PSA is always low at your age.
FSH and LH have increased by pituitary because T levels are low because your testicles are not working. This is called primary hypogonadism. Any pain in your testicles? Has doctor examined for physical problems?
Total Testosterone, TT=10.07 is low. TT does not tell the whole story as half of that typically is non-bioavailable SHBG+T and if that is high, TT overstates your status. Always good to also test for free Testosterone FT if available.
When on TRT with high-normal T levels, E2=80pmol/L is optimal in most cases. Your E2=104pmol/L with low TT make you very estrogen dominant and that is a big component about how you feel.
E2 and estrogen dominance increase SHBG levels and thus inflate TT.
You are at risk of iodine deficiency there: http://www.ign.org/vietnam.htm
Please evaluate your overall thyroid function via last paragraph in this post.
TRT in Vietnam: http://www.expat.com/forum/viewtopic.php?id=248010
Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body's temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.