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Is TRT Treatment Required For Low Testosterone Levels When There Are No Symptoms Like Low Libido?

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Posted on Fri, 25 Sep 2020
Question: Hello,

I have low testosterone levels and my doc has been very vague, but wants to start me on a TRT. I haven't had any issues with drive and I personally would consider myself sexually over active. My wife however is different. We have intercourse once or twice a month. My question is does that affect my t levels?
doctor
Answered by Dr. Mirjeta Guni (29 minutes later)
Brief Answer:
About low testosterone;

Detailed Answer:
Hello and thank you for asking!
I have gone carefully through your concern.
Would you please attach the result of your testosterone level to judge how low it is for your age.
Do you have other symptoms of low testoterone level (low energy, decrease muscular bulk, insomnia, depression, tendency to gain weight, loss of body hair).
Did you check thryoid function and prolactine level as they can be the cause of low testosterone?
Will be a pleasure to help you further.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Mirjeta Guni (2 hours later)
My levels are as follows
Testosterone 142
FSH 11.5
LH 7.4
Prolactin 8.8
TSH 2.06
Estradiol 52

No I don't experience low libido (I would argue the opposite), ED, or body hair loss. Thoughts?
doctor
Answered by Dr. Mirjeta Guni (24 hours later)
Brief Answer:
About TRT;

Detailed Answer:
Welcome back!
The testosterone level you reported is low for your age, but we do not recommend to start treatment if you have no symptoms ( i wonder why did you check testosterone if you have no symptoms?) of low testosterone.
Anyway, if you have no symptoms, physical activity is recommended and check testosterone again after 3 months.
If symptoms are present, i do agree with your treating physicians to start treatment with TRT.
Best wishes,
Dr.Mirjeta
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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Is TRT Treatment Required For Low Testosterone Levels When There Are No Symptoms Like Low Libido?

Brief Answer: About low testosterone; Detailed Answer: Hello and thank you for asking! I have gone carefully through your concern. Would you please attach the result of your testosterone level to judge how low it is for your age. Do you have other symptoms of low testoterone level (low energy, decrease muscular bulk, insomnia, depression, tendency to gain weight, loss of body hair). Did you check thryoid function and prolactine level as they can be the cause of low testosterone? Will be a pleasure to help you further. Kind regards, Dr.Mirjeta