Low Testosterone: Evaluation and Treatment by Experienced Urology Specialists in NYC

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation or if you need a second opinion, please contact us   or call  1 212-204-6300

We offer highest-quality urology care by board-certified urologists.

What is Testosterone?

Hypogonadism treatment NYC

Testosterone is a naturally occurring hormone that is present at very high levels in men and very low levels and women.  Testosterone is responsible for sexual development in men during fetal life, in childhood, adolescence, and adulthood.  In women, testosterone is present at much lower levels, typically less than 10% of what a typical male has.  Testosterone in women is important in maintaining sexual drive among other functions.

Testosterone is produced primarily in testes in men.  A small amount of testosterone is also produced in the adrenal glands.

What is the Role of Testosterone?

Testosterone is a very important hormone which affects many functions of the body including metabolism, reproduction, red blood cell maintenance, bone maintenance, and muscle mass maintenance.  Testosterone is considered to be an anabolic steroid which means that it stimulates body functions.

What is Low Testosterone?

Testosterone levels vary tremendously from one man to another.  Testosterone levels also vary from day to day and during each day in any individual man.  For example, testosterone levels are typically higher in the morning and lower in the evening especially in younger man.

As men age, this variation becomes less pronounced.

Typically testosterone levels less than 300-350 are considered borderline low.  Because testosterone levels vary tremendously, a repeat testosterone level is necessary if the initial testosterone level comes back at less than 350.  It is important to note that some men have no symptoms with low testosterone and some men have symptoms with higher levels of testosterone which suggests that 1 rule does not fit all.

What are the Symptoms of Low Testosterone?

Low testosterone is also called hypogonadism.

Common symptoms of low testosterone include decreased sex drive, worsening erection quality, obesity, decreased energy levels, sleepiness, falling asleep after meals.  These symptoms are nonspecific and may be caused by many other medical issues other than low testosterone. It is important to have a thorough evaluation to avoid missing other causes of these symptoms.

What are the Causes of Low Testosterone?

Low testosterone can be caused by dysfunction of the pituitary gland which controls the release of the luteinizing hormone (LH) which in turn regulates testosterone production in the testes.  Low testosterone can also be caused by the failure of the testes to produce adequate levels of testosterone.  One of the causes of low testosterone in some men is a condition called varicocele.  Varicoceles high enlarged scrotal veins which can decrease the amount of testosterone produced in the testes.

What are the Treatment Options for Hypogonadism or Low Testosterone?

Treatment options depend on the underlying cause of testosterone deficiency.  The underlying causes lack of luteinizing hormone, hormone replacement therapy with luteinizing hormone equivalent can often effectively treat low testosterone levels.  If prolactinoma is present, treatment of prolactinoma is the initial target of treatment.

If a scrotal varicocele is present, microscopic varicocelectomy may improve testosterone levels in some men.

In men who desire fertility, testosterone replacement therapy may affect the fertility potential of the testes and a carefully planned approach is necessary to prevent infertility.

The most common treatment for low testosterone is testosterone replacement therapy.  Testosterone can be replaced using testosterone gel (AndroGel, Testim, AndroDerm, Axiron, Fortesta, injections and longer lasting Depo injections (AVEED) or testosterone pellets (TestoPel).  Oral and nasal preparations off testosterone are also available.

If you have any questions about low testosterone treatment, schedule a consultation, contact us or call 1-(212) 204-6300.  We have excellent reviews from patients and their partners. 

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.


Low T is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction and low testosterone levels.  We understand the challenges that ED creates for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex Health Problems in Men Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: (646) 663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.