Hello.

Thank you for your query at DoctorSpring.com.

In order to give my best opinion, I will need a few more details in your case.

1. What was the level of Testosterone, LH and FSH reported in your test results?

2. Was a Thyroid function test done?

3. Did you have any symptoms like loss of libido, difficulty in having or sustaining an erection/sexual intercourse?

4. Did you have any loss of hair / slow growth of beard, axillary or groin hair?

5. Did you have any weakness, thinning of muscles etc? 

Please reply with answers to these questions,  and I will be able to advise you better.

Regards.

Hello.

In case you do have low Testosterone levels, then the best treatment is Testosterone replacement itself. Clomiphene is not a good choice here.

We also need to know the cause of low Testosterone, which will need tests like LH, FSH, Prolactin and if required, a MRI scan for pituitary.

Bouts of panic and anxiety may happen due to sudden fall in Testosetrone levels, but not necessarily due to cortisol. A rise in FSH, LH and some reasons, unknown can lead to such symptoms.

So I suggest that you get your LH, FSH and Prolactin levels checked as the first step.

If after Testosterone supplementation, your anxiety does not subside, you will need to consult a psychiatrist to evaluate your panic and anxiety and for appropriate management.

Let me know if you have any other queries.

Thank you.