I am a 30 year old guy, healthy lifestyle and regular physical activity. Recently (since 4 weeks) i had issues keeping an erection and went to an urologist. I got my blod tested and low testosterone was found. I also feel typical other symptoms of low-t, such as fatigue, exhaustion and lack of energy (not only since 4 weeks though…). Also, since i changed my job last year I feel always very stressed and find it hard to relax.
Glucose: 87mg/dl (70 – 99)
Cholesterol total: 183 mg/dl (below 190)
Cholesterol HDL: 41 mg/dl (>40)
Cholesterol LDL: 123 mg/dl
T4: 5 mcg/dl (3,2 – 12,6)
FSH: 4,6 mUI/ml (1,27 – 19,26)
TSH: 2,08 uUI/ml (0,3 – 5,3)
Testosterone: 205,8 ng/dl (241 – 827)
Testosterone free: 0,20132 nmol/L (0,11800 – 0,853)
Testosterone free: 58,02 pg/ml (34 – 245)
Prolactin: 4,9 ng/ml (2,1 – 17,7)
Based on the blood test he prescribed testosteron injection (Nebido 1000 mg, called Aveed in the US). However, for me it is still unclear what is causing my Low-T and therefore i made an appointment with an endocrinologist next week but have some doubts/questions that i would want to clarify before:
- What should I ask him to test for in 2nd test? Anything else than the ones below?
- In your opinion is Nebido 1000 mg (called Aveed in the US) an adequate option?
- Is it normal that my TT is significantly below range but my free T within the range? What could be the reason? Based on this, can we assume that SHBG and Estradiol are likely not an issue?
- Anything else strange with my blood? Any low/high values that could cause low-t?