Your hormone report shows that total and free
testosterone are in the lowânormal range, while
LH and
FSH are also at the lower end of normal. This pattern can indicate early secondary hypogonadism, where the brain hormones that signal the testes are not functioning strongly enough. The mildly raised
prolactin level can further suppress testosterone production, leading to symptoms like low libido, tiredness, and reduced energy.
Your
thyroid values (FT3 and FT4) are normal, so thyroid imbalance is not the cause. Stress, lack of sleep, and overexercising, or poor nutrition can also lower testosterone temporarily.
Repeat the test once in the morning (8â10 am) after a good sleep, and include serum cortisol and pituitary MRI (after physical evaluation) if low values persist. Lifestyle correction, weight training, proper sleep, and
vitamin D support can help improve testosterone naturally.
You can also take an online consultation on Practo, or you can visit my clinic, so I can guide you safely.