Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

164 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What should be normal testosterone levels in men?

Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6531 Questions

default
Posted on Sat, 30 Aug 2014 in Thyroid Problem and Hormonal Problems
Question: At what level is a male at the age of 32 considered to have low testosterone. I have an extremely low sex drive and no energy. I am afraid that my wife is frustrated because of my sex drive change. I recently had my levels checked last week. The results came back and showed that my T level was as 355. Ive read that normal is considered between 290 and 1100. Thats a huge range and even read that the study is for 20 to 80 year olds. Please provide me with info. Thanks.
doctor
Answered by Dr. Vivek Chail 1 hour later
Brief Answer:
Please get evaluated in detail

Detailed Answer:
Hi XXXX
Thanks for writing in to us.

I have read through your query in detail.
At your age the normal testosterone levels should be around 600 ng/ dl and you do have a slightly lower than normal testosterone level for your age. At the same time you also need to get clinically evaluated for any suspected thyroid disorder (hypothyroidism) which can cause extreme fatigue and hence low energy similar to the problems you are currently facing.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Vivek Chail 23 minutes later
Dr. XXXXXXX I was also tested for thyroid. It came back normal.
doctor
Answered by Dr. Vivek Chail 11 minutes later
Brief Answer:
Medications to be taken under medical supervision

Detailed Answer:
Hi XXXX
Thanks for writing back with an update.

Your condition is not related to thyroid disorders. You need to discuss your slightly low testosterone and low energy, decreased sexual drive with an urologist or XXXXXXX Considering your young age, testosterone replacement may lead to decreased fertility. Therefore you may be given a medication like clomiphene citrate (clomid) as a good option to increase testosterone levels. This must be taken under supervision of your doctor.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Vivek Chail 6 minutes later
Heres my levels from last week. Thanks for your help. Let me know what you think about the levels
doctor
Answered by Dr. Vivek Chail 10 minutes later
Brief Answer:
Your levels are below normal for age

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

I have seen through your report. The total testosterone is in the normal range for an 80 year old and the free testosterone is as found in a 65 years old male. You dont have to get worried as the levels can be brought back to normal by taking treatment and adapting to a healthy living style.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Medical Topics

Recent questions on  Hypothyroidism

doctor1 MD

Hi, I have had a fluttery feeling in my throat off and on for a couple of weeks and /or palpitations.Also a sensation that there is something in there or in my upper chest. Heart rate is regular, no other symptoms. I am hypothyroid for many years. It is not severe, just bothers me and I worry what it is.

doctor1 MD

I am 32, 5'3" tall, 128 lbs. I've been feeling light-headed and nauseated lately and have been suffering from constipation. I have a bowel movement maybe every three days, and that's with encouragement from prunes or an herbal laxative tea. I also have a very slow metabolism - I consume on the order of 1500-1800 calories a day (I keep a food diary for 2 weeks about every 6 months to make sure I'm on track), but I work out 10-15 hours a week. Hard. Here's my history:

I have hypothyroidism and am on synthroid (50 ug). I'm a Manager/Scientist during the day, but I teach fitness classes as a second job. I exercise quite a bit: I teach kickboxing, sports conditioning, and weighlifting. I'm starting up a bootcamp (once a week) next month. I also race triathlons, so I swim (2500 yds 3 times a week on average), run (6-10 miles 2 times a week on average) and bike (40-60 miles in the Spring-Fall 1.5 times a week; Spin 1+ hours 3 times a week in the Winter). My diet is very healthy. I make most of my meals at home. On a typical day, I eat a hard boiled egg and an orange for breakfast. I have hot organic apple cider with apple cider vinegar (a naturopathic treatment for hypothyroidism) in the morning. I'll have a cup of coffee or a cup of tea later in the day, maybe a second but not usually. I have a yogurt (Activia), usually as a mid-morning snack. Lunch is usually a vegetable - today I had 2 cups of cabbage sauteed in cajun seasoning and coconut oil (another naturopathic remedy for hypothyroidism). I have a piece of fruit in the afternoon, usually an apple. I keep nuts, dried fruit and lean beef jerkey in my cabinet in case I get hungry during the day. I usually do. Dinner is usually 4 oz of protein (fish, chicken or lean beef), at least 2 cups of vegetables, and some fruit for dessert. I cook all of my food in coconut oil. I make my own sugar-free dark chocolate with nuts or organic almond butter, and I'll have one of those for dessert. Some nights, I'll add a spoonful (or two) of almond or cashew butter. Sometimes I'll sneak in a cookie or some nuts. I'm not much of a drinker, maybe 2-3 glasses of wine or beers a week. I drink at least 56 oz of water a day, in addition to the coffee/tea, and what I drink when I work out. I recently lost about 10 lbs on the HCG diet - 10 lbs I'd been trying to lose for the last 10 years. I have a very difficult time maintaining my weight. I thought that the synthroid would solve that, but it hasn't. I don't understand why I'm constipated. The constipation seems to be worse now than ever before. I strain to go, and when I do, it's usually dense, dark, and very hard to pass. Once every three days can't be right. I used to be pretty regular (1x a day). I get a lot of fiber, I exercise, I drink a lot of water. I don't like resorting to the herbal laxative tea. The only other medication I'm on is a very low dose birth control pill, but I've been on oral contraceptives since I was 18, and on this particular one for 2 years. The rest of my medical history is pretty boring - I've had a few athletic injuries and appropriate surgeries, a concussion or two, and I have fibroids that the GYN keeps an eye on. Oh, and I tend to skip menstrual cycles. So what's with the constipation and slow metabolism?

doctor1 MD

I am 66, 5'2" and 155lbs. I developed a fib 2 years ago (now regulated) and was put on an older beta blocker plus I have high blood pressure for which I am now on the 5th different med ...I take 0.137 mg synthroid daily for 30 years, strength has varied over the years from 0.075 to as high as 0.2mg...my tsh, which is the only measurement my physician will consider, is usually 2.5 or thereabouts...in the last few months my hypothyroid symptoms have increased and on the last lab my tsh was very high, over 8 so I know my thyroid level is very low...I am very fatigued, depressed and most upsetting am eating less and getting fatter, where before I was overweight but firm and now I can feel fat in my thighs and upper arms plus around my abdomin which I never had before. Research shows the older type of beta blocker, atenolol, can slow metabolism and cause insulin resistance, (I am not diabetic) is it safe to simply stop one beta blocker and start another...in fact, I'd like to get off it altogether but the last time my physician said to just stop taking it, I developed pvc's which was corrected by increasing the atenolol. I am distressed about the side effects of this drug and wld like to take something less toxic.

doctor1 MD

I HAVE HAD HYPOTHYROIDISM FOR WHAT SEEMS LIKE FOREVER. I HAVE GONE TO MANY DIFFERENT DOCTORS AND ALL THEY DO IS GO BACK AND FORTH WITH THE DOSAGE OF SYNTHROID AND IN THE MEANTIME, I AM EXHAUSTED, MY JOINTS HURT, AT THE MOST RIDICULOUS TIMES-MY...

doctor1 MD

what could cause chills all the time with no fever

doctor1 MD

My Mother is 67 years old. For past few months, she has been suffering from black patches and itching in her lower right leg. She consulted an ayurvedic specialist and took up prescribed medicines. The diagnosis was impurities in blood and the...