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In particular, if one's testosterone level is low, then the next step is to see an endocrinologist. They will run an additional battery of tests to trace down exactly what is going wrong. In my case, they essentially concluded that my brain was sending out the correct signal, but it was not driving the correct response, so they prescribed a once a month injectable medication to supplement it directly.
I was told exactly the same thing years ago but admittedly never followed up with the Endocrinologist (many reasons). Like I was surging LH, but the response in the nethers wasn't there.
The good news is bloodwork on a later routine visit showed my T levels seemed pretty normal.
Out of curiosity did your endocrinologist have any theories why this disruption between messaging and production was occurring?
I can't remember if she had a theory or not beyond what I said, only that the additional tests did not identify the cause as being something else going wrong that could be treated directly, leaving testosterone supplementation as the best option.