular emphasis in stone disease and robotic surgery. He practices in Fullerton, California as a partner at Southland Urology. He is also a Fellow of the American College of Surgeons.
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[@JW-iz6mv]

Best explanation of this subject that I have seen/heard

[@neilwattoo]

Was on TRT a decade, came back with azoospermia. Sperm 0. FSH 1.8 and LH is .3. My testosterone at time was 682 ng/dl - irrelevant. Now on a journey to regain fertility. I've been off 1 month now. Not feeling great but taking everything and some. Had a kid before TRT so i know my body was capable when natural. Getting bloods done in a couple weeks for a low baseline and then follow up a couple of months after. What a geeat guinea pig i am.

[@Jaang29]

thank you for posting, this, so simple and to the point

[@frartenzo]

one of the best videos on this topic, thank you!

[@shandac_m_1987]

What could cause primary hypogonadism in males with these test results and what would you suggest. Testosterone 225 ng/dl (low) FSH 25 milliunits/ml (high) LH 4.6 milliunits /ml

[@ikari2000]

Great content, but you really should invest in a microphone. I have to list to this on full blast to hear you while driving.

[@javiergarcia7807]

Simple, and clear, thanks

[@pappupoddar6139]

Sir my testosterone level is 2.02 and fsh is 11.2 and lh is 4.1 and normal usg report but nil sperm count could u identify my problem I have been under medication for last 3 months but the result is same

[@michaelburke409]

I have severe Oligoasthenoteratozoospermia and just got blood results back. Everything was normal bar prolactin which was high. 445mU/L when the normal range is between 86-324. Any idea if there’s a quick fix ie medication?

[@DoctorEric]

There's a possibility of a prolactinoma, which is a benign type of tumor of the pituitary gland. That can be evaluated with an MRI. The other possibility, if the FSH is normal, would be an obstructive process.

[@sonyratan]

U described well that what the relationship between lh fsh t and est.

[@romualdtassigne6293]

Great explanation

[@yvesbb6990]

My test was @508 and my lh was at 99 😅...doing a rad140 cycle ATM plus enclomiphene...liver is fine too but according to google my lh should b between 1.8 and 8...should I worry about high lh when I've got hardly any side effects whatsoever?

[@garrettreid9229]

Does taking an ashwagandha supplement orally hurt sperm count. It’s a test booster but natural and not necessarily “adding” test to the body?

[@rmi1000]

Hi Doctor, age 36 male, Albumin 46, FSH 1.0 IU/L, LH 2.0 IU/L, Estradiol

[@mpafiarikhalepou997]

Are you taking any supplements or gear ?

[@zippo_muk9254]

@@mpafiarikhalepou997 *I have the same FSH and LH levels. Are these dangerously low?* How do you improve them? My results are similar to this, except my estradiol is 120pmol and testosterone is 13 nmol/l.

[@Falcon_Kashmir]

Stop taking steroids

[@Snoopydogg743]

What exactly do you have to take to raise your fsh and lh

[@franciscoandrade4989]

I’m 25 yrs old. My testosterone level is at 339.6 ng/dl, shbg at 24.6 nmol/L, estradiol at 14.18 pg/mL, lh at 1.5 mIU/mL and fsh at 2.5 mIU/mL. I am dealing with low libido and easy weight gain. I recently got sick with COVID last year in August and I’ve been feeling those symptoms. I hardly have sex now also my testicles seem to have shrunken as well

[@cristobal.palmero4919]

Try tamoxifen for a 2 weeks

[@MultipolarBear485]

There's a high chance you have secondary hypogonadism. I had similar values at 24 years old. Last year @ 34 years old my testosterone was about 75 ng/dl. With this disease your numbers go down prematurely.

[@boomerang0101]

@@MultipolarBear485what’s the fix?

