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This is Dr. Dago. I'm board certified. I have over 10 years of experience.I understand your concerns.Do you have any other medical conditions?
Hello. This is Dr. Love.
The other expert is correct that the usual next step would be to repeat the level. You also read correctly that a morning test is more accurate. many doctors will go ahead and perform a first test whenever a patient is in the office, but when the test is repeated, the repeat test will purposely be done in the morning.
A low testosterone is fairly common as men get older. It is less common in young men, although it can occur at any age.
Some men with a low testosterone have issues with fertility, but it is not always a problem.
Anti-inflammatory steroids can suppress testosterone levels, but the effect would typically have worn off by the test done 9 days later.
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I do not know the specific prevalence rates for men in their 20's. or the specific accuracy of a test done at 1:30.
There are no studies on vaping and any potential effect on testosterone levels. But there is evidence that smoking cigarettes increases the risk of having a low testosterone.
Excessive masturbation does not decrease testosterone levels.
I tried to find some studies that look at the prevalence of low testosterone in young men, and all the studies I can find quickly only looked at prevalence by age beginning at age 40. For these studies, the prevalence started at about 2%. The prevalence in younger men would be lower, but the specific prevalence was not included.
Do you have any further questions?
Of course, until the labs are rechecked, it is not yet known whether you have this condition.
But if the repeat test is similar, the condition is not serious from the perspective that it is not life threatening in the short term. But it is something that warrants treatment and should not be ignored.
There is no reason to be stressing out about it.
Treatment is able to control the condition, even though it is not considered a cure.
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Many men with a low testosterone have normal erections. The presence or absence of any symptom can occur. While there are a variety of symptoms that can occur with low testosterone, there is no symptom that is always present.
Either a Urologist or an Endocrinologist can provide care for this, but most people see an Endocrinologist.
Yes, 9:30 AM will generate food results.
Yes, those are the appropriate tests to order.
No, masturbation will not affect the results.
No, they would not affect testosterone levels.
No. It is common, but not mandatory. As long as you are having normal erections for sexual encounters, doctor typically would not even ask about erections upon awakening.
I am sorry for the delay, but I had to step away from the computer.
Stress/anxiety would not affect the results.
No, this is likely related to the stress and anxiety, so try not to worry while awaiting the lab results.
If you want to try for a family, then you need to discuss this with your doctor, and treatment for the low testosterone may wait until you and your wife gets pregnant.
Low testosterone may or may not cause a low sperm count. Like the symptoms that I referenced earlier, any manifestation of a low testosterone will only happen in a percentage of men with a low testosterone. When you have the discussion with your doctor, your doctor may order a semen analysis.
There is no evidence that porn cause low testosterone levels.
It is better to try to relax and wait and see than to fret over the long weekend.
Studies have shown some variability, but even that is more complicated. Men that have low testosterone in the morning typically have less of a decrease in the afternoon compared to people with a normal testosterone in the morning. That is why it is difficult to predict the likelihood that your morning level will be normal.
Yes, it could be that you have been having manifestations of stress, but the morning erection does not mean anything about the level that is pending. As we discussed, some men with a low testosterone have no problems with erections, so having a normal erection does not mean that the testosterone level is normal.
As we discussed above, the fact that you have regular erections already said that you were not having erectile dysfunction.
It is normal to not get an erection when you are not in the mood. It is also common to not get an erection when you are pressuring yourself to get an erection, called performance anxiety.
You need to relax and just let it happen when the mood is right.
Correct, and not being in the mood, but all these things are inter-related. The stress and anxiety also may contribute to not being in the mood.
Yes, try to relax and just let it happen when the mood is right, as i said above.
What is the normal range for free testosterone in this lab?
There are slightly different methods for assays of free testosterone, and the normal range varies according to the method, so the result is only meaningful when compared to the normal range for that lab.
If the normal range for that lab is 32-168, then a result of 54 is within the normal range, so it is not low.
When the total testosterone is low and the free testosterone is normal, that means that you make a different amount of the protein that carries testosterone, which is not really a problem, other than it affects the lab tests. There is no need to do anything other than general good health habits -eating a healthy diet, getting regular exercise, and maintaining ideal body weight.
Yes, actually being overweight is one of the leading causes of altered levels of the protein that carries testosterone.
There are actually many other adverse health effects of being overweight that are more of an issue than the effect on this protein, so anyone should strive to achieve ideal body weight, but if this result provides motivation to lose weight, that is fine.
There is no evidence that these supplements will directly help with these protein levels. There is some suggestion that they may help with weight loss, but more research is needed.
Since the range varies in different labs, I do not even try to remember normal ranges.
Neither tells me what their normal range is for free testosterone.
Not really. While testosterone does partly bind to albumin, the protein that I reference above is a specific protein that carries testosterone and similar substances, called sex hormone binding globulin, But the "globulin" on the lab report that is next to the albumin is the total of a long list of globulins, so does not reflect the sex hormone binding globulin.
Yes, it is likely related to stress.
Correct, if the normal range for this lab is what you found online.
If it is low normal, yes.
If it is borderline, the doctor may want to repeat it after 4-6 weeks. But that is different than low normal.
We do not need to be discussing hypothetical ranges.
Once you know the range, then we can discuss it.
Yes, your free testosterone level is low normal, so you should not be worried. There is no need to see an Endocrinologist.
All that is correct.
You are very welcome.
You cannot second guess your decision after the fact. You need to wait until you get the results.
Yes, it can affect libido, but it is a direct effect of systemic steroids, not because of an effect on testosterone levels.
I cannot determine whether you should stop it over the internet. That is something that you need to discuss with your doctor. And the discussion also needs to include the status of your dermatitis and alternative treatment for the dermatitis.
It will not affect these blood tests.