What Causes Persistent Low Testosterone Levels Despite Taking Medication?

Posted on Fri, 23 Sep 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 23 Sep 2016 Answered on

Mon, 17 Oct 2016 Last reviewed on

Question : I used testosterone n DECA durabilin last year and after taking 4-5 injections of both ..I stopped...I got fyn....but in the present year from march I feel low energetic.....my testosterone is near 300..very low...wat to do??

Answered by Dr. Prasanna Heijebu (14 hours later)

Brief Answer:
Testosterone replacement is required again

Detailed Answer:
Hello, Sir

I can certainly understand your concern.

Possibly, you require testosterone replacement again.

Before taking the shots again, it's advisable to get serum gonadotropin levels tested that is Serum FSH & LH.

Please check with your physician if he shares my view and if can prescribe these injections and tests to you.

Post your further questions if any.
Thank you.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Prasanna Heijebu (10 hours later)

I was totally fyn before taking testosterone.... i got fyn after stopping.....after a year i am feeling low energetic. ...wat to doo??Iam sending the reports ...

Answered by Dr. Prasanna Heijebu (36 hours later)

Brief Answer:
Doppler ultrasound of scrotum is required

Detailed Answer:
Hello Sir

I worked through your attached reports.

Both FSH and LH are normal.This requires further evaluation

It's important to get a seminal analysis and Doppler ultrasound of the scrotum to rule out testicular pathology , which might be causing low testosterone levels.

At this point, it's advisable to start testosterone replacement therapy after consulting your Endocrinologist.

Further management if any is largely based on seminal analysis and ultrasound reports.

Post your further questions if any.
Thank you.

Above answer was peer-reviewed by : Dr. Nagamani Ng