Low Testosterone Treatment 

Serving the Areas of Charlotte and Concord, North Carolina 

Millions of men in the US experience low testosterone, often after age 50, when testosterone production naturally declines. Testosterone plays a role in sexual health as well as energy levels, fertility, and bone health. If you are deficient in testosterone, you may experience symptoms of fatigue, weight gain, hair loss, muscle weakness, depression, loss of sex drive, erectile dysfunction. Long-term effects of low T include osteoporosis and a higher risk for heart disease.

There are numerous causes of low testosterone, but the most common cause is what is known as idiopathic…that is, the body just decides to stop making testosterone! Testosterone deficiency may also be caused by radiation therapy or cancer treatment, damage to the testes caused by an injury, tumor, or surgery, HIV/AIDS and other disorders.

In addition to a history and physical examination, diagnosis usually requires two sets of blood tests. The first is a screening testosterone level to determine whether or not you may have the condition. If it’s low, then secondary testing must be done to determine the reason behind the low levels. Ideally, testing for low T should be done first thing in the morning when testosterone levels are highest. A urine analysis and sperm analysis may also be used to confirm the diagnosis.

It is important to realize that there can be other causes of the symptoms mentioned (e.g. such as low thyroid), so it requires a bit of time to make the right diagnosis.

Take our quiz to find out if you have low T.

Urologist Dr. Richard Natale
Urologist Dr. Richard Natale

Treatments for Low Testosterone

The goal of treatment is to reduce your symptoms and improve your energy and overall well-being. Low T is treated with testosterone replacement therapy (TRT), which can be delivered through a number of different methods outlined below. You and Dr. Natale will determine which of the following is best for you.

Testosterone injections:

  • Short acting – typically testosterone cypionate, given once every 1 to 3 weeks; this can be done at home or in the office
  • Long acting – novel drug called AVEED is new on the market and is given every 10 weeks; this must be administered in the office

Topical testosterone:

  • Androderm, which is a patch applied to the skin daily
  • Tesosterone gels including Androgel, Testim, Fortesta, and Axiron

Testopel :

  • Unique long acting medication
  • Small ‘pellet’s that are injected under the skin
  • Treatment is given anywhere between 8 to 12 weeks

Common side effects of testosterone treatment (regardless of how it is given):

  • Increase in blood counts
  • Worsening of urinary problems and increase in PSA
  • Reduction in sperm count (it is important to let your doctor know about family planning)
  • Irritability

Some side effects are related to how the drug is given (e.g. rash with gels/patch, pain with injections). 

Don’t let your low T take the pep out of your step. Get to feeling yourself again and schedule an appointment today to discuss these treatment options with Dr. Richard Natale in Concord and Albemarle, NC.

Request an appointment online or call (704) 786-5131.

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