I'm a 28-year-old male, and I started masturbating at 15. Now, I notice that my gonads and penis seem small, and my testosterone levels are 450 ng/dl, which I found online is considered low and could be a sign of hypogonadism. Ive been experiencing some symptoms like premature ejaculation, low muscle mass, mood swings, low self-confidence, and hair thinning. I recently visited a doctor for hair loss, and she prescribed Dutasteride, but now Im unsure whether to take it since I suspect my testosterone might be low. Is 450 ng/dl low? If it is, whats the treatment testosterone replacement therapy or something else? How can I address these issues?

Concerns about low testosterone and masturbation impact:_Testosterone levels:_450 ng/dL is considered within the normal range (300-1000 ng/dL) for a male aged 28._Hypogonadism:_Unlikely, given normal testosterone levels._Masturbation impact:_No scientific evidence links masturbation to:1. Gonad/penis size reduction2. Low testosterone_Symptoms:_May be related to other factors, such as:1. Stress2. Anxiety3. Poor lifestyle habits4. Sleep deprivation_Dutasteride:_For hair loss, Dutasteride can help. However, it may affect testosterone levels. Monitor your testosterone levels while taking Dutasteride._Treatment options:_1. Address lifestyle factors:- Exercise regularly- Balanced diet- Stress management- Adequate sleep2. Consult a urologist or endocrinologist for:- Hormone level re-evaluation- Premature ejaculation treatment3. Consider cognitive behavioral therapy (CBT) for:- Mood swings- Low self-confidence_Testosterone replacement therapy (TRT):_Not recommended unless testosterone levels are consistently below 300 ng/dL.