Low testosterone can contribute to ED, and restoring normal levels may improve erectile function. However, many men with ED have normal testosterone. We evaluate all factors contributing to your symptoms and address them comprehensively.

Testosterone therapy may affect fertility, increase red blood cell count, and has other considerations we discuss thoroughly. Regular monitoring through blood tests ensures your treatment remains safe and effective. We provide ongoing supervision throughout your treatment.

Options include testosterone replacement therapy (injections, gels, patches, or pellets), lifestyle modifications (exercise, diet, sleep optimization), and treatment of underlying causes. We discuss the benefits and risks of each approach to find what’s right for you.

Generally, total testosterone below 300 ng/dL is considered low, though symptoms can occur at higher levels depending on the individual. We interpret your results in the context of your symptoms and overall health, not just a number.

Diagnosis requires a blood test measuring total and free testosterone levels, typically drawn in the morning when levels are highest. We also evaluate related hormones (LH, FSH, SHBG) and assess your symptoms to create a complete clinical picture.

Common symptoms include fatigue, reduced libido, erectile dysfunction, decreased muscle mass, increased body fat, mood changes (irritability, depression), difficulty concentrating, and reduced bone density. Many men attribute these to “normal aging,” but they may be treatable.