Men's health & hormones
Hormone therapy
We test, prescribe and monitor hormone therapy where it is genuinely indicated. The important part is the testing: the symptoms people attribute to low hormones — fatigue, low mood, poor sleep, low libido — have several other common causes, and treating the wrong one leaves the real problem untouched.
Come in if you have
- Persistent fatigue, low mood or loss of motivation
- Reduced libido or changes in sexual function
- You are already on hormone therapy and need monitoring or a review
- A clinic has offered you treatment and you want a second opinion
- You have been told your levels are low but nobody explained what that means
What happens at your visit
- We test properly — morning samples, repeated, alongside the other things that cause identical symptoms.
- We look at thyroid, iron, blood sugar, sleep and mood, because these overlap heavily.
- If treatment is appropriate we explain the benefits, the risks and what it commits you to.
- If you start, we monitor. Hormone therapy is not something to be prescribed and forgotten.
Test first, and test properly
There is a substantial industry built on prescribing hormones quickly, on the basis of a symptom questionnaire and a single blood test. It is fast and it feels responsive, and it frequently treats the wrong thing.
Fatigue, low mood, poor concentration, reduced libido and weight gain are the classic low-testosterone symptoms. They are also the classic symptoms of an underactive thyroid, iron deficiency, sleep apnea, depression, uncontrolled diabetes, and simply not sleeping enough.
All of those are testable. Several are considerably easier to fix.
What proper testing looks like
- Morning samples, because levels are highest early and fall through the day
- More than one, because a single reading is unreliable
- Alongside the other causes — thyroid, iron, blood count, blood sugar
- A conversation about sleep, because sleep apnea both causes these symptoms and is worsened by testosterone therapy
If treatment is right for you
We will explain what it does and does not do, what it commits you to, and what needs monitoring — red blood cell count, prostate markers where relevant, and your levels themselves.
We will also be straightforward about fertility: testosterone therapy suppresses sperm production, sometimes lastingly. If having children is a possibility, that changes the conversation and there are alternatives.
If it is not right for you
We will say so, and we will keep looking. Being told your testosterone is normal is not the end of the appointment — something is still causing how you feel, and that is worth finding.
Common questions
- Why do I need more than one blood test?
- Testosterone varies through the day and between days, and a single low reading is not enough to diagnose anything. Proper diagnosis needs at least two morning samples. A clinic that treats on one test is not testing you, it is selling to you.
- I saw an ad for a clinic that prescribes after one visit. Why are you slower?
- Because hormone therapy has real consequences — including on fertility, red blood cell count and cardiovascular risk — and because roughly half the people who come in with these symptoms turn out to have something else. Getting the diagnosis right first is the whole job.
- Is it lifelong?
- Often, yes, particularly for testosterone. Starting can reduce your body's own production, which makes stopping difficult. That is a genuine trade-off you should understand before beginning, not afterwards.
- Will insurance cover it?
- Sometimes, when levels are documented as low and the diagnosis is properly established. Coverage rarely extends to treatment without that documentation. Call and we will check your plan.
This page explains how we care for this condition at our office. It is general information, not medical advice for your specific situation — please talk to us about your own care.
Ready to get this looked at?
Call us or send a request and we will get you in — often the same or next day.