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

Dr Hema Pratima

General Practitioner

MBBS
Fellowship in Diabetes Mellitus
9+ Yrs

Consult Now

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, Serum Test or Take a Testosterone Test Test

Book FSH,LH & Prolactin, Serum Test Book Testosterone Test Test

Answered 17/09/2025

More TESTOSTERONE (TOTAL) Health Queries

View all

My husband has undergone two seminal fluid tests, one after 2 weeks and another after 2 months to check for azoospermia. I would like help interpreting these reports and understanding what the results indicate.

Answered by Apollo Doctors

Do they check testosterone levels in routine blood work?

Answered by Apollo Doctors

How do I increase the testosterone level in a male body?

Answered by Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.