Testosterone Levels: Is 4.350 Normal or Low? - Urology

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Testosterone level testing issues?


The blood test was primarily focused on thalassemia issues, but testosterone was also tested (I really have very little facial hair).
I would like to ask the doctor if a testosterone level of 4.350 is considered normal or low? If it is low, what treatment options are available?

Jiajia, 20~29 year old female. Ask Date: 2018/11/10

Dr. Du Shixi reply Urology


Hello: It depends on the unit of measurement; if the levels are low, the physician should explain, and there are normal values indicated in the report.
Wishing you good health.
If levels are too low, medication may be prescribed.

Reply Date: 2018/11/10

More Info


When evaluating testosterone levels, it's essential to consider the reference range provided by the laboratory that conducted the test, as testosterone levels can vary significantly based on age, time of day, and individual health factors. In general, testosterone levels are measured in nanograms per deciliter (ng/dL) in the United States. A typical reference range for adult males is approximately 300 to 1,000 ng/dL.
The value you provided, 4.350, seems to be in a different unit, possibly indicating that it is in nanomoles per liter (nmol/L). If this is the case, you would need to convert it to ng/dL for a proper comparison. The conversion factor is approximately 1 nmol/L = 28.84 ng/dL. Therefore, 4.350 nmol/L would convert to about 125 ng/dL, which is significantly below the normal range for adult males.
Low testosterone levels, or hypogonadism, can lead to various symptoms, including reduced libido, erectile dysfunction, fatigue, decreased muscle mass, and mood changes. In your case, you mentioned having less facial hair, which can also be a sign of low testosterone levels.
If your testosterone levels are indeed low, treatment options are available. The most common form of treatment is testosterone replacement therapy (TRT). This can be administered in several ways, including:
1. Injections: Testosterone can be injected intramuscularly, typically every one to two weeks, depending on the formulation.


2. Transdermal patches: These are applied to the skin and deliver a steady dose of testosterone throughout the day.

3. Gels: Testosterone gels are applied to the skin daily and are absorbed into the bloodstream.

4. Pellets: Small pellets containing testosterone can be implanted under the skin and release the hormone over several months.

5. Oral formulations: Although less common due to potential liver toxicity, there are oral testosterone options available.

Before starting any treatment, it is crucial to have a thorough discussion with your healthcare provider. They will consider your overall health, the underlying cause of low testosterone, and any potential risks associated with treatment. Regular monitoring of testosterone levels and any side effects is also essential during therapy.

In addition to testosterone replacement therapy, lifestyle changes can also help improve testosterone levels. These include:
- Regular exercise: Engaging in both aerobic and resistance training can help boost testosterone levels.

- Healthy diet: A balanced diet rich in whole foods, healthy fats, and adequate protein can support hormone production.

- Weight management: Maintaining a healthy weight is important, as obesity can negatively impact testosterone levels.

- Sleep: Ensuring adequate and quality sleep is crucial for hormone regulation.

- Stress management: Chronic stress can lead to elevated cortisol levels, which can negatively affect testosterone production.

In summary, if your testosterone level is indeed low, it is essential to consult with a healthcare provider to discuss appropriate treatment options and lifestyle modifications that can help improve your hormone levels and overall well-being.

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