Getting tested for low testosterone

noRxClinic simplifies the testing process with virtual consultations with licensed medical professionals.

During your consultation, your provider will review your medical history, evaluate your symptoms, and examine blood test results to confirm a diagnosis of low testosterone. This allows you to discuss personalized treatment options together.

Whether you choose noRxClinic or your existing healthcare provider, testosterone testing typically involves the following:

Total testosterone test

This is the most common screening method. It measures both protein-bound and unbound (free) testosterone in your blood.

Free testosterone test

This test measures only the unbound testosterone, which is considered the most biologically active form. While less frequently ordered, some specialists believe it provides a more accurate picture of testosterone deficiency.

LH and FSH test

If low testosterone is confirmed, your provider will likely test luteinizing hormone (LH) and follicle-stimulating hormone (FSH) levels. This helps identify whether the root cause lies in the testicles or the brain.

• Primary hypogonadism: Testicular failure where the testicles cannot produce enough testosterone despite adequate stimulation from the pituitary gland. Lab results show low testosterone with elevated FSH and LH levels.
• Secondary hypogonadism: Inadequate signaling from the hypothalamus or pituitary gland to the testicles. Lab results show low testosterone with low to normal FSH and LH levels.

Remember, a diagnosis of low testosterone typically requires total testosterone levels below 300 ng/dL plus observable signs or symptoms of deficiency.

Treatment options for low testosterone

Testosterone replacement therapy (TRT) is the most widely used treatment, but it is not the only option available.

If you receive a low T diagnosis, your healthcare provider will likely present several treatment pathways:

• Testosterone replacement therapy (TRT)
• Medications that stimulate testosterone production
• Medications for erectile dysfunction

Testosterone replacement therapy (TRT)

Testosterone replacement therapy is a form of hormone replacement designed for men with clinically low testosterone.

This treatment introduces synthetic testosterone to raise circulating levels and alleviate low T symptoms. TRT is available in multiple forms, including:

• Skin patches
• Topical gels
• Oral capsules
• Subcutaneous implants
• Injectable testosterone

Benefits of TRT:

• Increased muscle mass and strength
• Improved sexual function
• Enhanced mood and energy

Potential side effects:

• Skin irritation (especially with gels)
• Elevated red blood cell count
• Acne
• Hair loss
• Reduced fertility
• Possible increased risk of blood clots (reported in some studies)

In certain cases, TRT may worsen existing conditions such as gynecomastia, sleep apnea, or testicular shrinkage.

Important safety note: TRT may be contraindicated for individuals with a history of prostate cancer or other androgen-sensitive cancers. Always disclose any prior cancer treatment to your healthcare provider before starting testosterone therapy.

Medications to increase testosterone production

Alternative treatments that stimulate your body’s natural testosterone production include:

• Selective estrogen receptor modulators (SERMs) like clomiphene (Clomid®)
• Enclomiphene (a clomiphene derivative)
• Aromatase inhibitors like anastrozole (Arimidex®)

These medications work by signaling the pituitary gland to increase FSH and LH production, which in turn stimulates testicular function.

Human chorionic gonadotropin (hCG) is another option that mimics LH, signaling Leydig cells in the testes to produce more testosterone. Synthetic LH (Ovidrel) is also available and works similarly.

Advantages of these treatments:

• Do not negatively impact sperm production
• May improve fertility in some men
• Preserve natural testicular function

Limitations:

• Only effective if testicles are healthy enough to respond to stimulation
• Generally ineffective for primary hypogonadism with severe testicular failure

Medications for erectile dysfunction

Low testosterone does not always cause erectile dysfunction (ED), but the two conditions can coexist.

If you experience both ED and low testosterone, your provider may prescribe ED medications, either alone or alongside testosterone treatment:

• Sildenafil (generic Viagra®)
• Tadalafil (generic Cialis®)
• Avanafil (Stendra®)
• Chewable ED medications containing similar active ingredients

These medications work by relaxing smooth muscle in the penis, increasing blood flow to facilitate and maintain erections.

noRxClinic offers a combination treatment pairing enclomiphene with tadalafil to address both low testosterone and ED simultaneously without compromising fertility. Schedule a consultation to test your levels at home and determine if you qualify for treatment.

Testosterone support Enhance your sexual health with noRxClinic’s Sex Rx + Testosterone Support

Prevention tips for low testosterone

Hypogonadism in men under 40 is becoming more common, but several lifestyle adjustments can support healthy testosterone production:

Exercise regularly

Research suggests aerobic exercise may boost testosterone by reducing body fat and improving cardiovascular fitness.

Manage stress effectively

Chronic or severe stress can suppress testosterone production. Stress management techniques like therapy, meditation, or mindfulness practices support hormonal health.

Optimize your diet

Proper nutrition provides the vitamins and minerals necessary for testosterone synthesis. A balanced diet also helps maintain a healthy weight.

Prioritize quality sleep

Adequate rest supports bodily functions, including testosterone production. Aim for 7–8 hours of uninterrupted sleep per night.

Maintain a healthy weight

If you are overweight and lifestyle changes alone are not yielding results, weight loss medications like GLP-1s may be an option. Some studies link these medications to improved testosterone levels in hypogonadal men.

For more detailed guidance on adjusting your habits and lifestyle for better testosterone production, explore our comprehensive guide on natural testosterone optimization.

Final thoughts

If you suspect you have low testosterone, know that you are not alone. Struggling with hormonal health does not diminish your masculinity. Reach out to a healthcare provider to get tested and take steps toward feeling like yourself again.

noRxClinic is here to support you every step of the way with convenient testing, expert consultations, and personalized treatment plans.

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