Male Hypogonadism
Male hypogonadism is the clinical syndrome of testosterone deficiency combined with signs and symptoms of androgen insufficiency. It is classified as primary (testicular failure) or secondary (hypothalamic-pituitary dysfunction). Accurate classification guides treatment — secondary hypogonadism may be treatable with medications that stimulate endogenous testosterone production and preserve fertility.
When to Book
Book a visit if symptoms are new, persistent, getting worse, or affecting daily life. Early evaluation often prevents complications.
Symptoms
Low libido, erectile dysfunction, fatigue and reduced energy, depressed mood, decreased muscle mass, increased body fat, reduced bone density, hot flashes, decreased body and facial hair, reduced shaving frequency, and small or softer testes.
Causes & Risk Factors
Primary causes include Klinefelter syndrome, cryptorchidism, orchitis, testicular trauma or torsion, and chemotherapy or radiation. Secondary causes include hypothalamic-pituitary tumors, hyperprolactinemia, hemochromatosis, Kallmann syndrome, and functional suppression from obesity, opioid use, and anabolic steroid use.
How We Evaluate
Two early-morning (7–10 AM) total testosterone measurements establish the diagnosis. Free testosterone or bioavailable testosterone is calculated when SHBG may be altered (obesity, aging). LH and FSH differentiate primary from secondary. Prolactin, iron studies, MRI of the pituitary, and genetic testing are added based on clinical context.
Treatment Options
Testosterone replacement therapy (TRT) is available as topical gels, transdermal patches, subcutaneous pellets, or injections. Clomiphene and hCG stimulate endogenous production and preserve fertility. Underlying causes (hyperprolactinemia, hemochromatosis) are treated directly. We monitor hematocrit, PSA, and testosterone levels during TRT.
When It Is Urgent
Male hypogonadism is not an emergency. Seek prompt care if sudden testicular pain or swelling occurs — this may indicate torsion or acute orchitis requiring urgent intervention.
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 Male Hypogonadism
Our endocrinology team evaluates you as an individual and builds a treatment plan that fits your life — not a template.