Men: Who Needs Testosterone Replacement?

The decision to treat a man with testosterone (T) is not a slam dunk decision based on one test like the commercials for low T depict. Men come to me at any age over 40 (usually) with various levels of testosterone, medications that may affect testosterone levels, other illnesses that interfere with sexuality and T levels, as well as various viewpoints on taking a hormone or a “medication” to replace what they used to make naturally. The initial decision to treat is dependent on his symptoms, blood levels of T and Free T, and levels of other hormones that affect T levels.