Low Testosterone
Careful evaluation, evidence-based treatment.
For: Patients with fatigue, low libido, mood changes, or loss of strength.
Overview
Understanding Low Testosterone
Testosterone deficiency, or hypogonadism, is diagnosed by symptoms plus repeated low morning laboratory values, not by a single test. Treating it correctly matters. Done well, therapy can restore energy, libido, mood, and body composition; done carelessly, it can affect fertility and blood counts.
Symptoms
Signs worth an evaluation
- Persistent fatigue, low mood, irritability, or brain fog
- Reduced libido or erectile changes
- Loss of muscle mass and strength, or increased body fat
- Poor sleep and reduced exercise tolerance
- Reduced body hair, hot flashes, or decreased bone density
Causes
Causes and risk factors
- Primary testicular failure from injury, infection, chemotherapy, or genetics
- Secondary hypogonadism from pituitary or hypothalamic causes
- Obesity, type 2 diabetes, and metabolic syndrome
- Obstructive sleep apnea
- Opioids, corticosteroids, and prior anabolic steroid use
Diagnosis
How we evaluate it
- 1Two separate early-morning total testosterone measurements
- 2Free testosterone, SHBG, LH, FSH, and prolactin to localize the cause
- 3Screening for sleep apnea, thyroid disease, and depression
- 4Baseline PSA, hematocrit, and cardiovascular risk assessment
- 5Semen analysis when fertility is a consideration
Testing is chosen for your situation. Not every patient needs every step listed here.
Treatment
Treatment options we offer
Lifestyle and metabolic optimization
Weight, sleep, resistance training, and medication review. This alone meaningfully raises testosterone for many patients.
Testosterone replacement therapy
Topical gels, injections, or long-acting options selected around your goals, schedule, and fertility plans.
Fertility-preserving therapy
Clomiphene or hCG-based approaches that raise natural testosterone without suppressing sperm production.
Treatment of the underlying cause
Addressing sleep apnea, pituitary abnormalities, or medication effects rather than only replacing the hormone.
Structured monitoring
Scheduled testosterone, hematocrit, and PSA checks so therapy stays safe over years, not months.
Why choose PSUMG
Specialist care for low testosterone, close to home.
Diagnosis follows guideline criteria, so you are not treated for a single borderline lab
Fertility is discussed before therapy starts
Long-term monitoring is built into the plan
We will not put you on testosterone you do not need, and we will not dismiss real symptoms because one lab result sits inside the reference range.
Related
Learn More
For additional patient education, explore these trusted resources.
Medical Disclaimer. This information is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider regarding your individual medical needs.