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 Test or Take a TESTOSTERONE (TOTAL) Test

Book FSH, LH, PROLACTIN Test Book TESTOSTERONE (TOTAL) Test

Answered 17/09/2025

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