Low Testosterone
Fatigue, low libido, mood changes and loss of muscle can signal low testosterone. Diagnosis is straightforward and treatment is monitored carefully.
Low testosterone (hypogonadism)
Testosterone naturally declines with age, but a clinically low level with symptoms — low sex drive, erectile problems, fatigue, depressed mood, reduced muscle mass, or difficulty concentrating — may benefit from treatment.
Diagnosis
Two early-morning blood tests confirm a low level, and additional labs check the pituitary, blood count, and prostate (PSA) before treatment.
Treatment
- Lifestyle changes: weight loss, sleep, exercise and reducing alcohol raise testosterone naturally
- Testosterone replacement by gel, injection, or long-acting pellets, with regular monitoring of blood counts and PSA
- Alternatives that preserve fertility for men who may still want children
Dr. Sosenko follows the American Urological Association guideline for testosterone therapy and reviews benefits and risks with each patient.
This page is general patient education and is not a substitute for a visit. Every patient is different — Dr. Sosenko will review your history, examination, and test results before recommending treatment.