If your testosterone levels are slightly above the treatment threshold (e.g., total testosterone between 12–15 nmol/L), but you're still experiencing strong symptoms, we can explore several options to figure out the best way forward:
- Further testing
We may suggest a confirmation test to measure free testosterone (the active form) and check other markers like SHBG (sex hormone-binding globulin) and oestradiol. These tests give us a clearer picture of your hormonal balance and whether treatment could help. - Symptom review
Your doctor will take a close look at how you're feeling—things like fatigue, low libido, mood swings, and trouble concentrating. If your symptoms are strong and your testosterone is borderline low, a trial of treatment might still be considered. - Lifestyle factors
We'll also look at your lifestyle to see if things like stress, sleep issues, poor diet, or weight could be affecting your testosterone levels. Sometimes making lifestyle changes can help without needing any medication. - Trial of treatment
If your symptoms are significant and we've ruled out other causes, we might offer a short trial of testosterone therapy. During this time, we’ll monitor your response to treatment and your overall health. - Ongoing monitoring
Throughout the trial, we’ll keep a close eye on your testosterone levels and symptoms with regular check-ups and blood tests. If needed, we’ll make adjustments to ensure the treatment is working safely and effectively.