Symptoms of Low Testosterone

Fatigue, low daytime energy
Decreased libido and weaker erections
Reduced muscle mass/strength; increased abdominal fat
Mood changes: irritability, low motivation, depression
Brain fog, reduced concentration or memory

Decreased body hair growth
Low bone density/osteoporosis
Sleep disturbances
Hot flashes or night sweats

How We Diagnose Low T

Two early-morning total testosterone tests on separate days (goal ≥ 300 ng/dL when treated in context of symptoms).
Comprehensive assessment of symptoms and focused physical exam.
Baseline labs to find causes and ensure safety: LH, FSH, prolactin, CBC/hematocrit, PSA, liver function, lipids, ± estradiol, thyroid, and fertility considerations.

We always correlate numbers with how you feel — and we address reversible causes first.

Common Causes

Sleep apnea
Obesity/metabolic syndrome
Medications (opioids, steroids)
Chronic illness or stress

Pituitary disorders or testicular injury
Natural aging

Benefits of Treatment (by System)

Brain & Mood

Improved mood and motivation; better focus and memory.

Sexual Health

Increased libido; improved erectile function and orgasm quality.

Musculoskeletal

More muscle mass/strength; reduced fat; stronger bones.

Metabolic

Better insulin sensitivity and lipid profile; weight support.

Energy & Sleep

Less fatigue; improved sleep quality and stamina.

Overall Well-Being

Enhanced confidence and quality of life.

Cardiovascular effects are an active research area; we individualize decisions based on your risk profile.

Before Starting Therapy

Optimize diet, exercise, and sleep.
Treat reversible causes (e.g., sleep apnea, medication effects).
Clarify fertility goals — most testosterone therapies suppress sperm production.

Treatment Options & Costs

Option	How It’s Used	Pros	Cons	Approx. Cost*
Topical Gel/Cream	Daily to clean, dry skin (shoulders/arms/abdomen)	Steady levels; needle-free; easy to adjust/stop	Transfer risk before dry; skin irritation; daily habit	~$45/mo generic (GoodRx); brand $200–$500
Clomiphene Citrate	Oral pill stimulates LH/FSH to boost own T	Preserves fertility; oral; affordable	Not for all; mood/vision side effects (rare)	$20–$60/mo
Short-Acting Injections	Self-inject weekly or twice weekly (cypionate/enanthate)	Lowest cost; flexible dosing; strong symptom relief	Peaks/troughs; injection discomfort; mood swings possible	$15–$40/mo + $5–$10 supplies
Testosterone Pellets	Implanted every 3–6 months	Set-and-forget; steady levels	Minor procedure; not adjustable between implants	$150–$400/mo equivalent
Oral TU (Undecanoate)	Twice daily with meals	Needle-free; stable with proper dosing	Expensive; must take with meals; may raise BP/lipids	$400–$900/mo

*Prices are typical cash estimates and may be lower with insurance/coupons. We’ll help you find cost-effective options.

Risks & Safety Monitoring

Possible Side Effects

Higher red blood cell count (hematocrit)
Acne/oily skin or fluid retention
Worsening sleep apnea
Mood changes; breast tenderness/enlargement
Prostate monitoring is essential

Ongoing Monitoring

Baseline labs: testosterone, hematocrit, PSA, liver function, lipids
Recheck at 6–8 weeks after starting/adjusting
Then every 3–6 months once stable
Targets: T 400–800 ng/dL, hematocrit <54%, symptom relief

We individualize decisions for cardiovascular risk, prostate health, fertility, and sleep apnea. Never start or stop therapy without medical guidance.

Our Recommendation

Topical gel with a savings card or GoodRx (often ~$45/month) balances convenience and stable levels for many men. If you prefer the lowest cost and are comfortable with self-injection, weekly injections are excellent. If preserving fertility is a priority, consider clomiphene citrate. We tailor therapy to your goals and medical profile — with close monitoring for safety.

Take the Next Step

At Advanced Urology, we personalize Low T care to restore vitality while protecting long-term health. Let’s review your symptoms, labs, and goals — then choose the best plan together.

Schedule a Consultation See How We Diagnose

Fertility plans, prostate history, and cardiovascular risk are discussed before starting therapy.