OpenHealth Q&A

Get answered by medical professionals

Can M40 Aid Testosterone Levels in Osteopenia?

9/7/2025, 8:20:21 AMMale25-34

I am currently dealing with osteopenia, along with idiopathic hypercalciuria, and have been diagnosed with low testosterone levels, as well as decreased LH and FSH. Would the use of clomiphene be beneficial for my situation?

FibromyalgiaThyroid DisordersRheumatology

Answers (1)

Cony

9/7/2025, 8:20:35 AM

OpenHealth AI

It sounds like you're managing multiple health concerns, including osteopenia, low testosterone levels, and idiopathic hypercalciuria. Addressing these issues can be challenging, but there are potential pathways to improve your situation.

Summary of Main Points:

  • Clomiphene citrate may be beneficial for low testosterone levels.
  • Osteopenia management includes addressing bone health and testosterone levels together.

Explanation: Clomiphene citrate is primarily used as a fertility medication, but it has been shown to stimulate the pituitary gland, leading to increased production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). This stimulation can, in some cases, result in elevated testosterone levels in men, particularly in those with secondary hypogonadism. Since you have low testosterone and low levels of LH and FSH, clomiphene may help your body produce more testosterone naturally, which could be beneficial for both your hormone levels and bone health.

However, it's essential to consider your full medical history especially with your osteopenia and hypercalciuria. Increased testosterone can have positive effects on bone density, but it's crucial that any treatment approach is coordinated with your overall health status.

Next Steps:

  1. Consult with Endocrinologist: Discuss the potential benefits and risks of clomiphene in the context of your osteopenia and hypercalciuria with a specialist who understands your complete health profile.
  2. Bone Health Management: Focus on calcium and vitamin D intake, along with weight-bearing exercises, as these can positively impact bone density.
  3. Monitoring & Evaluation: If you proceed with clomiphene, regular follow-ups to monitor hormone levels and bone health will be essential to assess effectiveness and make any necessary adjustments.
  4. Lifestyle Adjustments: Maintain a balanced diet rich in vegetables, healthy fats, and proteins, and stay active to support both your hormonal health and bone density.

Let me know if you need more details or have additional questions!

Related Questions

Experiencing Distortions in Perception

(22M) I find it challenging to articulate what I'm experiencing, but there are moments when I seem to stand still, fixated on an object, and suddenly everything around me feels as if it’s shifting. It’s akin to objects in my field of vision becoming distorted, moving closer and then retreating, sometimes at an angle. Alongside this unusual perception, I also experience a heavy sensation, as if my own weight is compressing down on me, and then, just like that, it dissipates. This has occurred sporadically in the past, but recently, the frequency has increased, and I tend to brush it off. This all began about two years ago. On a side note, I've encountered some profoundly challenging events over the last five years, which has undoubtedly affected my mental state. I suspect stress could be linked to these occurrences. I generally consider myself in good health; I maintain a regular gym routine and jog frequently. I manage my daily responsibilities and work effectively, yet I’m puzzled by these experiences.

Multiple SclerosisLupusFibromyalgia
Male25-34
40 minutes ago

Concern Over a Minor Injury

I recently experienced a minor injury while shaving and I've noticed some persistent bleeding. It has been about five days since the incident, and although there is no discomfort or pain, the bleeding continues slightly. I suspect the cut is situated near the vaginal opening, as that seems to be the source of the blood, but I can't actually see the wound. I'm hesitant to mention this to my mother because of her strong religious beliefs; she would likely respond with questions about why I was shaving in that area. I'm becoming increasingly anxious about the ongoing bleeding and would like to know if this is something that should be concerning. Is it typical for a small cut in this region to bleed for several days?

Internal MedicineRheumatology
Male25-34
1 hour ago

Persistent Throat Sensation Two Years Post-COVID

I am currently taking 5mg of Lexapro along with 20mg of Atenolol for my health issues, and I’m well aware that I’m dealing with long COVID. The condition initially presented itself as POTS, which has been managed effectively with a beta blocker. My acute COVID infection dated back to October 2, 2023, resulting in a myriad of complications, most of which have since improved. However, one symptom has stubbornly lingered, and it's become the most worrisome and perplexing aspect of my recovery: an unsettling sensation of having something lodged in my throat. This feeling is particularly noticeable when I swallow and seems localized under, behind, or adjacent to my thyroid. It has persisted for two long years, occasionally feeling more pronounced on the right side of my throat. After thorough evaluations, my thyroid has been deemed healthy, and it seems that my doctors have reached a dead end in addressing this issue. I'm reaching out for guidance or support, as this sensation—often referred to as globus sensation—is driving me to distraction. I have not encountered anyone with a similar experience, and my attempts at relief have been futile. I've explored various online remedies, engaged in neck stretching exercises, and even tried acupuncture, but none have provided any relief.

ArthritisThyroid DisordersCOPD
Male25-34
1 hour ago

What Can I Do to Curb Unwanted Menstrual Bleeding?

Greetings, Today marks the 10th day of my cycle, and I am still experiencing bleeding. Recently, I began taking Femilon (which contains Desogestrel and Ethinyl Estradiol) to address my ongoing issue with intermenstrual bleeding, something that has troubled me for the past two years. Prior to this, I was on Norethisterone for five months, but I didn’t see any significant improvement, which led me to switch to Femilon. Unfortunately, this hasn't resolved my bleeding either. I’m feeling incredibly drained from the constant blood flow. I have consulted three different gynecologists so far, but none of them have provided me with any effective solutions. Here are some key test results that might be relevant: * My testosterone levels were slightly elevated, with the upper limit at 60 and my result at 90. I am currently taking Spironolactone to manage this. * My thyroid function is normal. * A transvaginal ultrasound showed normal results. * I am iron deficient and am taking supplements to address this issue. * There is mild insulin resistance, for which I am prescribed Metformin. Despite all this, I continue to bleed, and it’s becoming mentally taxing for me. I would greatly appreciate any advice or assistance in dealing with this situation. Thank you very much in advance!

LupusThyroid DisordersEndocrinology
Male25-34
3 hours ago

Fluid Discharge from My Nipple

I am a 21-year-old female, standing at 5'3" (164 cm) and weighing 169 lbs (77 kg). For over a month now, I have been experiencing a peculiar issue. I visited a healthcare professional, but they found no irregularities in my breast tissue. The situation is localized to my right nipple, where I notice a discharge that ranges from cloudy white to clear. This occurrence only happens when I apply pressure to the area. I initially discovered this while performing a self-examination. In addition to the discharge, I often feel a strange sensation in my breast that compels me to squeeze, which leads to a sense of relief. It’s as if I can perceive the "juice" being released. My mother believes this might be milk, but it's impossible for me to be pregnant as I have never engaged in sexual activity. My physician suggested that I consult a dermatologist, as he suspects it could be fluid leaking due to some form of skin damage. However, I find it hard to accept this explanation since there are no visible signs or discomfort with my skin. Who else might I consider reaching out to for another opinion? What could be the underlying cause of this issue? Is it potentially hormonal? Do you think my doctor’s advice is valid? To provide some context about my lifestyle, I do not smoke or engage in heavy drinking, and I take Lustral (50 mg) for managing anxiety and depression.

ArthritisThyroid DisordersEndocrinology
Male25-34
4 hours ago