Low Testosterone Treatment

Miami urologist Dr. Amy Pearlman specializes in the diagnosis, management, and treatment of testosterone deficiency in men of all ages.

What is Testosterone Therapy?


Testosterone is the main androgen found in people born male. Testosterone levels may start to decrease after 30 years of age by about 1% per year. Some men may even have low testosterone levels before 30.

What to expect with treatment

For many patients, testosterone therapy may lead to better erections, a higher sex drive, higher bone density, more lean body mass, improved depressive symptoms and improved energy and sense of well-being.

What are common symptoms of Low Testosterone?

Common symptoms of low testosterone include:

  • Reduced energy and fatigue
  • Reduced endurance
  • Diminished work and physical performance
  • Loss of body hair
  • Reduced beard growth
  • Reduced lean muscle mass
  • Obesity
  • Depressive symptoms
  • Cognitive dysfunction
  • Reduced motivation
  • Poor concentration
  • Poor memory
  • Irritability
  • Reduced sex drive
  • Reduced erectile function

What treatments are available?

There are many choices for testosterone treatment. 

  • Intramuscular: injected into muscle
  • Subcutaneous: injected into fat
  • Implanted into fat
  • Put on the skin with patches or gels
  • Taken orally

Treatment Benefits

  • Well-tolerated
  • Non-invasive
  • Minimal risk



  • Testicular injury/infection
  • Chemotherapy
  • Metabolic disorders 
  • Pituitary disorders
  • Medications (opioids, steroids)
  • Illness (acute/chronic)
  • Alcohol abuse (cirrhosis)
  • Chronic kidney disease
  • HIV/AIDs
  • Inflammatory conditions 
  • Obesity
  • Extreme weight loss
  • Diabetes
  • Sleep apnea
  • Aging
  • Prior anabolic steroids
  • Hypothyroidism
  • Head trauma
  • Brain radiation


  • Flushing
  • Edema or swelling
  • Breast enlargement
  • Injection site pain
  • Testicular shrinkage
  • Infertility
  • Acne
  • Scalp hair loss

Testosterone therapy can cause infertility. It is important to notify your healthcare provider if you are interested in current or future fertility as this will impact the treatment plan.

Human chorionic gonadotropin (hCG) may be used with testosterone therapy. It can help prevent the testicles from shrinking. 

Not necessarily. Men who start testosterone therapy who do not notice symptomatic benefit can stop at any time. Men who notice symptomatic improvement often stay on testosterone long-term.

There is no evidence to link testosterone therapy to prostate cancer. Many men with low testosterone and treated prostate cancer can safely use testosterone, as well.


Dr. Pearlman is fellowship-trained in men’s health, including testosterone deficiency. She believes in providing comprehensive care when it comes to the treatment of male hormonal concerns. As a result, she will discuss all treatment options with you prior to consideration of testosterone therapy so that she can help you come up with a treatment plan to best meet your quality of life goals. 

Doctor-Recommended Products

Explore our curated list of men’s health products, handpicked by Dr. Amy Pearlman

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