I’m new to this forum. I recently had two sets of blood work done which showed low normal total testosterone (294ng/dl) and below normal free testosterone (8.1ng/dl). I was just wondering if anyone had any idea what could be wrong? Would these levels warrant TRT?
When I spoke to my GP he said he had absolutely no clue about any of this.
I’m an otherwise healthy 35 yo male. Very clean diet and regular exercise consistently for the last 10 years.
No libido at all
No morning erections (can’t even remember when I had these)
Smaller / shrinking testes
Noticeable drop in physical strength
Lack of drive (I used to be extremely motivated)
First blood test
D.H.E.A. SULPHATE 6.970 umol/L (0.44 - 13.40)
FOLLICLE STIM. HORMONE 5.26IU/L (1.50 - 12.40)
LUTEINISING HORMONE 6.15IU/L (1.70 - 8.60)
TESTOSTERONE 14.2nmol/L (7.60 - 31.40)
FREE-TESTOSTERONE *0.283nmol/L (0.30 - 1.00)
SEX HORMONE BINDING GLOB 35.8nmol/L (16.00 - 55.00)
FREE ANDROGEN INDEX 39.66 Ratio (24.00 - 104.00)
17-BETA OESTRADIOL 98.4pmol/L (0.00 - 191.99)
Second blood test
TESTOSTERONE 10.3 nmol/L (7.60 - 31.40) 294ng/dl
FREE-TESTOSTERONE(CALCULATED) *0.282nmol/L (0.30 - 1.00)
17-BETA OESTRADIOL 103pmol/L (0.00 - 191.99)
SEX HORMONE BINDING GLOB 17.9nmol/L (16.00 - 55.00)
Third blood test
TESTOSTERONE 9.2 nmol/l or 265ng/dl
Any help or advice would be appreciated. Especially in understanding why my free testosterone is so low and if I should pursue TRT as a treatment option.