Low Testosterone
Low testosterone — clinically meaningful androgen deficiency with associated symptoms — affects an estimated 2–6% of men but is underdiagnosed. Many men attribute fatigue, low libido, and mood changes to normal aging rather than seeking evaluation. Identifying and treating true testosterone deficiency improves energy, sexual function, body composition, and mood.
When to Book
Book a visit if symptoms are new, persistent, getting worse, or affecting daily life. Early evaluation often prevents complications.
Symptoms
Decreased sex drive, reduced morning erections, erectile dysfunction, fatigue, depressed mood, reduced motivation, decreased muscle strength, increased body fat, difficulty concentrating, and poor sleep quality.
Causes & Risk Factors
Testosterone declines naturally by 1–2% per year after age 30. Accelerators include obesity (aromatase converts testosterone to estrogen in fat tissue), type 2 diabetes, sleep apnea, opioid use, anabolic steroid history, alcohol use disorder, and chronic illness. Secondary causes from the pituitary (including prolactinoma) must be excluded.
How We Evaluate
Total testosterone drawn between 7–10 AM on two separate occasions is required for diagnosis. Free testosterone is useful when SHBG may be elevated (obesity, aging, hyperthyroidism). LH, FSH, and prolactin complete the endocrine picture. CBC, metabolic panel, and lipids assess metabolic health.
Treatment Options
Addressing reversible causes first: weight loss, sleep apnea treatment, opioid reduction, and alcohol moderation can meaningfully raise testosterone. When these are insufficient, TRT is discussed with attention to fertility plans. Clomiphene is preferred for men who wish to maintain fertility. All TRT methods are reviewed for patient preference.
When It Is Urgent
Low testosterone is not an emergency. However, a pituitary tumor causing secondary hypogonadism may produce headaches or visual field changes requiring prompt imaging.
Frequently Asked Questions
Do I need a referral to see an endocrinology provider?
No referral is needed at Nomi Beach Health. You can book directly with our team for hormone, thyroid, metabolic, or weight-management concerns.
How long does it take to see results from treatment?
Timeline depends on the condition. Thyroid medication often improves symptoms within four to eight weeks. Weight-loss interventions show measurable changes in four to twelve weeks. Hormone therapy timelines vary by the specific condition and individual response.
Will I need labs before my first visit?
You can come in without prior labs — we order whatever is appropriate during or after your visit. If you have recent results, bring them so we can start the conversation right away.
Are these conditions managed long-term or treated once?
Most endocrine and metabolic conditions require ongoing management rather than a single treatment. We build a follow-up schedule around your specific diagnosis and goals.
Can I be seen for weight loss even if I do not have a hormone diagnosis?
Yes. We evaluate weight holistically — including metabolic markers, lifestyle factors, and, when appropriate, medication options such as GLP-1 agonists.
Get a Clear Plan for Low Testosterone
Our endocrinology team evaluates you as an individual and builds a treatment plan that fits your life — not a template.