Testing before treatment
Low testosterone care in Snellville and Conyers
Tired all the time, a lower sex drive, mood changes: low testosterone can be part of the picture, but so can many other things. Our urologists start with testing, then talk through whether treatment fits you.
What is low testosterone?
Testosterone is a hormone made by the testicles that affects energy, mood, muscle, bone and sexual function. Low testosterone, also called hypogonadism, is confirmed by two low blood levels together with symptoms.
What are the symptoms of low testosterone?
Common symptoms include fatigue and low energy, a lower sex drive, erection problems, mood changes and hot flashes. Because these overlap with sleep problems, depression and other conditions, testing is essential.
How do our urologists test for low testosterone?
We check testosterone with blood tests, usually drawn in the morning, and repeat them to confirm a low result. We also look at related conditions such as blood pressure, diabetes and cholesterol.
How is low testosterone treated?
Options at Advanced Urology include gels or creams applied to the skin, injections, and testosterone pellets placed under the skin in the office every few months.
Lifestyle changes, including more sleep, exercise, weight loss and less alcohol, are part of every plan.
How is testosterone treatment monitored?
Follow-up blood tests check your testosterone level and other measures, and our urologists adjust the dose as needed. Let gels dry fully, and wash your hands after applying, so the medicine does not rub off on others.
Is there a video about low testosterone?
Yes. This short video is from the official Advanced Urology channel.
Watch: Dr. Greenstein on Low Testosterone What the video covers: Dr. Greenstein talks about low testosterone.
Which of our urologists see patients for this?
These urologists list it on their Advanced Urology profiles and see patients in Snellville or Conyers.
- Moshe Shapiro, MD · Snellville
- Marc Greenstein, DO · Conyers
Physician assistants and nurse practitioners who help with it: Hunter Woodard, PA-C, Bailey Murry, PA-C. They are not urologists.
Which articles go deeper on this?
Short answers from Advanced Urology on the questions we hear most.
What do people ask us about low testosterone?
How many blood tests confirm low T?
Low testosterone is confirmed by two low blood levels, usually drawn in the morning, along with symptoms.
How long before I notice a change?
It varies from man to man. Our urologists recheck your levels and symptoms at follow-up and adjust from there.
How often are pellets placed?
Pellets are typically placed every few months in a short office procedure.
Can low T cause erection problems?
It can contribute. Our urologists check for other causes of ED too.
Is testosterone covered by insurance?
Many plans cover it when testing confirms low levels. Please check your benefits.
Where are pellets placed?
In the office, under local anesthesia, through a small opening in the skin of the buttock.
More from Advanced Urology: Low testosterone
Related care: Erectile dysfunction · Testicular cancer · Vasectomy · All care
Where we see you: Snellville office and surgery center · Conyers clinic · What to bring and insurance

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