Testosterone is a hormone produced primarily in the testes in men and plays a role in a range of physiological functions, including muscle mass, bone density, energy levels, mood regulation, and sexual health. Testosterone levels can decline with age, but symptoms and testosterone levels can vary considerably between individuals. Low testosterone should be evaluated based on symptoms, clinical findings, and appropriate laboratory testing rather than age alone.
This article provides general information about low testosterone, including commonly reported symptoms, the role of lab testing, and what a clinical evaluation at ProMedLongevity + Primary Care in Arlington and Valley Ranch Irving typically involves. It is not a substitute for a medical evaluation or personalized clinical advice.
What Is Low Testosterone?
Low testosterone, sometimes referred to clinically as hypogonadism or androgen deficiency, refers to a condition in which the body produces insufficient testosterone. It can be categorized as primary (originating in the testes) or secondary (related to signaling from the pituitary gland or hypothalamus).
Clinical guidelines commonly use a total testosterone level below approximately 300 ng/dL as a threshold that may prompt further evaluation. However, diagnosis requires both appropriate symptoms or signs and consistently low testosterone levels, rather than a single laboratory result. A repeat early-morning testosterone measurement is generally recommended to confirm a low result, as individual readings can vary.
What Are the Common Reported Symptoms of Low Testosterone?
The symptoms associated with low testosterone can overlap with those of other conditions, which is one reason clinical evaluation and lab testing are important before any conclusions are drawn. Commonly reported symptoms in men that may be associated with low testosterone include:
- Persistent fatigue or low energy levels not explained by lifestyle factors
- Reduced interest in sexual activity
- Difficulty maintaining or achieving an erection (though this can have multiple contributing causes)
- Changes in mood, including increased irritability or low mood
- Reduced muscle mass or difficulty building muscle despite regular exercise
- Increased body fat, particularly around the abdomen
- Reduced bone density (identified through testing rather than symptoms in most cases)
- Difficulty concentrating or mental fogginess
Experiencing one or more of these symptoms does not confirm low testosterone. Many of these symptoms can be related to other conditions including thyroid disorders, sleep problems, cardiovascular issues, nutritional deficiencies, or mental health concerns. A thorough clinical evaluation is the appropriate first step.
What Does Lab Testing for Low Testosterone Involve?
A lab evaluation for suspected low testosterone typically begins with a blood draw to measure serum testosterone levels. Because testosterone levels vary throughout the day and are generally higher in the morning, testing is typically performed in the early morning.
Depending on initial results and clinical context, a provider may order additional tests, which can include:
- Free testosterone (the portion not bound to proteins in the bloodstream)
- Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) to assess pituitary signaling
- Sex hormone-binding globulin (SHBG)
- Prolactin levels in some cases
- A complete metabolic panel and thyroid function tests to rule out other contributing factors
At ProMed’s diagnostic screenings service, initial lab work and follow-up testing can be ordered and reviewed by the clinical team as part of a coordinated evaluation. Not all of the tests above are needed in every case; your provider will determine what is appropriate based on your situation.
Who Evaluates and Manages Low Testosterone?
Low testosterone evaluation and management falls within the scope of primary care providers, endocrinologists, and urologists, among others. A primary care provider in Arlington or Irving can often conduct the initial evaluation, interpret lab results in the context of your overall health, and discuss next steps. Referral to a specialist may be recommended depending on your individual circumstances.
At ProMedLongevity + Primary Care, the clinical team can order and review hormone-related lab work and discuss what the results mean for your situation. Whether and how to proceed from there depends on your individual clinical picture.
What Treatment Options May Be Discussed for Low Testosterone?
If a clinician confirms hypogonadism and determines that testosterone therapy is appropriate, different testosterone formulations may be discussed. The appropriate option depends on the individual’s diagnosis, medical history, treatment goals, and preferences. Forms that may be discussed include:
- Topical gels or creams applied to the skin daily
- Injections administered at regular intervals, either in a clinical setting or self-administered at home after instruction
- Patches applied to the skin
- Pellets implanted under the skin that release testosterone gradually over several months
Each formulation has different characteristics in terms of dosing schedule, administration, and individual response. A clinician would review these options in the context of your health history, lifestyle, and preferences.
Fertility is an important consideration before starting testosterone therapy. Testosterone replacement can affect sperm production, so men who are planning to have children in the near term should discuss their fertility goals with a qualified clinician before considering any treatment.
Testosterone therapy is not appropriate for everyone. Certain medical conditions and circumstances may make treatment inappropriate or require additional evaluation, including some prostate or breast cancers, elevated hematocrit, untreated severe sleep apnea, certain cardiovascular conditions, and plans for near-term fertility. Different formulations also carry different contraindications, warnings, and precautions. A clinician should review these factors before treatment is considered.
Testosterone therapy can have risks and side effects that require ongoing monitoring, including potential effects on blood pressure and blood cell counts. Your clinician can explain the potential benefits, risks, and monitoring requirements before treatment begins. This information should be reviewed against current FDA labeling for the specific formulation prescribed.
What About Lifestyle Factors?
Before or alongside any clinical treatment, certain lifestyle factors are associated with supporting healthy testosterone levels. These include maintaining a healthy weight or addressing excess weight when clinically appropriate, getting adequate sleep, managing chronic stress, engaging in regular resistance exercise, and addressing nutritional deficiencies. A clinician can help assess which factors may be relevant in your specific case.
Note: Lifestyle changes alone may not be sufficient if testosterone levels are clinically low, but they remain an important component of overall health management regardless of treatment decisions.
Frequently Asked Questions
Considering a Hormone Evaluation in Arlington or Irving?
If you are experiencing symptoms that may be associated with low testosterone and would like to speak with a clinician, the team at ProMedLongevity + Primary Care can conduct an evaluation at two DFW locations: 4201 Interway Place, Arlington, TX 76018, and 9901 E Valley Ranch Pkwy, Irving, TX 75063.
To schedule an appointment, contact ProMedhere or call (817) 438-6776 (Arlington) or (972) 417-1936 (Irving).
Medical Disclaimer: This blog post is intended for general informational & educational purposes only and does not constitute medical advice. It is not a substitute for a professional medical evaluation, diagnosis, or treatment plan from a qualified healthcare provider. Always consult a licensed physician or clinician regarding any health concerns or before making changes to your care.