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Suggest Treatment For Low Testosterone Levels

Posted on Wed, 30 Sep 2015

Question: My question is on low testosterone my recent lab work are as follows my LH is 4.8 which is in the normal range, my total testosterone is 167 which is low, my free testosterone is 50.4 which also falls in the normal range, and my FSH is 3.6 which also falls in the normal range, what treatment do I need and why is only my total testosterone low and all the other tests are normal

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
You can use Topical Testosterone cream.(Androgel)

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have low testosterone levels as reported with normal LH and FSH

I shall be happy if you can post me few more details to help me in making comments on your problem
1) What are your symptoms that needed you to get these test done ?
2) Do you have Erectile Dysfunction or loss of sex desire ?.

The FSH and LH are secreted by pituitary gland where as Testosterone is secreted by testicles hence it is not necessary that the level of LF and FSH should also be altered with Testosterone levels in blood .Following general measure will help you to normalize your Testosterone levels in blood
1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.
2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc
3)Take anti oxidants like Almonds 5-6 everyday..
4) Avoid alcohol and smoking..

It is advisable not to take medication based on single report of low testosterone levels .Repeat your Testosterone levels in the morning before taking decision to take Testosterone supplement.

You can use topical Testosterone cream like Androgel under guidance of qualified Urologist or Endocrinologist with frequent monitoring of Testosterone levels in blood.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Im seeing a doctor because i have low tsh i have also been depressed and have had alot of anxiety i get tired easy and have no energy, im not having trouble getting and maintaining a erection i also had a positive lupus anticoagulant test so im afraid of testosterone therapy because it increases risk of clot can i take clomid and isthat a safer option

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Clomid has no role to play in improving testosterone levels in blood .

Detailed Answer:
Hwllo
Thanks for follow up.
I can understand your anxiety but Clomid will not help to increase testosterone levels .
I think it will be better if you consult qualified Psychiatrist for counselling .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (18 hours later)

I do see a psyciatrist im on meds for that what do u think the best treatment would be for my low testosterone being i tested positive for the lupus anticoagulant

Answered by Dr. Dr. P. T. Patil (28 minutes later)

Brief Answer:
Use topical Testosterone Gel .

Detailed Answer:
Hello
Thanks for follow up.
Use topical Testosterone Gel as suggested in my earlier reply .
Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar