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4326355 tn?1354357341

Question about my testosterone number I just got from the dr.

I just had my testosterone level tested by my urologist and it came back with a 48 number. My question is how worried should I be about that number? I am having some more blood work done tomorrow so we shall see what that comes back with and what my dr says but I am only 33 and a number at 48 really scares the hell out of me. I have no energy and no sex drive with my wife right now and want to fix it. Also could bi polar do anything to my testosterone level? Thanks for any help anyone can give me.
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Avatar universal
MEDICAL PROFESSIONAL
Hi,
How are you? How was the blood work results? Normal testosterone levels for males is: 300 -1,000 ng/dL and may vary slightly among different laboratories due to different measurements or test different specimens. The levels in men are most often checked to evaluate signs of low testosterone such as seen in conditions like impotence, low level of sexual interest, infertility, or  thinning of the bones. Medical history an the symptoms present are important considerations also.  It is best that you talk to your doctor about the meaning of your specific test results. Take care and best regards.
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4326355 tn?1354357341
Thanks for the response. I had my fsh level checked and my prolactin checked after my testosterone came back at 48, and those tests came back normal. My urologist then had me go in for a testicular ultrasound to see if there was anything wrong with them and they came back normal as well. So My urologist put me on a testosterone replacement therapy and I'm having my testosterone checked in January to see if the levels have come up at all.

I'm just so confused as to why my testosterone would be so low if every test that they are running is coming back normal. I've been able to create three beautiful daughters in the last 9 years so I know i'm not impotent, but after my low t started I did have a vasectomy, but that should have nothing to do with my low t.

Would pain meds effect low t? I am on 20 mg of methadone and 4 pills of 10-325 percocet for my low back pain. Hopefully either in december or janary I will be having a fusion in my low back to hopefully get me off the pain pills and back to a normal life with less back pain. But could they cause this kind of problem?

Anyways, thanks for the reply and any other help that you can give me.

Ken S.
Helpful - 0
Avatar universal
MEDICAL PROFESSIONAL
Hi Ken,
Thanks for the update. It is good that the other hormone tests and ultrasound done were normal. Low testosterone levels may be caused by a number of factors: It is possible that there is a problem with the hypothalamus and  pituitary gland or problem with the testis. Factors such as aging, undescended testicles, injury to the scrotum, chemotherapy or radiation therapy, mumps orchitis, use of anabolic steroids, and even obesity may also be responsible. I agree with your attending physician that replacement therapy is the best option at this point.  Take care and do keep us posted with your repeat test on January. Best regards.
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