I have always had gender dysphoria to a large extent and have many anomalies from VATER Association. I had my testosterone levels checked in June of 2009 (bioavailable...the better test) and on a scale of 47 - 244 I was at 77. I had it checked in June of this year and it had dropped down to 46. I was started on testosterone replacement therapy 8 weeks ago and I was tested yesterday and now I am down to 28. How concerned should I be? Does this indicate a problem with my pituitary gland?