Understanding testosterone, supporting men’s health
Testosterone Therapy
Persistently low testosterone together with symptoms may warrant an evaluation. Treatment is considered only after appropriate testing and review of your health, goals and risks.
- 2013 Providing personalized care
- A4M Board-certified physician
- 20+ years Doctor-led experience
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- Confirmed diagnosis
- Individual options
- Fertility discussion
- Safety monitoring
What to know before treatment
Testosterone therapy is not prescribed on age or symptoms alone.
- Diagnosis
- Compatible symptoms and consistently low testosterone levels are needed.
- Fertility
- Treatment can suppress sperm production; discuss plans for children before starting.
- Health risks
- Your physician reviews medical conditions and contraindications before recommending therapy.
- Monitoring
- Follow-up and laboratory testing assess response and potential safety concerns.
What is Testosterone Therapy?
Testosterone therapy, also called testosterone replacement therapy, is used for men with clinically confirmed testosterone deficiency. Testosterone influences muscle and bone health, sexual function, red blood cell production and aspects of mood and energy.
Low testosterone may have several causes, including medical conditions, medications, obesity and sleep disorders. Symptoms alone do not establish deficiency; diagnosis generally requires compatible symptoms and consistently low levels under appropriate testing conditions.
Why choose Age Metrics Medical?
Dr. Jeff Ugalde considers symptoms, medical history, laboratory findings and goals together. If therapy is appropriate, follow-up and laboratory monitoring help evaluate response and safety rather than treating a number in isolation.
Who may benefit from an evaluation?
These concerns can have other causes and need clinical assessment.
- Changes in sexual desire or function
- Persistent fatigue
- Loss of muscle mass or strength
- Changes in body composition
- Mood or motivation changes
- Reduced bone density
- Laboratory findings suggesting low testosterone
What to expect
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Conversation
Review history, symptoms, medication, lifestyle and goals.
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Confirm the cause
Appropriate laboratory testing and further evaluation may identify deficiency and contributing factors.
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Discuss options
If indicated, review formulations, benefits, risks and fertility goals.
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Monitor and adjust
Follow-up, telemedicine when suitable and laboratory testing guide ongoing care.
Frequently Asked Questions
Does testosterone naturally decline with age?
Levels can decline with age, but treatment depends on symptoms, consistently low levels and individual medical circumstances.
How is low testosterone diagnosed?
Diagnosis generally combines symptoms with repeat laboratory measurements under appropriate conditions and, when needed, further evaluation.
How is testosterone therapy administered?
Options can include injections, topical preparations and other formulations. Your physician will discuss what is available and suitable.
Can testosterone therapy affect fertility?
Yes. It can suppress sperm production, so fertility plans should be discussed before treatment.
How is treatment monitored?
Follow-up and laboratory testing evaluate testosterone levels, response and safety concerns.
International patients
Why patients choose Costa Rica for their care
Patients from the United States and Canada may access individualized men’s health care in Costa Rica at a lower cost, depending on the plan. An English-speaking team can support communication and physician-directed follow-up.
Related services and treatments
Clinical References
- 01 Bhasin S et al. Testosterone Therapy in Men With Hypogonadism (2018). The Journal of Clinical Endocrinology & Metabolism
- 02 Mulhall JP et al. Evaluation and Management of Testosterone Deficiency (2018). The Journal of Urology
Schedule Your Consultation
A qualified medical evaluation can help determine whether testosterone deficiency contributes to your symptoms and whether treatment is appropriate.