Testosterone Therapy and Men's Health

Who this care may be right for

Men who experience low energy, changes in libido, erectile concerns, mood changes, sleep problems or changes in body composition may benefit from an evaluation. These symptoms can have many causes, including thyroid, metabolic, sleep and stress factors, so testing matters.

Testosterone therapy is not for everyone. It is considered only when symptoms and labs support it, and after a review of your health history and risk factors.

Common symptoms and goals

Common concerns include persistent fatigue, reduced sex drive, erectile difficulty, low mood, poor sleep, reduced muscle mass, increased body fat and brain fog.

Goals typically include understanding what is driving symptoms, addressing contributing factors, and, when appropriate, restoring testosterone to a healthier range with careful monitoring.

How telehealth care works for men's health

You start with a discovery call, then complete an intake covering your symptoms, history, medications and lifestyle. Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM reviews prior labs and orders appropriate testing, then discusses findings and options in a dedicated visit.

Cardiovascular and metabolic risk, sleep and body composition are part of the evaluation, not just hormone numbers.

Labs that may be used

Evaluation typically includes total and free testosterone, along with estradiol, LH and FSH, prolactin when indicated, a complete blood count, metabolic panel and PSA in age-appropriate men, plus thyroid and other markers as appropriate.

Labs are completed near you or with home kits where available, depending on your state and the tests ordered.

Treatment options that may be considered

When testosterone therapy is indicated, options may include FDA-approved injectable, topical or other products, prescribed only when appropriate after an evaluation. HCG may be discussed for fertility preservation, and it is important to know this use is off-label.

Testosterone is a controlled substance. Telehealth prescribing follows federal and state rules, which can require additional steps depending on your state.

Men planning to have children, or with untreated sleep apnea, severe heart failure, an active prostate or breast cancer history, or other specific conditions, may not be candidates. These situations are reviewed individually.

Safety, risks and ongoing monitoring

Testosterone therapy requires ongoing monitoring. Key checks include hematocrit (red blood cell concentration), PSA (prostate-specific antigen) and estradiol, along with symptom review and blood pressure.

Risks are reviewed before treatment begins. Telehealth is not for emergencies: if you have chest pain, sudden weakness, vision changes or another emergency, call 911.

Cost of men's health care

Care is provided through our programs and memberships. See the Pricing page for details. Medications, compounded medications and outside lab fees are billed separately.

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