Low Testosterone Treatment in Scarsdale, NY

Fatigue, low drive, softer muscle and a shorter fuse have many causes: poor sleep, sleep apnoea, thyroid problems, excess weight, medications. Low testosterone is one of them, and it is diagnosed only when symptoms line up with low total testosterone on two separate early-morning draws. The workup also measures LH and FSH, which show whether the problem starts in the testes or the pituitary and so which treatment fits.

Symptoms alone are not a diagnosis, but they are a reason to test.

• Low libido or fewer morning erections
• Fatigue and low motivation
• Loss of muscle or strength
• Low mood or poor focus
• Men planning children who want to know their options

Labs a few months after starting or changing a dose, then at least yearly.

Hematocrit. A hematocrit above 54% means the dose is paused or reduced.

PSA. A raised or rising PSA gets a urology evaluation before treatment continues.

Estradiol. Some testosterone converts to estradiol, which is checked on follow-up.

The heart. In the TRAVERSE trial, testosterone was noninferior to placebo for major heart events in men at high risk, with higher rates of atrial fibrillation, acute kidney injury and pulmonary embolism.

Testosterone cypionate. A weekly or twice-weekly injection that replaces testosterone. Suppresses sperm production.

Testosterone gel or cream. A daily topical that replaces testosterone. Also suppresses sperm production.

Enclomiphene. An oral medication that raises your own LH and FSH so the testes make more testosterone. Designed to preserve sperm production.

hCG. An injection that mimics LH, alone or alongside testosterone, to keep the testes working.

In the clinic or by telehealth.

1. Consultation. Symptoms, sleep, medications and fertility plans.
2. Two morning draws. Total and free testosterone, LH, FSH, estradiol, PSA and a CBC, drawn in Scarsdale or near home.
3. A plan, or a different answer. If testosterone is normal, you hear what else may explain the symptoms.
4. Monitoring. Follow-up labs for as long as you are treated.

From symptoms plus low total testosterone on two separate early-morning blood tests, per the Endocrine Society guideline. One low reading is not enough.

Often, yes. Enclomiphene and hCG raise testosterone while keeping the testes working, unlike testosterone itself.

At the clinic, 700 White Plains Rd #30, Scarsdale, NY 10583, or near home for telehealth patients.

Yes, for eligible patients in New York, New Jersey, Connecticut, Florida and California.

Protocol Health is a direct-care practice. We can provide documentation for eligible out-of-network benefits, and HSA and FSA cards are accepted for eligible services.