Testosterone Replacement

  • Medical intervention aimed at managing low testosterone levels.
  • Approximately 1 in 4 middle aged men have low levels of testosterone.
  • Can result in symptoms such as fatigue, decreased libido, mood swings, and loss of muscle mass.
Dr. Francis Pettrela is a urologist specializing in men's health and fertility based in the greater Montreal area.
01: Bladder
02: Vas deferens
03: Urethra
04: Penis
05: Testes
06: Epididymis
07: Prostate gland
08: Seminal vesicle
01: Fibrous plaque
02: Skin
03: Tunica albuginea
04: Corpus spongiosum
05: Urethra
06: Cavernosal space
07: Cavernosal artery
01: Release valve
02: Pump
03: Scrotum
04: Cylinders
05: Reservoir

How is low testosterone diagnosed?

  • Having low testosterone is diagnosed by taking a blood test prior to starting treatment. Other tests may by ordered to determine the cause.

What are the causes?

Prior to starting patients on testosterone replacement therapy, it is vital for the physician to rule out other reversible causes:

  • Obesity
  • Active illness
  • Medication use
  • Sleep apnea
  • Other hormonal imbalance
  • Excessive exercise
  • Nutrient deficiencies

Treatment options?

  • Injections
  • Transdermal gels
  • Nasal gels
  • Biodentical pellets

Will it affect my fertility?

  • A surprise to many patients, testosterone replacement can lead to infertility in most cases. For these patients we can use (off-label) optimization using medications like Human Chorionic Gonadotropin (HCG), selective estrogen receptor modulators (SERMs), or aromatase inhibitors. Consult your nearest men’s health expert prior to beginning treatment.

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5 treatment options

Petrella MD Logo - Urologist Specializing Oral Medication
Oral Medication
Petrella MD Logo - Urologist Specializing in Penile Injection
Penile Injections
Petrella MD Logo - Urologist Specializing ins Vacuum Erection Devices
Vacuum Erection Devices
Petrella MD Logo - Urologist Specializing in Insertable Medication
Insertable Medication
Petrella MD Logo - Urologist Specializing Penile Prothesis
Penile Prosthesis