Many individuals may find themselves questioning why they are experiencing a lack of libido or erectile dysfunction despite having high total testosterone levels. It’s important to note that while having a total testosterone level of almost 800 ng/dL is considered within the normal range, it does not necessarily mean that your free testosterone levels are optimal.
From birth to about age 12, testosterone levels continue to remain quite low. However, they will gradually increase as they near puberty, reaching the a high around age 16 or 17. The growing interest around male birth control pills came with good news for men suffering from extremely high testosterone levels. The effects of a pill containing dimethandrolone undecanoate (DMAU) were investigated and found to reduce both testosterone concentration and suppress serum LH production in the study’s subjects [19]. If your total or free testosterone levels are low, hormone replacement therapy or testosterone replacement therapy (TRT) can help. TRT replenishes your body with testosterone to combat the symptoms that are often attributable to low testosterone levels.
On the other, you have Germany (and basically any other country without on-arrival testing), where I basically waltzed out of the airport just like pre-COVID days. On the one end, you have South Korea, where the arrivals process was a 2-hour marathon, filled with queueing, endless document inspections and swabbing. On my previous trip to Koh Samui, no one really cared about MorChana.
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Free testosterone refers to the amount of unbound testosterone in the bloodstream that is available for use by the body’s tissues and organs. If your free testosterone levels are low, it can contribute to symptoms such as low libido and erectile dysfunction, even with high total testosterone levels.
However, as we mentioned in an earlier section, you can have normal total testosterone and low free testosterone due to high SHBG levels. Therefore, we test for both in a full blood panel during our comprehensive health assessments. The only way to know your testosterone level is with a blood test. You may talk to your healthcare provider about a testosterone level test if you have symptoms of low testosterone. Not everyone with low testosterone has symptoms but these can include low sex drive, hair loss, fertility problems or erectile dysfunction. For example, obesity can lead to a decrease in total testosterone levels since insulin resistance—a common consequence of obesity—lowers SHBG levels, causing total testosterone levels to drop, as well.
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Doctor-prescribed medication can lower higher than normal levels of testosterone. The amount of testosterone in your blood is measured in nanograms per deciliter (ng/dL). It can help doctors identify the causes of various conditions such as erectile dysfunction, hair loss, and osteoporosis [3]. Everlywell offers health and wellness solutions including laboratory testing for wellness monitoring, informational and educational use. With the exception of certain diagnostic test panels, list available here, the tests we offer access to are not intended to diagnose or treat disease.
Prolactin, a hormone secreted by the pituitary gland, can also play a role in sexual dysfunction. High levels of prolactin have been associated with decreased libido and erectile dysfunction. It’s important to have your prolactin levels checked to rule out any potential issues related to this hormone.
If you are experiencing low libido and erectile dysfunction despite having high total testosterone levels, it may be beneficial to consult with a healthcare provider to assess your free testosterone levels and prolactin levels. Addressing any imbalances in these hormones can help improve symptoms and overall sexual health.
