Evaluation and Management of Hypogonadism (Low Testosterone)

Male hypogonadism is typically treated with testosterone replacement therapy to restore normal testosterone levels. This therapy can alleviate various symptoms of hypogonadism, such as reduced sexual desire, low energy, diminished facial and body hair, and loss of muscle mass and bone density.

Hypogonadism can be caused by a variety of endocrinopathies which makes it important to work with a provider who’s experienced in the field; conducting the proper evaluation to discover how you can naturally increase your own testosterone or supplement.

For older men experiencing low testosterone and symptoms of hypogonadism due to aging, the benefits of testosterone replacement therapy are not as well-defined.

During testosterone therapy, the Endocrine Society advises that your healthcare provider monitor your treatment's effectiveness and any potential side effects multiple times in the first year and annually thereafter.

Get ready for your appointment.

What You Can Do:

Make a list of:

  • Your symptoms: Include any symptoms, even those that may seem unrelated to your main concern, and note when they began.

  • Key personal information: Record any major stresses, recent life changes, and history of childhood illnesses or surgeries.

  • All medications, vitamins, and supplements: Include doses for everything you take.


Questions to
Ask Sky

For male hypogonadism, consider asking:

  • What is the most likely cause of my symptoms?

  • Are there other possible causes for my symptoms?

  • What tests do I need?

  • Is my condition likely temporary or chronic?

  • What treatments are available?

  • How can I best manage my other health conditions alongside this one?

  • Are there any restrictions I need to follow?

What to Expect

Be prepared to answer questions about your condition, such as:

  • Are your symptoms continuous or occasional?

  • How severe are your symptoms?

  • What, if anything, improves your symptoms?

  • What, if anything, worsens your symptoms?

  • When did you begin puberty? Was it earlier or later than your peers?

  • Did you experience any growth problems as a child or adolescent?

  • Have you injured your testicles?

  • Did you have mumps as a child or teen, and did you feel pain in your testicles during that time?

  • Did you have undescended testicles as a baby?

  • Did you undergo surgery for a groin hernia or any genital surgery as a child?