Should I see an endocrinologist for low testosterone?
Low testosterone, also known as hypogonadism or "low T," refers to an abnormally low level of testosterone, the primary male sex hormone. Some symptoms associated with low testosterone include:
- Decreased sex drive and sexual function
- Erectile dysfunction
- Depressed mood and reduced sense of vitality
- Difficulties with concentration and memory
- Reduced muscle mass and strength
- Increased body fat and reduced bone density
If you experience multiple symptoms associated with low testosterone, it may be beneficial to have an endocrinologist evaluate you. An endocrinologist is a medical doctor who specializes in treating hormone imbalances and diseases relating to the endocrine system. Some reasons to consider seeing an endocrinologist include:
- They can help confirm whether you have abnormally low testosterone through blood tests. Common tests include:
- Total testosterone level
- Free testosterone
- Luteinizing hormone (LH)
- Follicle stimulating hormone (FSH)
- They can determine the underlying cause of testosterone deficiency and provide targeted treatment
- Causes may include problems in the testes, pituitary gland or hypothalamus
- They can discuss the benefits and risks of testosterone therapy, which may help alleviate low T symptoms
- Options include gels, injections, patches and pellets
- They can monitor your health and adjust treatment as needed with follow up care
Before seeing an endocrinologist, it may be helpful to:
- Undergo preliminary blood tests with your general practitioner
- Discuss your symptoms in depth with your GP or primary care physician
- Keep a symptom journal tracking severity over time
- Get copies of all previous blood tests and imaging reports
- Make a list of current medications and supplements
The decision about whether or not to see an endocrinologist depends on factors like:
- Severity of symptoms - mild vs significant impact on quality of life
- Results of preliminary blood tests - how low testosterone levels are
- Your goals and expectations for treatment and health outcomes
- Your insurance coverage and ability to access and afford specialist care
Many insurances will require referral from your primary care doctor first before covering endocrinologist visits and tests.
In summary, seeing an endocrinologist may be appropriate if you have multiple progressive symptoms of low testosterone combined with very low blood testosterone levels. Together you can properly evaluate causes, discuss treatment options, and develop a customized treatment and monitoring plan aimed at getting your levels optimized and symptoms relieved.
