How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Y. Your Own Question

Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20373
Experience:  Specializing in general urology and reconstructive urology.
32613003
Type Your Urology Question Here...
Dr. Y. is online now

I have symptoms of low testosterone and I have

Customer Question

Hi,
I have symptoms of low testosterone and I have for some time now. My serum testosterone came back as 12 nmol/l. I am a athletic 30 year old male, 75kg, and 181cm tall. From my research I see that I have the testosterone of a 90 year old!
Could you please advise me.
Thanks
Richard
Submitted: 8 months ago.
Category: Urology
Expert:  Dr. Y. replied 8 months ago.
Can you describe the symptoms that you're having? Do you take any medications? What time of the day was that lab value drawn?
Customer: replied 8 months ago.
Thanks for responding. I have no libido, no morning erections, no energy and a general sad/down outlook, poor sleep. My sport performance is also not very good - effort, strength and endurance all suffering. This has been going on for sometime now but seems to of gotten progressively worse.3/4 years ago I did use some prohormones which I suspect my body has never recovered from properly.I had a kidney infection in February which was treated with two courses of antibiotics.I don't take any medication and the blood was drawn at 11am.
Expert:  Dr. Y. replied 8 months ago.
Are you planning on having any children in the future?
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20373
Experience: Specializing in general urology and reconstructive urology.
Dr. Y. and other Urology Specialists are ready to help you
Customer: replied 8 months ago.
I have a young son. We would like to in the near future yes. What are your thoughts/my options?
Expert:  Dr. Y. replied 8 months ago.
Sorry didn't realize you are in UK. I cannot call to UK from USA
Expert:  Dr. Y. replied 8 months ago.
It sounds like you need to be started on testosterone replacement therapy. However, if you're planning on having children in the future, this composer problem as testosterone therapy is essentially birth control for men. You will no longer produce sperm while you are on testosterone therapy.
Expert:  Dr. Y. replied 8 months ago.
Therefore, you need to prioritize what is most important to you at this point. If the potential for having children in the future is more important, then you need to see any fertility specialist to consider starting you on a medication such as, things a try to help improve your testosterone levels while your sperm counts are maintained. But this is not a long-term medication you should be on. If having children is not as important and your symptoms are more bothersome to you, Then you should see a urologist to consider starting you testosterone therapy.they should also check some additional levels such as LH, estradiol if you are overweight, and prolactin to see what the underlying cause of your low testosterone level is. Hope this helps and let me know if you have questions
Customer: replied 8 months ago.
Do you think I am best seeing a urologist rather an endocrinologist?
Expert:  Dr. Y. replied 8 months ago.
Either Doctor should be able to manage this if they are trained properly. You should ask them whether or not they have experience in replacing testosterone in men who are still interested in having children in the future.
Customer: replied 8 months ago.
Ok thanks. What medication can increase my testosterone whilst maintaining sperm count?
Expert:  Dr. Y. replied 8 months ago.
Clomiphene citrate as above
Customer: replied 8 months ago.
Is clomiphene citrate a short term fix or long term? I read about testosterone with HCG being a possibility?
Expert:  Dr. Y. replied 8 months ago.
Clomiphene and HCG are short term fixes while you try to have children. Testosterone is the long term fix for the low testosterone but this will make you infertile.
Customer: replied 8 months ago.
Ok, thanks very much for all of your help. This is a long shot but I don't suppose you know of a consultant over here that you could recommend?
Expert:  Dr. Y. replied 8 months ago.
Sorry. I do not know any consultants over there
Customer: replied 8 months ago.
My 17 beta oestradiol result came back as *<18.35 pmol/L with a range of 44-156 pmol/L. What could be the cause and how is it treated? My latest testosterone test came back as 14.87 pmol/L but 10 days ago that was 12 pmol/L. Both tests carried out at 11 am. Thanks
Expert:  Dr. Y. replied 8 months ago.
Your latest testosterone levl levl is in the normal range. This would mean that you do not need testosterone replacement. The low estradiol level is not concerning and doesn't need treatment.
Expert:  Dr. Y. replied 8 months ago.
You should see your primary doctor to screen you for depression and sleep apnea as these can cause symptoms identical to low testosterone also.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. Y.

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/lyeung1/2010-07-25_032152_tn_IMG_0241.JPG Dr. Y.'s Avatar

    Dr. Y.

    Urologist

    Satisfied Customers:

    15021
    Specializing in general urology and reconstructive urology.
  • http://ww2.justanswer.com/uploads/TH/tharun/2013-12-28_0129_tailoredfitsuits.64x64.jpg Dr. Tharun's Avatar

    Dr. Tharun

    Urology Resident

    Satisfied Customers:

    614
    MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
  • /img/opt/shirt.png Dr. B's Avatar

    Dr. B

    Urologist

    Satisfied Customers:

    62
    Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    276
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University