Women: Before You Begin Testosterone Replacement

I diagnose women with testosterone deficiency (TDS) only when they have both symptoms and low blood levels of free (active) testosterone. Prior to the first appointment, I evaluate a new patient’s lab work and medical history. This process allows me to make logical medical decisions without pressure from patients who want testosterone even if it is not medically necessary for their particular problems. When I see new patients, I make sure both of us make the most of our time and their money. As with everything in medicine, I not only look for and diagnose the hormone deficiency I look for other illnesses that may masquerade as testosterone deficiency, and for those patients, I meet with them but give them the option to see their primary care doctor about the other diagnoses. I don’t treat them with testosterone unless that is also evident.