Age 31, very low testosterone, help!
I am looking for advice. I am 31. At a recent annual physical, I asked my dr. to check my testosterone level as part of my blood work, mostly out of curiosity, but also because I have trouble building muscle mass and strength despite putting in my time at the gym. Other than that, I have no other common low t symptoms. I have a great sex drive, no problem getting an erection, plenty of energy, have had 2 children recently (so am fertile),in good physical shape etc. My first test came back at 168. He did 1 more and it came back at 160. I was referred to an endo, who did a more detailed work up and came back with the following:
TESTOSTERONE, FREE AND - 01/24/13
- TESTOSTERONE, TOTAL, LC/MS/MS: 180 Low
- FREE TESTOSTERONE: 43.7
THYROID STIMULATING HORMONE (TSH) - 01/24/13
- THYROID STIMULATING HORMONE: 2.6 Normal
SEX HORMONE BINDING GLOBULIN - 01/24/13
- SEX HORMONE BINDING GLOBULIN: 16
FOLLICLE-STIMULATING HORMONE (FSH) - 01/24/13
- FSH, SERUM: 1.9 Normal
PROLACTIN - 01/24/13
- PROLACTIN: 7 Normal
RENAL FUNCTION PANEL - 01/24/13
- SODIUM: 143 Normal
- POTASSIUM: 4.6 Normal
- CHLORIDE: 100 Normal
- CARBON DIOXIDE: 29 Normal
- GLUCOSE: 103 High
- BUN: 20 Normal
- CREATININE: 1.1 Normal
- BUN/CREATININE RATIO: 18 Normal
- GFR ESTIMATED (CKD-EPI): 89 Normal
- CALCIUM: 10.4 Normal
- PHOSPHORUS: 3.5 Normal
- ALBUMIN: 5.4 High
LUTEINIZING HORMONE (LH) - 01/24/13
- LUTEINIZING HORMONE SERUM: 1.6 Normal
T4 FREE - 01/24/13
- T4 FREE: 1.37 Normal
The endo also sent me for an MRI, which came back with nothing. He said that he has run out of options for finding the root cause and that I just have low t. He prescribed me androgel, which I started last week. I am on no other meds or supplements.
My questions are:
Any ideas what could be causing this?
If I have no major symptoms, do I need to be on androgel?
Any other tests I should have done?