26 April 2021

Do you think my testosterone rates are normal?

Here are the results of my hormonal balance:
LH: 4,7 U/L
FSH: 3,3 U/L
SHBG: 65,3 nMol/L
Total testosterone: 34nMol/L

I have little energy, a little depressed, low sexual desire, little hair, little muscle mass, …
Do you think these rates are normal or can they be hiding something?

Thank you.


Matthew Scott
Hi Jack,
Thanks so much for trusting AlterHéros with your question.
I want to start out by saying that AlterHéros are not licensed medical practitioners, and therefore I can’t comment on your specific hormone levels. I would suggest making an appointment with either a physician or an endocrinologist (a doctor that specializes in hormones) to discuss your results further. Most of your results appear to be in the normal range, but this can all be influenced by things such as your height, weight,  levels of other hormones etc. so unfortunately it’s not possible for me to draw any real conclusions without knowing your entire medical background.
You listed a few different concerns you have, which included your energy levels, sexual desire, hair, muscle mass, and some depression. These are certainly all things that testosterone can impact, but they can also all be caused by a myriad of factors which may or may not be related to hormone levels.
There are many different reasons that you could be experiencing a low sex drive. This could have been brought on by medication, stress, anxiety etc. If you’ve recently experienced a change in your level of sexual desire, it may be worth taking a look at what other factors (if any) have changed in your life that may have coincided with this.
If, however, you have always had a low level of sexual desire, then it is possible that you simply have a naturally low sex drive, which is something that many people experience. There is absolutely nothing wrong with having a low sex drive and this is not necessarily something that you need to worry about. If, however, you are concerned about your low sexual desire, or if it is something that you would like to change, you can certainly reach out to a doctor to discuss the situation further. It is possible to increase your sex drive through the use of medication or therapeutic techniques if that is something that you are interested in.
You also mentioned that you are experiencing some depression, and again I am curious if this is something that has been a persistent problem for you, or if it has been a recent development. In either case, though, you may find it helpful to see a doctor or psychologist. Testosterone levels can certainly have an impact on mood, but so can many other things and it is definitely worth seeing a doctor who can explore some different possibilities with you, and hopefully provide some care options as well, which might include counselling, medication etc.
And lastly, you discussed some physical traits that you think may be impacted by your testosterone levels. Low muscle mass, and quantity of hair are both physical traits which are impacted in large part by our genetics. If you haven’t already, take a moment to reflect on the people in your family and take a look at whether your level of muscle mass and hair growth coincide with those of your father, grandfathers, uncles, etc. at your age. If you notice a significant disparity between your relatives’ physical traits and your own, it is certainly possible that something beyond genetic factors are at play, and again in this case, I would suggest seeing a doctor who can take a look at your entire medical history to come to an informed conclusion about what may be impacting your physiology.
Thanks again for your question, and I wish you all the best in finding the answers that you are looking for.
Please feel free to reach out again if you have any other concerns.
Matt at AlterHéros