How can low testosterone levels be improved?

Question

Hi doctor,

I have not reached the expected height. I am 5 feet 6 inches tall, while my mother is 5 feet 6 inches and my father is 6 feet. I had a blood test to measure my HGH (human growth hormone) levels, and the doctor also requested a testosterone and GH (growth hormone) test. The results, which came back a week later, showed that I had low HGH levels and a testosterone level of 21/42. Is this normal for an 18-year-old male? I was devastated to learn that my growth plates were closed, as indicated by an x-ray of my left hand. My doctor also asked if I was sexually active, and I responded no. I am concerned about erectile dysfunction—could this be a problem for me? Should I be worried about my testosterone levels? How can I increase my testosterone? I had a torsion three years ago, which may be a factor, and I also used to keep my mobile phone in my pocket all the time.

I am a sprint athlete with well-defined leg muscles, but this might be related to my short stature. I recently had another blood test for GH, and this time I was advised to fast for 14 hours, although I did not fast before the first test. Please help me understand what might be going on.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Please try to relax and not worry too much. You have not provided the exact values for your HGH (human growth hormone) and testosterone levels, including the units, so I recommend uploading your reports for more accurate guidance. As you mentioned, it does seem that you have low testosterone levels, but there is no need to be overly concerned. Your cell phone usage or past torsion history are unlikely to be related to this issue.

Given that you also have low HGH levels, it is possible that your pituitary gland is producing less LH (luteinizing hormone), which plays a role in stimulating testosterone production in your testes. Even if you are physically well-built and muscular, it does not necessarily mean your testosterone levels are normal.

I suggest getting the following tests done: free and total testosterone, as well as serum FSH (follicle-stimulating hormone) and LH levels. Make sure to have these tests done in the morning around 8 AM. Additionally, an ultrasound examination of your scrotum could help assess the status of your testes. If your testosterone levels are found to be significantly low, testosterone injections once a month for three months may be necessary.

I hope this helps you.

Thank you.