Hello! Your concerns are valid, and your symptoms along with low free testosterone and FSH suggest a possible issue with the hypothalamic-pituitary-gonadal axis. Since your total testosterone is normal but free testosterone is low, it indicates a possible elevated sex hormone-binding globulin (SHBG), which reduces active testosterone levels. Recommended Next Steps: Further Investigations: SHBG levels to assess if excess binding is reducing free testosterone. Estradiol (E2) to check for estrogen dominance. Thyroid profile (TSH, FT3, FT4) to rule out thyroid dysfunction. MRI Brain – Pituitary Protocol if pituitary dysfunction is suspected. Management Approach: Lifestyle modifications: Ensure adequate protein intake, resistance training, and proper nutrition. Check for insulin resistance or liver function issues, which can elevate SHBG. If hypogonadism is confirmed, further hormonal therapy or medical management might be needed. Your concerns about delayed intervention are understandable. Please consult an endocrinologist for a comprehensive hormonal evaluation. Let me know if you need further guidance.

Hi. I understand that you have significant concerns and you need a systematic evaluation with an endocrinologist Just FSH, LH and testosterone alone won't be enough to pin point onto the problem. You will need a complete Clinical history and examination by a physician or an endocrinologist. Following that you need a complete workup along with stimulation testing if required. I would suggest you take an offline consult for this rather than online.

Due to low testosterone you develop gynacomastia. Other disorder may found later. YOU MUST CONSULT AN ENDOCRINOLOGIST WITH MD PHYSICIAN.

Low free testosterone is responsible for high estrogen activity,which is female hormone. Thats why enlarged breast occurs in male. Causes of low free testosterone and gynaecomastia: Damage to cells in testes, Inflammation in testes, Swelling in testes, Radiation and chemotherapy, Disease of pituitary gland in brain, Anabolic steroids for weight gain.

Can help you with your concern. Your concern need to be evaluated in detail with history and possible examinations. Can contact for consultation via chat

Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

Endocrinologist consultation.

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Need few more details Kindly consult

Please consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits Fiber meal Do connect and consult

It's abnormal hormonal axis

Pls have physical examination with nearby endocrinologist and have a follow up.