Hello everyone!I am 27 years old, unmarried, and have an imbalance in my hormone levels. I had male breast development (gynecomastia) at the age of 13. By the age of 20, there was no further change, so I underwent surgery to remove the breast tissue. I have prominent male characteristics, including an obvious Adam’s apple, facial hair that requires daily shaving, nocturnal emissions, and morning erections.
Sex Hormone Panel:
Progesterone (PROG): 0.231 ng/ml
Testosterone (TESTO): 1.46 ng/ml
Estradiol (E2): 29.26 pg/ml
Luteinizing Hormone (LH): 22.88 mIU/ml
Follicle-Stimulating Hormone (FSH): 34.35 mIU/ml
Prolactin (PRL): 16.21 ng/ml
25-Hydroxyvitamin D (25-OH-VD): 13.97 ng/ml
Free Testosterone (FT): 6.58 pg/ml↓
Testosterone (TEST): 1.600 ng/ml↓
Follicle-Stimulating Hormone (FSH): 34.80 mIU/ml↑
Luteinizing Hormone (LH): 22.20 mIU/ml↑
Inhibin B (INB): 12.28 pg/ml↓
Chromosome Test Report: 46, XY, with no deletions in 15 AZF gene sequence-tagged sites.
Testicular Ultrasound:
Left Testicle: 1.5 x 0.9 cm
Right Testicle: 1.5 x 1.0 cm
Left Epididymis Head: 0.7 x 0.6 cm
Right Epididymis Head: 0.6 x 0.6 cm
HCG Stimulation Test:
Pre-stimulation: Testosterone (TESTO) 1.46 ng/ml
24 hours: Testosterone (TESTO) 4.53 ng/ml
48 hours: Testosterone (TESTO) 4.23 ng/ml
72 hours: Testosterone (TESTO) 4.13 ng/ml
Semen Analysis:
Liquefaction Time (LIQUE-TIME): 30 minutes↑
Total Sperm Count (QUANTITY): 34.80 million↓
Sperm Concentration (DENSITY): 8.70 million/ml↓
Sperm Vitality Index (INDEX-VITA): 0
The doctor could not provide a conclusion. I would appreciate it if you could help me analyze the potential cause. If additional test reports are needed, please let me know. Thank you!
