Low free and total testosterone but normal LH and FSH
Hello community. I am a 31 M, who exercise regularly (3-4 x/week) and try to eat healthy with good amount of protein, fats and carbs. For the past few months, I have been experiencing fatigue, muscle weakness, almost zero libido, my morning wood is also a rare event and I cannot sustain my erections. I don’t have energy to perform in the gym as well, it is becoming hard to lift the same weights i used to lift easily. So I got my hormones checked recently, and these are the results:
DHEAS: 8.61 µmol/L — Reference: 4.34–12.2 µmol/L
DHEAS: 3168 µg/L — Reference: 1597–4490µg/L
SHBG: 21.7 nmol/L — Reference: 18.3–54.1 nmol/L
Free Testosterone: 152 pmol/L — Reference: 174–729 pmol/L ↓
Total Testosterone: 6.41 nmol/L — Reference: 8.64–29.0 nmol/L ↓
Total Testosterone: 1.8 µg/L — Reference: 2.49–8.36 µg/L ↓
Free Androgen Index (FAI): 29.5 — Reference: 35.0–92.6 ↓
FSH: 3.0 IU/L — Reference: 1.5–12.4 IU/L
LH: 3.0 IU/L — Reference: 1.7–8.6 IU/L
LH/FSH Ratio: 1.0 — Male reference: not established
Prolactin: 121 mIU/L — Reference: 86–324 mIU/L
Estradiol: 52.6 pmol/L — Reference: 41.4–159 pmol/L
Estradiol: 14.4 pg/mL — Reference: 11.3–43.2 pg/mL
My free and total testosterone are very low. It’s very difficult to get an appointment of an endocrinologist where I live, the waiting time is 3-4 months. What is going on with my hormones? Did anyone experienced something like this? And how did you fix it?