Testosterone Replacement Therapy for Men
Feeling worn down, foggy or just not like yourself can be more than a sign of getting older. For men with clinically low testosterone, replacement therapy supervised by a physician may help with symptoms such as low energy. Results vary.
Careful care for low testosterone
Testosterone levels naturally decline with age, and stress, poor sleep, excess weight and certain medical conditions can lower them further. When levels fall too low, men often notice fatigue, reduced strength, a lower sex drive and a flat mood that is hard to explain.
We do not guess. Your evaluation includes a detailed symptom review and morning blood work, because testosterone is highest early in the day. A single reading is not enough, so we may repeat testing to confirm the result before recommending treatment.
If therapy is appropriate, you and your provider choose a delivery method that fits your life: weekly injections, a daily cream or gel, or long-acting pellets placed in the office. Throughout treatment we track testosterone, blood counts and other markers so that your dose stays in a healthy range and any side effects are caught early.
Testosterone therapy has possible risks, including elevated red blood cell counts, prostate effects that need monitoring, worsening of sleep apnea and reduced sperm production. Testosterone is a controlled substance, and pellets are compounded preparations that are not FDA-approved.
At a glance
- Best for
- Men with symptoms and confirmed low testosterone
- Options
- Injections, creams or pellets
- Testing
- Morning labs before and during treatment
- Monitoring
- Regular follow-up of hormone levels and blood counts
Signs worth discussing
Men who have noticed:
- Ongoing fatigue
- Lower sex drive
- Difficulty building or keeping muscle
- Increased belly fat
- Low mood or irritability
- Trouble concentrating
Your path to treatment
- 1Evaluation and labs. We review your symptoms and health history and measure testosterone and related markers with a blood draw.
- 2Choose your method. If treatment is right for you, we explain each option and its schedule so you can pick what is practical.
- 3Stay monitored. Follow-up labs and visits keep your dose in range and let us adjust as your body responds.
Men's health with a physician in charge
Dr. Deborah Viglione, a board-certified internist, considers sleep, weight, thyroid and heart health before and during testosterone therapy. Amy Schram, APRN and Brandy Nicholson, APRN support you with check-ins between visits.
Testosterone therapy questions
How do I know if my testosterone is low?
Symptoms alone cannot tell you, so we pair a thorough history with blood tests, usually drawn in the morning. Results are interpreted alongside how you feel.
How soon will I feel a change?
Many men notice improvements in energy and mood within a few weeks, while changes in muscle and body composition typically take several months. Results vary.
Does testosterone therapy affect fertility?
It can lower sperm production. If you hope to have children, tell us at your first visit so we can discuss alternatives or other approaches.
What does monitoring involve?
We typically recheck testosterone, red blood cell counts and other markers a few weeks after starting and then at regular intervals, adjusting your dose as needed.
Visit us in Gulf Breeze
103 Nightingale Ln, Gulf Breeze, FL 32561 · Get directions
Text or leave a voicemail at (850) 934-8138. Serving Gulf Breeze, Pensacola, Pensacola Beach and Navarre.
Individual results vary. This page is for information only and is not medical advice. Testosterone therapy is not appropriate for everyone and requires medical supervision.