Q. Why are my testosterone values so low?

Answered by
Dr. Vaibhav Vishal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 14, 2022 and last reviewed on: Feb 16, 2022

Hello doctor,

I am a 30-year-old male. I have been diagnosed with anxiety and ADHD and have noticed some signs of low testosterone and a few other things. I went to a GP and got blood work done. Almost everything was normal, except my testosterone which was 281 ng/dL, and my total cholesterol was 319 mg/dL. My liver enzymes were high, it was 239 U/L. Since this happened, I worked out five days a week and made significant improvements to my diet. I feel my testosterone should not be this low, and I wonder if that is the cause of some of my anxiety, liver function, and cholesterol. I have no idea what to ask my doctor to ensure I am informed of my health. Would you please give me your opinion on this? I went in for a routine exam and had trouble concentrating, low sex drive, and yellow eyes. I have been taking Escitalopram, Bupropion and Omeprazole.

I would also add that I underwent chemotherapy for non-Hodgkin's lymphoma twenty years back. Could this affect my testosterone level?

Thank you.



Welcome to

Thanks for writing in, and I understand your concern. The testosterone hormone has pulsatile nature. The value is effected by season, even intraday, so a single testosterone level is not considered diagnostic. But in your case, there are multiple reasons because of which testosterone level can be affected. Chemotherapy, anxiety, deranged liver, and cholesterol levels affect testosterone levels. You have not mentioned if you have children or plan for them in the future, as that will help decide treatment. According to your information, my advice is to continue your physical activity as the body fat reduces and your testosterone level increases. You will need to consult a gastroenterologist for your liver function abnormalities. Anxiety medication needs to be continued because it does not cause a decrease in libido.

It would be best to get scrotal sonography and a few other hormonal blood tests like follicle-stimulating hormone (FSH) and luteinizing hormone (LH) done to investigate the cause of low testosterone levels further.

Please discuss all of these things with your doctor.


Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I do not have any sexual desire. Is it due to low testosterone levels?

This could be the reason for poor libido in your case ...   Read full

What Is ADHD and How Is It Managed?

.. whether it is a real condition, features of ADHD, how to recognize and manage this common condition, and why ADHD should be treated .. ...   Read full

Would low testosterone affect erection?

.. understand your concern. There is no need to get stressed due to low testosterone levels. As you are getting early morning tightness, this means that there is no organic issue. If you have to go for urine in the morning, even then, that tightness ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Dengue Fever: Common Questions Answered
Dengue fever is a self-limiting mosquito-borne viral illness that has taken a massive toll on public health. Read below ...  Read more»
Listeriosis - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Listeriosis is a bacterial infection, that can result in severe complications like meningitis, sepsis, and even death. R...  Read more»
Myositis - Types, Symptoms, Causes, Treatment, and Prognosis
The term "myositis" refers to a set of uncommon diseases. To know more about myositis, read the full article below.  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.