Testosterone Replacement | Evaluation and Treatment

  • 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.
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Dr. Francis Pettrela is a urologist specializing in men's health and fertility based in the greater Montreal area.

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.

Meet Dr. Petrella

As a urologist specializing in testosterone replacement, Dr. Francis Petrella is recognized for his compassionate and professional approach. Schedule an appointment at the clinic and benefit from his expertise and know-how!

Book an appointment with Dr. Petrella

Causes of low testosterone

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
  • Bioidentical 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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