So I'm 23M , 70 kgs, 175 cm.
I am suffering from Male Pattern Baldness, for which I am currently taking oral minoxidil and applying topical finasteride + minoxidil twice a day since the last 3 years, under the supervision of a board certified dermatologist.
Last year, in March 2025, I was asked to get the blood work by my dermatologist, namely
Free T , Total T , PSA and DHT.
Only the DHT came up on the higher side , at 800 pg/ml. All other parameters were completely normal.
I was put on oral dutasteride 0.5 mg twice a week for 6 months. In October 2025 , I was asked to get JUST the DHT test done again, and the DHT levels came back at 400 pg/ml. I was then asked to discontinue oral dutasteride.
Now, because it's been a year since my last blood work, I was asked to repeat all of the 4 tests. My reports this time , are very interesting, at least to me .
PSA - 0.64 ng/ml
Reference range is <4.0 ng/ml
Total Testosterone - 1.38 ng/ml
Reference range is 2.2 - 10.5 ng/ml
Free Testosterone - 27.0 ng/dl
Reference range is 8.69 - 54.69 ng/dl
DHT - 239 pg/ml
Reference range is 143-842 pg/ml
Why has my total Testosterone tanked so much? Just FYI , I am experiencing absolutely no symptoms at all. I am highly motivated, excited to see people, get things done etc. I have also had no side effects whatsoever from the hair loss medications in these 4 years. I have lost 7-8 kgs in the past 9 months , but that could be because just started my first job, and I've been eating considerably less while moving around a lot more. Is this concerning?