Before you begin any kind of therapy, it is highly advisable to have a
number of basic blood tests done. This provides a starting point
baseline from which when you begin TRT (if you do) you will be able
to clearly see what is working and what isn't and what needs to be
altered to provide optimum benefit. Also a PSA to verify you don't
have an enlarging prostate which could be benign or otherwise.
The basic tests can usually pinpoint the cause of your low T.
That being said, TRT using injections costs a fraction of what androgel
costs. Self administered injections are not expensive and I believe are your best option. I accidently doubled one of my weekly injections and a
test done shortly therafter showed my TT to be 1232. Usually I stay
in a range between 450 and 900 over the week. But it is easy to fine
tune if desired. Once I failed to inject on time and after a few days
without T my blood pressure shot way up which made me realize how
important it is to stay in a reasonable range.
Your numbers are way too low for good libido and maybe problematic
for other reasons as well.
Much luck to you in finding a competent medical practitioner as they
appear to be few and far between.
Once you get used to self injection you discover it is really painless
and for me makes me feel more self empowered.