David Levy, MD

Online Testosterone Treatment

Board Certified Urology Speciaist | David Levy, MD

Treat Low Tesosterone Today!

Testosterone deficiency affects millions of men in the United States. The definition of low testosterone is a serum level less than 300 ng/dl on two different early morning blood test assessments. (J Urol 2018; 200:42.3) Associated signs and symptoms should be present including but not limited to decreased erectile function, low libido, anemia, decreased bone density, infertility… It is imperative for men to be appropriately evaluated for testosterone deficiency before they are started on any supplement regimen.



Appropriate blood work includes:

1. Measurement of serum hemoglobin, hematocrit levels due to risk of polycythemia (thickening of the blood) and cardiovascular side effects.


2. Measurement of serum PSA levels for men age 40 and over to assess for risk of indolent prostate cancer.


3. Measurement of serum luteinizing hormone and prolactin levels.



Some of the benefits of testosterone supplementation may include:

1. Improved erectile function.
2. Increased libido (sex drive).
3. Improved bone mineral density
4. Improved lean body mass (muscle mass)
5. Improved depressive symptoms.



At present there is no direct evidence of development of prostate cancer in individuals who use testosterone supplementation.   It remains equivocal if testosterone supplementation improves cognitive function, diabetes, energy, fatigue, lipid profiles and general quality of life.   Long term impact on spermatogenesis and future fertility can occur with testosterone supplementation.   There are a variety of supplements available including injection forms both intramuscular and subcutaneous. Topical applications in the form of gels directly to the skin and intranasal application.   Regardless of the form careful blood test monitoring is essential during testosterone supplementation to assure patient safety and lack of potential side effects.