Hi there I understand your concern... It may be genetical or due to hormonal issues like low testosterone...there are numerous causes for decreased level, it may be due to trauma to the testis, infections,obesity,kidney diseases,liver diseases,certain medications mainly pain medications derived from opioids,people suffering from sickle cell disease or thalassemia can also have this,people taking glucocorticoids can also have this,other hormones in the body with abnormal levels can also impact on testosterone levels,chronic alcoholism is also one of the cause...so before starting on testosterone directly,so the underlying cause should be treated...Consult nearest endocrinologist they will do the needful.