Hello doctor, I am a 19-year-old boy. I have gynecomastia and no facial hair at all. I also have several acne on my face and my back and chest. I think I have a hormonal imbalance. I have attached a copy of my hormone test reports. My FSH level is low at 0.74 µIU/mL but my LH level is normal at 4.96 µIU/mL. Please help. I have attached photos for your reference.
Hello. I have gone through the attachments (attachment removed to protect patient identity). It appears that although your FSH (follicle-stimulating hormone) is slightly low your testosterone and other gonadotrophic hormones are normal so it does not make a difference. Usually, the FSH varies depending on the time it is tested. If it bothers you then retest after one to two months. Your gynecomastia could resolve in a year or two naturally as some males do tend to have gynaecomastia in their late teens which normally resolve on its own by 21 to 23 years. Your facial hair shall come gradually as you are a late bloomer that is still having the effects of puberty. Take it easy and let your body take its normal course. Regarding acne you can take: You can have these once daily for as long as your face is cleared. This will take usually three to six months. For more information consult an endocrinologist online -->