General Questions

What is testosterone?

Men’s bodies produce the hormone testosterone mostly in their testes. In men, testosterone helps maintain:

  • Bone density
  • Fat distribution
  • Muscle mass
  • Muscle strength
  • Red blood cell production
  • Sex drive

What health issues are associated with testosterone deficiency?

Low testosterone in the male body is the result of a disorder called Hypogonadism. Testosterone affects bone mass, fat distribution, and muscle development. In addition, testosterone maintains energy levels, fertility, and sex drive.

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Does a low testosterone level cause the signs and symptoms of aging?

Testosterone deficiency can have several effects on the body, including:

  • Decreased sexual function
  • Loss of bone density
  • Loss of muscle mass
  • Increase in fat mass
  • Reduced muscle strength
  • Memory loss
  • Mood changes and depression

What are the potential benefits of testosterone therapy?

  • Improve muscle mass and strength
  • Increase bone mineral density
  • Thicken body hair and skin
  • Improve sexual desire
  • Boost energy
  • Decrease irritability and depression
  • Improve cognitive function

Can all men benefit from testosterone replacement?

Due to a number of societal changes impacting diet exercise and other lifestyle and environmental factors, more men today have low testosterone levels than previous generations.

However, not all men have a testosterone deficiency, or need to undergo replacement therapy. 

Once on therapy most men will benefit from testosterone replacement, but there are a few side effects.

How do I know if my testosterone is low?

You have been feeling more fatigued lately, but you have been chalking it up to long days at the office or a busy family life.  The changes that have come over you have been gradual, but you are noticing that your energy levels seem to be dropping and you are starting to put on a little weight.

These can be indicators that your testosterone levels are low. There are other indicators that your testosterone levels are low as well such as a loss of bone density, decreased muscle mass, decreased sexual drive, memory loss, and mood changes and/or depression.

If you are experiencing these symptoms, you should go to your doctor to get a blood test to help determine if the symptoms you are experiencing are a result of low testosterone, or if they are a cause of some other type of medical condition.

Can men be too old for testosterone replacement?

There is no age limit for testosterone therapy.  Testosterone therapy has produced some benefits in older men. As with any medical procedure, you will need to have your levels checked to confirm whether you are a good candidate for testosterone replacement.

Costs and Insurance

How much does treatment cost?

If you have insurance, the cost is usually the amount of your copay plus any unmet deductible.

Which insurances are you contracted with?

We accept most PPO insurances. Contact us and we’ll verify your benefits prior to your first appointment.

What if I don’t have insurance?

We offer a very affordable self-pay rate, which includes your office visits, exams, laboratory tests and up to 4 injections per month.


What type of testosterone do you use?

We use injectable testosterone cypionate.

Where is the injection given?

In the gluteal muscle on alternating sides with each injection.

What dosing schedule do you use?

We schedule injections every 7 days.

How do I qualify for testosterone replacement therapy (TRT)?

A simple blood test drawn in our office will reveal your levels. Results are given usually within 24 hours.

Does TRT stimulate my body’s natural production of testosterone?

No. We are supplementing what your body is not producing in sufficient quantity.

How long does TRT continue?

TRT may continue indefinitely.

Are there any side effects of testosterone replacement therapy?

As you consider whether or not testosterone therapy is right for you, there are side effects of testosterone replacement that you need to take into account. 

For example, if you already struggle with sleep apnea, testosterone replacement therapy could potentially make your sleep apnea worse. 

Another side effect could be decreased testicular size, and, in some cases, a decrease in sperm count.  Fluid retention, liver toxicity, enlarged breast size, increased red blood cells, and acne are also potential side effects of testosterone replacement therapy.  If you start to experience any negative side effects, report them to your local clinic immediately.

Can men experience hot flashes?

You’re lying in bed.  Your face feels flushed, and beads of sweat are popping out across your forehead.  You kick of the blankets thinking that will help, but it does not.  You think to yourself, “This can’t be a hot flash; hot flashes only happen to women, right?”  Wrong. 

Men who have low testosterone levels can also experience hot flashes. In fact, hot flashes are one of the most common symptoms of andropause.  In some cases, testosterone replacement therapy can help with controlling these hot flashes.

Does Low T affect penis size?

While most women don’t care about the size of a man’s penis, this can be a touchy issue with men. The good news is that low testosterone in older males does not necessarily affect penis size.  As a young man goes through puberty, his testosterone levels at that time will affect the size of his penis. 

Low testosterone levels in older males will usually cause other sexually-related side-effects such as sexual performance, decreased libido or an inability to maintain an erection.  These side effects can be treated with testosterone therapy. 

Is it safe to undergo testosterone replacement and take drugs for erectile dysfuction?

Erectile dysfunction (ED) is caused by many factors, including low testosterone.

Many studies have shown that testosterone replacement therapy will actually help with ED if the cause is low testosterone.  Additionally, if your testosterone is low and you are already on medication for erectile dysfunction, testosterone therapy may increase the affects of your ED medication.


How long does the first appointment take?

The first appointment is usually 30 minutes or less.

What happens at the first appointment?

After you fill out a few forms (or bring these downloadable forms in), you will be seen by a clinician who will review your medical history, perform a brief physical exam and draw blood for a Total Testosterone level and PSA (Prostate Specific Antigen).

How long does it take to get my lab results?

Either during your visit or within 24 hours.

What hours are you open?

Monday through Friday, 8:00am-6:00pm.