I am a 26 year old male overweight, but two months ago changed my lifestyle. I quit smoking, started dieting, exercising, and sleeping better. I have noticed an improvement if feeling of wellbeing, but still have some symptoms of low testosterone. A few months ago I took a blood test because I developed gynecomastia and was having some erectile dysfunction here are the results:
Dhea(NL) 458ng/DL Ref range142-1410
Testosterone, total (DSL) 346Ng/DL Ref range 190-1037
Estradiol (DSL) 32 PG/ML None given
Cortisol 14.8 Ug/DL None given
I retested a month ago with a endocrinologist and here are the results:
FSH 5.7 Miu/ml Ref range 1.3-19.3
Lh 3.7 Miu/ml Ref range 1.2-8.6
Total testosterone 230 ng/dl Ref range 190-1037
Free testosterone 51.3pg/ml Ref range 35- 155
Shbg 12 nmol/l Ref range 7-49
Prolactin 15.7 ng/ml Ref range 2.6-13.1
Estradiol 55 pg/ml Ref range <207
My prolactin is out of range and my FSH and LH are a little low. The endocrinologist said there is nothing wrong and wants to retest in a month. Why are my testosterone levels so low? Does this indicate infertility? ( I have made my wife pregnant twice once was less than a year ago and she miscarried) He asked me if I have noticed a decrease in body hair and if I have any children. Is he thinking hypogonadal? With my levels would that point toward secondary and not primary? Sometimes my testes are soft not always, but they are within normal size range from what I have read. They are about a little over 2 inches each across. I have body/facial hair, male pattern baldness, penis is 4" flaccid and about 7" erect. Erections have improved, but problem has not disappeared and gynecomastia is bilateral originally unilateral. This is so depressing. Please help me.