Low Testosterone Treatment in San Antonio. For men and women.

What is Low Testosterone (Low T)?

Low testosterone or “Low T” is not a disease, but rather a natural aging process that can be regulated through proactive awareness. Testosterone production, which sustains sexual function and promotes muscular and skeletal health, drops 1% to 2% a year beginning in a man’s 20s. Almost 5% of the adult male population has Low T, but only a small percentage seeks treatment. Testosterone is important for multiple reasons. It helps:

  • maintain normal sexual and reproductive function
  • promote muscle and skeletal growth and maintenance
  • conversion to dihydrotestosterone (DHT), important for facial and body hair growth, acne suppression, and prostate development
  • conversion to estradiol (E2), which plays a role in bone formation and breast tissue development

Learn more about The Urology Place Testosterone Pellet Program

What causes testosterone decline?

Although testosterone levels naturally decline over time as men age, decline can also be the result of heredity, injury, medications, body fat, or disease. Patients suffering with obesity, diabetes, high blood pressure, high cholesterol, asthma, or COPD are more likely to have low testosterone levels as these conditions affect hormone production and response. Long-term use of some pain medications can also contribute to Low T.

Signs you might have low testosterone

Initial symptoms of low testosterone levels may include a decrease in sex drive (libido), lack of energy, mental “fog”, decreasing bone density, and increasing fat-to-muscle ratio. If testosterone levels remain too low for extended periods of time, men can experience more severe conditions such as infertility, erectile dysfunction, hair loss, and gynecomastia (male breast development).

How do I test my testosterone levels?

One of the best “at home” tests to help men understand whether low testosterone levels might be affecting them is called the ADAM questionnaire. ADAM stands for Androgen Deficiency in the Aging Male. Answering the questions in the ADAM survey below can be useful for men. A printable version of the ADAM test can be accessed here.

Patients answering “Yes” to numbers 1 or 7, or “Yes” to more than 3 of any of the questions may have low testosterone. Men at risk of low testosterone levels should schedule an appointment with a urologist for further confirmation, risk status, and treatment options.

Urologists at The Urology Place can confirm whether or not you have lower than normal testosterone levels with a simple blood test. Most experts agree that the majority of men should maintain a testosterone level above 300 ng/dl.

ADAM Questionnaire

1. Do you have a decrease in libido (sex drive)?

2. Do you have a lack of energy?

3. Do you have a decrease in strength and/or endurance? Yes No

4. Have you lost height?

5. Have you noticed a decreased “enjoyment of life”

6. Are you sad and/or grumpy?

7. Are your erections less strong?

8. Have you noticed a recent deterioration in your ability to play sports?

9. Are you falling asleep after dinner?

10. Has there been a recent deterioration in your work performance?

If you Answer Yes to number 1 or 7 or if you answer Yes to more than 3 questions, you may have low Testosterone. Click here to print the Questionnaire.

Treatment options for men experiencing testosterone decline

Testosterone levels are corrected through what is called testosterone replacement therapy (TRT). This therapy can be delivered in a variety of ways:

  • injections
  • patches (daily application) and rarely used due to skin irritation
  • gels applied to skin, which can be transferred to others and are expensive
  • subcutaneous pellets every three to six months. Learn more about our affordable testosterone pellet program.

Treatment with testosterone can help increase insulin sensitivity and decrease fasting blood glucose. It thus often helps improve markers for diabetes (HbA1c). Replacement can also improve cholesterol levels, reduce blood pressure, and reduce bone loss. Testosterone can help improve energy and sexual drive as well.

Testosterone Treatment in San Antonio

The Urology Place provides testosterone management and replacement therapies for men with low or declining testosterone levels. Your care at The Urology Place is managed only by board-certified urologists. Urologist have testosterone training and a deep understanding of hormones and hormone therapy. Testosterone injections are a cost-effective way to build testosterone levels.

If testosterone injections are needed, we can arrange shots or testosterone pellets.

Our pellets are “bioidentical.” Bioidentical simply means they are identical to the hormones your own body produces. Our pellet program uses tiny pellets measuring 3mm in diameter. Dosing is individualized to the patient. Usually pellets are placed once every 3 to 4 months. The Urology Place pellet program is affordable. We do not use ‘BioTe’, which heavily markets hormone replacement therapy. Our pellet program is an alternative to BioTe. Insurance plans do not cover our testosterone pellet therapy.

It is important to monitor your blood levels if taking testosterone. We coordinate quarterly lab checks to follow up on how you are doing clinically. Schedule an appointment with a doctor at The Urology Place in San Antonio today.

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