Low testosterone (low T) evaluation
Testosterone is a hormone made by the testicles that affects energy, mood, sex drive, bone and heart health. Low testosterone, also called hypogonadism, is diagnosed when two blood tests show low levels and you also have symptoms.
Symptoms men describe
- Tiredness and low energy
- Lower interest in sex
- Mood changes
- Erection problems
Common contributors
Age, genetics, high blood pressure, diabetes, high cholesterol, an inactive lifestyle and tobacco use are all linked with low T.
Testosterone replacement therapy (TRT)
If testing confirms low testosterone, our urologists will talk through replacement options with you, along with the follow-up blood work each one needs. Lifestyle changes come first for many men. If treatment makes sense, we may talk about skin gels, injections, or pellets inserted beneath the skin during an office visit. Gels must not touch women or children while wet. Your clinician will review the benefits, risks and monitoring each option needs.
More on this topic from Advanced Urology: low testosterone
Educational information, not medical advice. Every treatment has risks, benefits and alternatives to discuss with your clinician.
When should you see a urologist about low testosterone?
Book a visit if low energy, lower sex drive or erection changes have built up over time, or if a blood test has already shown low testosterone.
What is recovery usually like?
Testosterone pellets are placed under the skin during a quick office procedure. Any form of treatment comes with follow-up blood work to track levels and other markers.
More questions we hear
How is low testosterone confirmed?
With blood tests, usually repeated, together with your symptoms. One low number alone doesn't settle it.
What forms of treatment are there?
Skin gels, injections and office-placed pellets are the forms we usually discuss. Gels are applied daily, injections follow a set schedule, and Advanced Urology notes pellets are typically placed every 3 months, so the choice often comes down to routine and how steady you want levels to be.
How often will I need checkups?
Blood tests a few months after starting, then at regular intervals, check testosterone, red blood cell count and PSA. Visits also review energy, desire and any side effects.
Which articles go deeper on low testosterone?
These short reads answer questions patients often bring to us.
- Can low T cause ED or low sex drive?
- Questions to ask before starting testosterone therapy
- TRT injections vs pellets vs gel: how to choose
All 3 articles on testosterone
Clinicians whose Advanced Urology profiles list this area: Daniel Roberson, PA-C, Shane Bell, PA-C, Anna Flint Todd, PA-C.
How is low testosterone confirmed?
Advanced Urology defines low testosterone as two low blood levels together with symptoms such as fatigue, low energy, a lower sex drive or mood changes. Aging, genetics and conditions like high blood pressure, diabetes, high cholesterol, inactivity and tobacco use can all contribute.
Goals of treatment
We treat to help you feel better day to day, in energy, mood, bones, heart and sex life. Because erection problems often travel with low T, our urologists look at both together and check for related conditions such as high blood pressure and diabetes.
Following up
Whatever treatment you start, regular blood work tracks your levels and other markers, and visits review how you feel. Treatment is adjusted or changed if it isn't helping.
Common questions
Are pellets done in the office?
Yes. Pellets are placed under the skin of the hip through a tiny cut with numbing medicine, and they release testosterone over several months.
Can lifestyle changes help?
Yes. Sleep, activity, weight and tobacco all matter, and they're part of every plan.
Videos from Advanced Urology
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