The average testosterone level is between 300 to 1000 ng/dL; anything below 300 ng/dL is considered a low testosterone level. A decrease in testosterone level is likely to affect the appearance and sexual drive of a male. Reduced libido, less semen, erectile dysfunction, fatigue, loss of hair and muscle mass, decreased memory and bone mass, reduction in the size of testicles, etc., are the signs of low testosterone level.
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Do I need to take Arimidex to inhibit high E2 levels?
Query: Hi doctor, I am 30 years old. I just want check whether my T/E2 values are proper not because I am suffering from most of the symptoms of high estrogen levels like enlarged prostate, extreme fatigue, anxiety, muscle loss, belly side fat, loss of libido, knee and joint pains for more than 10 years. A... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I would like to inform you that your testosterone is completely normal but not estradiol. The maximum physiological level is 40 pg/ml and the level above this rings alarm bell and should be investigated. T... Read Full »
Can high LH cause erectile dysfunction?
Query: Hello doctor, In recent past I was suffering from ED. I visited a nearby Andrology specialist, he did some tests and found that below values. He stated that LH is very high. Is there any relation of sperm count and ED when we have high value of LH. Is it curable? My LH value is 8.6 IU/L. Please hel... Read Full »
Answer: Hi, Welcome to icliniq.com. ED (erectile dysfunction) can have many causes. One of them is low testosterone. Whenever the testosterone levels are low, our pituitary gland tries to stimulate testosterone production by producing more LH (luteinizing hormone). I saw your test reports (attachment remo... Read Full »
My free testosterone levels are 25 pg/ml. Is it low?
Query: Hello doctor, I want to get my health reports checked regarding my free testosterone levels. My free testosterone levels are 25 pg/ml. I am attaching the reports. Kindly review. Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen the attached reports (attachment removed to protect the patient's identity). Free testosterone of 25 pg/ml is low for a 25-year-old male. Why did you check the testosterone levels? Did you check SMBG (self-monitoring of blood glucose) and albumin levels?... Read Full »
Is total testosterone of 232.84 ng/dL low for a 20-year-old male?
Query: Hi doctor,I am a 20-year-old male with a weight of 120 kilograms and a height of six feet four inches. I have a total testosterone level of 232.84 ng/dL. Is it low for my age? What can I do to increase my testosterone levels? I have a penis size of 5.5 inches during erection and the penis at flaccid... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. It is important to know the levels of free testosterone levels other than total testosterone. You can get a better insight when you know your free testosterone levels. Regarding total testosterone levels, it is perfectly normal and you do not ... Read Full »
When should Histrelin implant be removed in precocious puberty?
Query: Hello doctor, I am a female. I was diagnosed seven years ago for central precocious puberty and was treated with three annual implants of Histrelin. The third implant still has not been removed after about four years. I have looked at procedure guidelines online that say that the implant must be re... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, Histrelin implant should have been removed after one year. Please speak about this to your doctor. Histrelin implant is a synthetic analogue of gonadotropin-releasing hormone (GnRH) agonist. It works by decreasing the production of certain hormones, which reduces e... Read Full »
Does the brief use of anabolic steroids affect the hormonal profile in the future?
Query: Hello doctor, I am hoping you can give me some answers about what I can do for health optimization going forward. About myself, I recently turned 25, and have been lifting weights seriously since 18 years old. My height is 6’, and my weight is 198 lbs and about 14% body fat. When I was 19, I... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for asking me. Regarding your questions. Do not worry the previous usage of pro hormones will not have any effect on your health. As your Testosterone and Estrogen levels are normal. I do not think you need to use any medication to increase the levels. Even if your... Read Full »
Can Melatonin be taken with Diltiazem?
Query: Hi doctor,I am 67 years old. I am taking Diltiazem 120 mg twice daily. It was given to me when I had borderline hypertrophy of the heart due to undiagnosed sleep apnea. I also take it when I have tachycardia once or twice a year. It was not given to me for high blood pressure. When my doctor examine... Read Full »
Answer: Hi, Welcome to icliniq.com. Diltiazem is not given in a high dose to cause serious disturbance in you. Melatonin interferes with testosterone production. Melatonin deficiency initiates or aggravates the clinical course of all somatic pathologies. It also leads to testosterone deficiency at any age... Read Full »
Can extracorporeal shockwave therapy damage my testis?
Query: Hi doctor, Can extracorporeal shockwave therapy damage your testis? I have undergone five sessions of shock therapy at the perineal area, done by a urologist as he suspected me to have chronic prostatitis. Please help. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. If meticulously done, extracorporeal shock wave therapy does not cause any damage to testes. Can you please tell me what kind of damage to testes are you talking about? Thanks and regards. Read Full »
Can low testosterone levels cause fatigue and increased heart rate?
Query: Hi doctor, I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking. The following morning, I always wake up early to a pounding heart, and it scares me. This happen... Read Full »
Answer: Hello, Welcome to icliniq.com. As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free te... Read Full »
Is my testosterone-free test level in the normal range, or should I take a treatment for the same?
Query: Hello doctor, My testosterone-free test level came up as 25.20 ng/dL. I want to know whether it is in the normal range or if any treatment should be taken. Read Full »
Answer: Hello, Welcome to icliniq.com. It is in the normal range. If you do not have any physical problems, then you do not need any treatment. Read Full »