Peach State Endocrinology

Low Testosterone Specialist


Endocrinologist and Low Testosterone Specialist
located in Peachtree City, GA

Low Testosterone

Approximately 35% of men aged 45 and older grapple with low testosterone or male hypogonadism. If you’re experiencing symptoms such as erectile dysfunction, diminished muscle mass, or persistently low energy levels, it’s crucial not to procrastinate in seeking prompt and effective treatment options. At Peach State Endocrinology in Peachtree City, GA, Evgenia Korytnaya, MD (Dr. K), specializes in Male Hypogonadism. Schedule online or call to schedule an appointment with Dr. K today.

Learn more about Male Hypogonadism or Low Testosterone at Endocrine Society.

Low Testosterone

What is it:

Low testosterone, also known as male hypogonadism, is a medical condition in which a man’s body does not produce enough testosterone, the primary male sex hormone. Testosterone plays a crucial role in various aspects of a man’s health


  • Reduced Libido: A decrease in sexual desire or interest in sex is one of the hallmark symptoms of low testosterone.
  • Erectile Dysfunction: Difficulty achieving or maintaining an erection during sexual activity can be a symptom of low testosterone.
  • Fatigue: Low energy levels, constant tiredness, and a lack of motivation are common symptoms.
  • Depression: Feelings of sadness, irritability, and even clinical depression may be associated with low testosterone.
  • Decreased Muscle Mass: Loss of muscle mass or difficulty building and maintaining muscle can occur.
  • Increased Body Fat: An increase in body fat, particularly around the abdomen, can be a sign of low testosterone.
  • Reduced Bone Mass: Low testosterone can contribute to decreased bone density, which may increase the risk of fractures and osteoporosis.
  • Hair Loss: Thinning or loss of facial and body hair can be a symptom.
  • Hot Flashes: Some men with low testosterone experience hot flashes, similar to those in menopause.
  • Sleep Disturbances: Insomnia or other sleep problems may be associated with low testosterone.
  • Memory and Concentration Issues: Some individuals may have difficulty with memory and cognitive function.
  • Mood Changes: Irritability, mood swings, and a general sense of unhappiness can be symptoms of low testosterone.
  • Reduced Testicle Size: In some cases, the testicles may become smaller and softer.

What causes it?

Hypogonadism can be congenital or acquired due to factors like aging, certain medical conditions, or injury to the testes or pituitary gland.

Diagnosis and Treatment:

The diagnosis of low testosterone (male hypogonadism) typically involves a combination of clinical evaluation and blood tests. Here’s how it is typically diagnosed:

  • Symptom Assessment: A healthcare provider will begin by discussing your symptoms and medical history. This includes asking about any sexual problems, changes in mood, energy levels, and other relevant symptoms.
  • Physical Examination: A physical examination may be conducted, which can include assessing body hair, muscle mass, and the size and consistency of the testicles.
  • Blood Tests: The most common and definitive way to diagnose low testosterone is through blood tests. The tests measure the levels of total testosterone and sometimes free testosterone in the blood. Typically, low total testosterone levels combined with consistent symptoms are indicative of the condition.
  • Morning Testing: Testosterone levels fluctuate throughout the day, with the highest levels typically in the morning. Therefore, blood samples should be taken in the morning for more accurate results in men with normal sleep-wake cycle.

The treatment for low testosterone depends on the underlying cause, the severity of symptoms, and the individual’s overall health. Here are common treatment options:

  • Hormone Replacement Therapy (HRT): Testosterone replacement therapy is the most common treatment for low testosterone. It can be administered in various forms, including injections, gels, patches, and implants. The goal is to restore testosterone levels to within a normal range and alleviate symptoms. The choice of treatment method depends on individual preferences and medical considerations. 
  • Lifestyle Changes: In some cases, lifestyle modifications can help improve testosterone levels. This includes maintaining a healthy weight through diet and exercise, managing stress, getting enough sleep, and avoiding excessive alcohol consumption and drug use.
  • Addressing Underlying Causes: If low testosterone is caused by an underlying medical condition, such as obesity or a pituitary gland disorder, treating that condition may help improve testosterone levels.
  • Regular Monitoring: While on testosterone replacement therapy, regular follow-up appointments with a healthcare provider are essential to monitor progress, adjust treatment as needed, and manage potential side effects.

It’s important to note that testosterone replacement therapy is not suitable for everyone, and its use should be carefully considered in consultation with a healthcare provider like Dr. Evgenia Korytnaya. Potential risks and benefits should be discussed thoroughly, especially in individuals with certain medical conditions, such as prostate cancer, cardiovascular disease, blood clotting disorder. The treatment approach should be individualized to meet the patient’s specific needs and circumstances.

Learn more about Low Testosterone or Male Hypogonadism at Endocrine Society.

An Endocrine Society patient resource “Hormones and Erectile Dysfunction”. 

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