Endocrinology Service

Men's Hormone Health

Hormones drive energy, muscle, mood, libido, and metabolism. When they shift, men often chalk it up to age — but many of the symptoms attributed to 'just getting older' are treatable hormone problems with real, measurable solutions.

Men's Hormone Health

Symptoms worth investigating

If two or more of these have been going on for months, a proper hormone workup is worth the visit:

  • Persistent fatigue — Even after a full night of sleep.
  • Loss of muscle, gain of fat — Particularly around the midsection.
  • Low libido or erectile dysfunction
  • Brain fog, mood changes, or low motivation
  • Reduced bone density (osteopenia / osteoporosis)
  • Gynecomastia (breast tissue development)

How we evaluate

We don't prescribe TRT off a single number. A proper workup confirms a true hormone deficiency and rules out reversible causes (sleep apnea, opioid use, obesity, pituitary issues) before any therapy starts.

  • Total & free testosterone — Morning draw, repeated for confirmation.
  • LH, FSH, prolactin, SHBG — To classify the type of hypogonadism.
  • Estradiol, hematocrit, PSA — Baseline safety labs.
  • Sleep & metabolic screen — Sleep apnea and weight contribute heavily.

Treatment options

When TRT is appropriate, we offer the full range of delivery methods and tailor the regimen to your goals, fertility plans, and lifestyle. We also actively manage the side effects (red blood cell count, estradiol, PSA) so therapy stays safe long-term.

  • Injectable testosterone — Cypionate or enanthate, weekly or twice-weekly.
  • Testosterone gels & creams — AndroGel, Testim, compounded.
  • Testosterone pellets — Implanted every 3–6 months.
  • HCG / clomiphene — For men who want to preserve fertility.