Our urology team offers safe and effective treatments to help men with low testosterone levels. Our urologists can prescribe Testosterone Replacement Therapy (TRT) through pills, shots, creams, or patches to increase the levels of testosterone in your body.
Low testosterone, otherwise known as hypogonadism, is a condition which affects many men as they age. Testosterone is produced in the adrenal glands and testes of males. The release of testosterone is regulated by the brain (hypothalamus and pituitary glands). Testosterone is a sex hormone essential for boys during puberty for development. Testosterone allows for the development of male physical features and sexual function. As boys exit puberty and enter adulthood, testosterone maintains muscle strength and mass, hair growth, bone density, sexual functions, energy and mood levels. Testosterone is also needed for sperm production. Generally, testosterone levels are highest in the morning and lowest in the evening but fluctuation does occur with age.
As men age, it is normal for their testosterone levels to decrease. About 4 out of 10 men over the age of 45 will have decreased testosterone levels. This affects sex drive, body fat, energy levels, and more. Many studies have demonstrated a decline in serum testosterone concentration with increasing age. The amount of testosterone that classifies as “low testosterone” is generally below 300 ng/dl. Yet there is debate among different medical societies and many suggest 270-1070 ng/dl as a normal testosterone range.
Sometimes referred to as “andropause,” low testosterone levels are often compared to menopause in women. However, in menopause there is a complete estrogen deficiency causing known clinical side effects. Men have decreased levels of their sex hormone with less obvious clinical consequences.
It is expected that most men will have some decline in testosterone as they age. Usually these declines are insignificant and do not cause noticeable symptoms. There are various factors that could cause low testosterone levels. Some of these include:
As describe above, men may or may not notice symptoms of low testosterone. Additionally, some of the symptoms of low testosterone overlap with other conditions. However, some of the more common symptoms adult men with low testosterone include:
Due to the magnitude of different causes of low testosterone our urologists utilize a team approach to determine potential causes. Besides obtaining a detailed history, work up for low testosterone generally includes:
With any medications or medical therapies, there are potential risks and adverse side effects. These may be, but are not limited to:
Patients are typically monitored every 3-6 months for symptom improvement and adverse events with examination, total testosterone, PSA, and hematocrit levels.
The physician assistants provide treatments for low testosterone including gels, injectables, implants, and more. These procedures are all performed in-office.
Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility.