Welcome! Your numbers are suggestive of secondary hypogonadism. It's hard to predict what any given urologist will do, but here are some things he should do: Measure testosterone a second time to confirm it's low. This should be done around 8-10 am. In addition, prolactin and estradiol should be tested. Other possible tests are discussed
here. The thyroid hormones are worth checking to ensure there's not concomitant hypothyroidism.
The point of the extra testing, aside from confirming hypogonadism, it to rule out treatable underlying causes. For example, either elevated prolactin or elevated estradiol can cause hypogonadism. If your hypogonadism is idiopathic, i.e. with unknown causes, then you would likely be given the option of testosterone replacement therapy. Typical options include transdermal testosterone and testosterone injections. I would urge you to look into testosterone nasal gel as a first-line treatment. The name brand is Natesto, and Empower Pharmacy also makes a version that is less expensive. Conventional TRT is more likely to cause side effects, especially testicular atrophy and infertility. This is due to the complete suppression of your own testosterone production. The nasal gels have the large advantage of adding on to your own production instead of replacing it. This allows your body to function more like normal than if the whole HPTA feedback system is shut down.
