Depends: First repeat it with a free t and lh. A t of 260 can be due to many things. Second decide your reproductive intent. You might want a semen analysis particularly if you are offered testosterone replacement. If it is hypothalamic/ pituitary on repeat testing check prolactin and if necessary an MRI of the pituitary. 260 might be low normal for some labs.
Answered 6/10/2014
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See endocrinologist: There are many options for treating hypogonadism. However, it is imperative to identify the etiology of the problem as you have implied (primary testicular failure, hypothalamic/pituitary insufficiency, exogenous sources of estrogen/testosterone precursors, and even certain tumors). See your endocrinologist.
Answered 2/6/2015
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