Brief Answer:
exclude Secondary Hypogonadism first

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern and after reviewing your case summary I'm of the following opinion:

1. Since presence of testosterone is responsible for balancing the physical, mental and emotional health of a person, thus do let me know how it has affected you in this respect:

- Physical: erectile dysfunction?, reduced muscle mass/strength?, development of male breasts, increased body fat?, high lipid values and associated heart disease?

- Mental: low sex drive, difficulty in concentration, memory problems?

- Emotional: Depression, decreased motivation and increased irritability?

2. At your age [ 36 years] low testosterone is not common so one has to exclude any external factor affecting the testicles [primary], hypothalamus or pituitary gland [secondary]

PS. make sure to rule out acquired circumstances which can lead to secondary hypogonadism like : obesity [being overweight], use of drugs [opioid pain medications], Addiction, and any severe emotional or physical stress from an illness or surgery

3. Do let me know about the value of testosterone [previous and present] and check with prolactin and thyroid level

4. Natural ways which one can incorporate in his day to day living is/are:

i. maintain an ideal body weight and exercise regularly to boost testosterone levels
ii. have a 7-8 hours sleep at night
iii. Add more nuts and beans like [lentils, almonds,soybeans,eggs]
iv. take Zinc supplements [raw milk,raw cheese,beans,yogurt,oysters]
v. take minimal of STRESS [practice Yoga & meditation]
vi. Avoid refined sugar, eat healthy fat [olive oil,coconut oil,avocados], take low fat milk with Vitamin D,
vii. Take natural herbs like withannia somnifera [Ashwagandha], Tribulus terrestris [Gokshura] either as single or in compound form which naturally boost testosterone levels

Dr. Munish Sood
Consultant Physician
Naimittika

direct online link: bit.ly/drmunishsood

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