Low Testosterone

Low testosterone, or hypogonadism, means testosterone levels are below the reference range together with symptoms. Diagnosis requires both symptom review and lab testing.

Fatigue, reduced libido, erectile difficulty, low mood, poor sleep, reduced muscle mass and increased body fat are common symptoms. They can have many causes.

Causes are usually multifactorial and can include aging, obesity, sleep apnea, chronic illness, medications, pituitary or testicular conditions, stress and poor sleep.

Diagnosis combines symptoms with blood testing, typically total and free testosterone, ideally more than once, plus labs to rule out other contributing factors.

Testing may include total and free testosterone, estradiol, LH and FSH, prolactin when indicated, complete blood count, metabolic panel, PSA in age-appropriate men, and thyroid markers.

Testosterone declines with age, but symptoms are not inevitable, and other causes should be evaluated before attributing symptoms to aging alone.

Yes. Testosterone therapy can suppress sperm production. Men planning to have children should discuss this before starting, and HCG may be discussed for fertility preservation, though this use is off-label.

When indicated, FDA-approved injectable, topical or other testosterone products may be considered, prescribed only when appropriate after an evaluation.

Testosterone therapy has risks that are reviewed before starting, and it requires monitoring of hematocrit, PSA and estradiol, along with symptom review.

Men with untreated severe sleep apnea, severe heart failure, active prostate or breast cancer, or plans for pregnancy may not be candidates. Individual risk factors are reviewed.

Yes. Evaluation, labs and follow-up work well by video visit, in states where Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM holds an active license, subject to federal and state rules for controlled substances.

Hair changes are not a reliable sign of low testosterone, and testosterone therapy does not consistently cause scalp hair loss. If hair loss is a concern, it deserves its own evaluation.

The relationship between testosterone therapy and cardiovascular risk is an area of ongoing study. Cardiovascular risk factors are reviewed before treatment, and monitoring continues throughout care.

Vitality Medicine RX is fee-for-service and does not bill insurance, Medicare or Medicaid. HSA and FSA cards are accepted, and superbills are available on request.

Book a discovery call. We will confirm your state, review your symptoms and history, and outline the evaluation steps.