Low Testosterone

Androgen deficiency is a condition in which the testes and adrenal glands produce insufficient testosterone, affecting reproductive function, sexual performance, body composition, bone strength, and cognitive well-being. It is estimated to affect roughly 13.8% of middle-aged and older men. Diagnosis is based on serum testosterone below 300 ng/dL with consistent symptoms; LH measurement helps distinguish primary from secondary causes.

Treatment may include testosterone replacement therapy (TRT) using oral medications, transdermal gels, injections, or pellets — chosen to suit lifestyle and clinical profile. The aim is to restore testosterone to the mid-normal range while minimising side effects. Importantly, men actively pursuing fertility should avoid exogenous testosterone, as it suppresses sperm production — we use alternative strategies in those cases.