r/maleinfertility • u/mesash66 • 2d ago

Discussion High FSH and LH with normal Testosterone

My FSH is 15

LH is 17

testosterone in 684

FSH and LH are high but testosterone is normal

I have grade 3 vericocele

How many chances will it improve after surgery?

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u/keepGoing2472 1d ago

I'm getting bilateral surgery next week. I'm in a similar camp as you. But my FSH is higher and LH lower.  My surgeon says it's around 50/50 for those who have High FSH levels. It depends if the varicocele is the primary cause of testicular failure and unfortunately there is no way to really know if you have already ruled out other factors like Microdeletions, antibodies, and karyotype factors.

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u/mesash66 1d ago

vericocele is the primary cause of this. pls update me with your future.

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u/keepGoing2472 1d ago

Will do. 

Just to clarify, I meant basically getting some sort of treatment/repair is the only real way to rule out if varicocele is the primary cause of testicular failure if the other stuff I mentioned has been ruled out.

If your varicocele is unilateral on the left, I would look into embolization. I opted to microsurgery for because it is bilateral. Plus I'm concerned for long term testicular health along with the OAT diagnosis. 

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u/mesash66 1d ago

What your doctor says. will parameters restore after surgery

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u/keepGoing2472 1d ago

He states he has no way of knowing. He has been surprised before. He also publishes research on this and he said that the best responders on the fertility side are those with Normal.FSH levels and says to be realistic. 

I am currently on the lower end of the IUI cutoff side of things (5-6 million total motile sperm). He states the goal for me is to get to 10 million motile sperm so I can secure the odds of IUI treatment or the lucky chance of natural conception in the future.