[@aprilalfaro4964]

Would you consider borderline low - low levels of FSH and LH ? For example FSH 2.5mIU/mL and LH 2.8 mIU/mL ? Thanks

[@Calicaveman]

Dr Eric, you are one of the line of my diagnosis but my Endocrinologist is not speaking the same language as you are true I have a Benin spot on my pituitary well I need to speak with you I’ve been dealing with this for years please help me!!! 🙏🏾Thank you

[@mahdiboudali716]

Dr. How to increase fsh in males age over 50. pls . Thanks

[@karthikeyannalini4603]

Hello my FSH level is 3.06, Testosterone level is 7.74ng/ml but my sperm motility is 15%...pls suggest

[@agathaiyayi9306]

Can a man with unobstructed azoospermia and testicular failure be treated?

[@abbachristopherogbonna4527]

Good morning Dr. I'm a male of 38yrs of age, my LH is 3.3,FSH is 1.2(0-12) and Testosterone is 3.3(3-10) please what is the result signified ?

[@jasonb4254]

normal

[@akon6074]

My FSH is 1.14 mIU/ML But the range shown is 1.5 - 12.4 miu/ml Rest B12 d3 lh testosterone prolactin thyroid iron chlostrol sugar all normal but liver kidney and estrogen test is not done

[@ChoroTesla]

وا finally am undergoing test results comes testerone level is 7.5ng/ml Plolactin 21.3ng/ml FSH 8.7miu/ml LH 5.5miu/ml but my heypatisis pylori tested POSSITIVE need to be vaccacinated so dr. said its normal my be another issue depression so i have to be patient and go slowly with this one. and what about my ploractin

[@sonyratan]

Thanks for explaining very scientifically

[@zippo_muk9254]

*Please help - are FSH 2 IU/L and LH 1 IU/L dangerously low?* My testosterone is 13 nmol/l and estrodial is 120 pmol. I have been sedentary for years, especially these past 2 years due to quarantine. I’m 25, and 360lbs. I have lost 80lbs over the past 5 months and my testosterone increasing from 9 nmol to 13 nmol. I have been cutting out carbs, and eating lots of health fats and protein.

[@DoctorEric]

The normal range varies a bit from lab to lab, but the FSH seems okay. The LH is slightly low, but with a normal testosterone level that is of likely little importance. I think you're on the right track with weight loss.

[@zippo_muk9254]

@@DoctorEric Thank you. I was unsure as they were borderline low. I have noticed less semen in the past month, but I think it could be due to a calorie deficit. I’m eating basically a low carb carnivore diet except with a few things, lots of grass fed red meat, kangaroo meat, salmon, oysters, egg yolk, but also some berries and raw organic honey, cutting down on dairy, and polyunsaturated fats; and having less meals throughout the day to minimise insulin spikes. My vitamin D is 119, so that’s good. I was at 15 almost 1.5 years ago. I’ve been doing 5000 IU vitamin D3 daily and 150mcg of Vitamin K2(M7).

[@boomerang0101]

@@zippo_muk9254what’s the update bro?

[@babalolaadewale2453]

How can i reduce my LH 36.2

[@jonathansweeney8457]

Hello. My LH is 65 and FSH 47 - testosterone levels as 6.5/7.0 - sperm count done but could not find a significant amount. Really worried not sure what the next step is for me

[@Falcon_Kashmir]

Testicular biopsy

[@jithanraman9512]

I 30yrs old male from india my test report Fsh is 32.4 m/u Testosterone 350m/u How can i reduce the fsh level What to do?

[@rahulmojumder6936]

Very high fsh . Sperm test karlo

[@mohaizmay]

What Does FSH And LH Do For Muscles And Bones And Bodybuilding , Fat Loss ?

[@DoctorEric]

Nothing. Those are signaling hormones that have effects within the testicles. The LH drives testosterone production. The testosterone can increase muscle mass, improve weight loss, and improve bone health.

