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.
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!
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.


