- Male
- 34 Years
- 17/09/2025
Hi Doctor, I took Saw Palmetto and Beta Sitosterol 500 mg to reduce my DHT. Since then, I have been experiencing sexual problems. I consulted a urologist who found my testicles are slightly small in size and volume by USG and Doppler. My testosterone level is 3.38 ng/ml. SHBG and diabetes levels are normal. I do not have anxiety. I can get an erection during masturbation, but the problem is that my testicles are small, I have no libido, and I do not ejaculate properly, it is just one drop. I have been facing this problem since I took Saw Palmetto. I stopped taking it, but the side effects are still the same. Should I go for hCG therapy or TRT? Whom should I consult, a urologist or an endocrinologist?
Answered by 1 Apollo Doctors
You may be experiencing post finasteride syndrome like effects from saw palmetto. Low libido, small testicle size, and testosterone of 3.38 confirm hypogonadism. You need a full hormonal panel and consult an endocrinologist. TRT (testosterone therapy) or hCG injections may be considered based on results.
Dr. Hema Suggests...
Take a FSH, LH, PROLACTIN Test or Take a TESTOSTERONE (TOTAL) Test
Answered 17/09/2025
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