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Suggest Treatment For Low Testosterone Levels

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Posted on Tue, 17 Feb 2015
Question: dear Dr. XXXXXXX

my testosterone level is low 340 ng (300~1200 ng)
I checked free and total, both in bottom, but in range, I feel my sex drive is low, I have 2 boy, my old 35y, my first checked was in 18y old, because I have fat on my belly, it was also on bottom, last year I get testosterone hormone soft gel pill for one month by my self to compare my situation before and after, in fact it was wonderful feeling, too active, good sex drive, good sleep, after that I discussed with my doctor to get injection hormone for long term, but he didn't accept that, he told me no need because I am still in range .
please advice
doctor
Answered by Dr. Binu Parameswaran Pillai (23 minutes later)
Brief Answer:
Low normal range

Detailed Answer:
Good day
Noted your concern. Your testosterone levels are in the normal range but on the lower end of normal. I must say that routine labs can not accurately measure free testosterone and it is not recommended unless you get it done by a lab which uses TANDEM MASS spectrometry. However this is not widely available.

We treat patients if the testosterone levels are below 300 ng. You should do a Thyroid function test, prolactin , blood sugar profile and lipid profiile.
Do you smoke or drink alcohol? If so, that also can affect the sex life.

What is your height and weight? Excess weight can also cause reduced sex drive.

I agree with your doctor' decision on not giving you testosterone injections. Unnecessary treatment has so many side effects.

You should always get the testosterone level done in morning between 7 to 9 am onn fasting state

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (27 minutes later)
dear Dr
I test every thing you ask about, all is good, except prolactin is high .
height and weight is 180cm/77kg
it was 105kg during my test, after lose weight still not test again .
no drinking no smoking
health is good
what is your opinion about testosterone booster
that is contains zink, b6, and some herb ?
doctor
Answered by Dr. Binu Parameswaran Pillai (5 minutes later)
Brief Answer:
Can you attach Prolactin report

Detailed Answer:
hi,
high prolactin is a caue of low testosterone and low sex drive. How high was the prolactin result? Do you have a report? It is important to find out why the prolactin was high.

There are no evidence that these herbs or vitamins can boost your testosterone levels. However, a healthy balanced diet and sufficient exercise is allways helpful.

Please drop a reply. As it is quite late in the night here, i would be replying again in the morning.
Regards
Binu
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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Suggest Treatment For Low Testosterone Levels

Brief Answer: Low normal range Detailed Answer: Good day Noted your concern. Your testosterone levels are in the normal range but on the lower end of normal. I must say that routine labs can not accurately measure free testosterone and it is not recommended unless you get it done by a lab which uses TANDEM MASS spectrometry. However this is not widely available. We treat patients if the testosterone levels are below 300 ng. You should do a Thyroid function test, prolactin , blood sugar profile and lipid profiile. Do you smoke or drink alcohol? If so, that also can affect the sex life. What is your height and weight? Excess weight can also cause reduced sex drive. I agree with your doctor' decision on not giving you testosterone injections. Unnecessary treatment has so many side effects. You should always get the testosterone level done in morning between 7 to 9 am onn fasting state Regards Binu