Low Testosterone

  • Overview
    • Testosterone is the male hormone that is required for male sexual development and fertility. Testosterone performs a myriad of other functions in male health, including bone and muscle growth, sexual health and interest, and mood stability. 
    • As men age, testosterone levels decline. This is normal. Some men experience symptoms of a declining testosterone and may benefit from supplementation of testosterone. 
  • Causes of low testosterone
    • Obesity
    • Heavy alcohol consumption
    • Certain medications, such as narcotic pain medications and antidepressants
    • Injury or loss of testicle
    • Genetic conditions
    • Other comorbidities/conditions
  • Symptoms of low testosterone
    • Erectile dysfunction
    • Low sex drive
    • Depressed mood
    • Fatigue
    • Trouble concentrating
    • Decreased muscle mass
  • Diagnosis
    • Diagnosis is made by a blood test. 
  • Treatment
    • Testosterone replacement is designed to boost circulating testosterone levels. This can be done with a variety of different mechanisms. 
      • Injections – self-administered injections weekly, biweekly, or monthly
      • Gels/creams – applied at home daily
      • Implantable pellets – small pellets inserted under the skin of the buttocks with local anesthesia. This treatment can last up to 6 months.