I am a 40-year-old male with abnormally high testosterone. All other lab tests came back negative. What should be my next step?
I also have malaise, muscle aches, anxiety, and abdominal pain.
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You sent me cortisol levels report (attachment removed to protect patient identity), but there is no report for testosterone. Your cortisol is normal. Please send the testosterone report.
Thank you doctor,
I am attempting to upload the file, but it will not let me. The testosterone report says 1352 ng/dl.
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Total testosterone levels 1350. Until 950 it is normal. It is unusual for slightly elevated testosterone levels to cause infertility in men. However, if the levels are abnormally high, the question will be whether it is caused by a tumor (rare) or by drug use. If it is due to anabolic steroid use or testosterone supplementation, backing off the supplements or steroids should resolve the problem. So have you ever taken anabolic steroids?
It is surprising to many men that high testosterone can cause infertility. Some men take testosterone supplements thinking it will improve their fertility. Or, they take it hoping to improve their stamina, strength, and energy levels. Unfortunately, testosterone supplementation in men who do not medically need it can cause infertility.
So, I will advise you first to repeat morning free testosterone levels if that is high, usually, it is until 30. You need to do further tests if you are not using any testosterone containing medication or supplements. We need to rule out testicular or adrenal tumor if your morning free testosterone levels are high and you are not on testosterone medication. In that case, you need to do an ultrasound of scrotum, HCG levels, etc.
I hope this helps.
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