Abstract
Symptoms of testosterone deficiency with elevated testosterone levels are rare and could occur with elevated sex hormone binding globulin (SHBG) levels. Here, we report a 59 year old patient presenting with erectile dysfunction (ED) with diminished libido for 4 months. He developed these symptoms 6 months after starting anti tuberculosis treatment (AAT). He had elevated total testosterone concentration along with raised SHBG. However, his free testosterone was normal. Repeated total testosterone level 2 months after completion of ATT was normal indicating normalization of SHBG levels.