[@Buggy_d_cloun]

Hi dr, please is out there hope: Im 35, I have one testicul, Fsh lvl - 55.2 ml/uml Lh - 16.7 ml/uml Prolactine 17.48 ng/ml Testosterone 5.83 ng/ml Tyroid TSH - 4.18 ml/um I have so erections problems. My Androlog say im now on andropausa and dont give me anny tratement, or pills to asume. Is anny hope out there?! Please respond 🙏🙏🙏

[@Falcon_Kashmir]

Anastrazole 1 mg per day

[@Itz-zirak]

My total testosterone is 366 ng My LH is 2.77 My FSH is 2.00 Am 32 years old Whats treatment please

[@Falcon_Kashmir]

Clomid 25 mg every alternate days plus Anastrazole 1 mg once a week

[@boomerang0101]

@@Falcon_Kashmiraren’t those normal levels?

[@RK-cy2jf]

Alp my hormones are good except estrogen.

[@er.himanshusoni5366]

My total testosterone and LH harmone both are high. Total Testosterone:- 840 LH :- 9.75. what should I do

[@rahulmojumder6936]

Go and visit a endocrinologist

[@domasbarauskas8081]

thats good, dont do anything XD

[@kouridesavgoustinos3786]

Hello i am 29 years old. My results are: (FSH) 3.36mU/mL (LH) 4.93mil/mL Prolactin 14.97ng/ml. Estradiol 30.16 pg/ml Testosterone 3.51ng/ml

[@torbenlienljungbergnielsen5025]

So what if i have low testosterone, low prolactin, extremely low sperm count and low LH?

[@Pricyfire]

Are u a woman ?

[@MohsenSalehi-ri1zw]

High. Im 41, and my fsh is 16.91 My LH is 10 and my testosterona is 3.9 and im azoospermia and varicella is grade 3 , can I be a dad?

[@prashanthan12]

Hi .I'm 33 years .my fsh 23. LH 3.i have azoospermia with varicocele grade 3.can I have sperm

[@prashanthan12]

Hi .I'm 33 years .my fsh 23. LH 3.i have azoospermia with varicocele grade 3.can I have sperm

[@lilrr1431]

Hi dr..its strange my husband prolactin is 552 mu/l FSH is 21 U/L LH is 10.5 U/L But testosterone is 21.5nmol And has oligoasthenotetrazoospermia Is this a brain or testes problem and can it be solved? Please answer

[@DoctorEric]

His numbers are consistent with a testicular cause. The significantly elevated FSH is a particularly poor prognostic marker for his fertility potential.

[@lilrr1431]

@@DoctorEric thank you for answering

[@Falcon_Kashmir]

Give him Letrozole 25 mg per day and evaluate after 15 days

[@lilrr1431]

@@Falcon_Kashmir really ok thx will try

[@lilrr1431]

@@Falcon_Kashmir but isnt letrozole mainly used on women

[@sonyratan]

What it tells If a male 38 is T..617ng/dl Lh....5.09 miu/ml Fsh...2.64 miu/ml E217 B.....41.40 pg/ml And facing ED/LL Plz clearify

[@ChoroTesla]

You are in normal range.

[@mohamadwaly5352]

fucking genius teacher!! thank you

[@PhenomJoe-bp9nv]

I wasn't convinced at first, but watching how I blasted all over the "place" in less than a month was shocking, I used what I talked about the other day, and although it actually took about 5 weeks for my volume to double, I just go'ogled Jan Venstaker's Shooting Ropes and her reaction has been priceless!

[@MaxR-b8h]

Nicely done, just the expression on her face when she saw my huge load was totally worth it, I used what I mentioned last month and after the first 3 weeks or so my volume visibly doubled, I went ahead and go'ogled Jan Venstaker's Shooting Ropes and the intensity has been insane!

[@eddiemccall8502]

High lh and fsh no sperm in semen wtf

[@GeraltOfRivia99]

what about low prolactin levels what does that usually indicate?

[@Number1Hater939]

My total testosterone levels are low whereas my prolactin levels are high. I feel like boiled sh*t

[@SCCheaters]

ur a blasphemer using Jesus as your username. maybe change your ways and God will grant u normal testosterone levels

[@boomerang0101]

Lose weight/fat