I am 33 years old. My testosterone levels over the years have been: 476 ng/dL (2017), 422 ng/dL (2023), and 453 ng/dL with Free T = 10 pg/mL (2026). My recent hormone profile shows FSH = 19.6 (slightly high), LH = 8.01 (upper‑normal), Prolactin marginally high, and TSH = 10.068 (high, subclinical hypothyroidism).
My semen analysis shows 2 mL volume, 200 million total sperm, 70% motility, 75% vitality, and 70% normal morphology.
Given these reports, can you please advise:
1. Are my testosterone and semen parameters normal for my age?
2. Do these values indicate good fertility potential, erection strength, and libido?
3. Should I be concerned about high TSH and marginally high FSH/Prolactin?
4. Do I need further tests or treatment for thyroid/hormonal balance?"
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