Low Testosterone (Hypogonadism)
Low testosterone, also called hypogonadism, occurs when the body doesn’t produce enough of the hormone testosterone. This hormone plays an important role in many body functions, including the development of male characteristics, maintaining muscle mass, bone strength, and overall energy levels.
Although testosterone levels naturally decline with age, other factors can also cause low levels. These include chronic illness, genetic conditions, certain medications, and obesity. Some men experience levels that drop low enough to impact their quality of life.
Common Symptoms
Symptoms of low testosterone can vary, but often include:
-
Fatigue or low energy
-
Decreased libido or sex drive
-
Erectile dysfunction
-
Mood changes or irritability
-
Difficulty concentrating
Some men may also notice muscle loss, increased body fat, or even osteoporosis, a condition that causes bones to become weak and brittle.
How We Diagnose Low Testosterone
At Brightmark Health, we start with a detailed medical history and physical exam.
We then check testosterone levels in the morning between 8 a.m. and 10 a.m.—the time when levels are highest. Tests are repeated up to three times to confirm the diagnosis.
Additional blood work may also be done to look for the root cause of the low testosterone.
Treatment Options
If your diagnosis is confirmed, several treatment options are available. The most common is testosterone replacement therapy (TRT), which can be given through:
-
Injections
-
Gels
-
Patches
-
Pellets
Brightmark Health offers in-office testosterone injections at an affordable price.
In some cases, lifestyle changes can help naturally boost testosterone levels. These include improving diet, increasing physical activity, losing weight, managing stress, and getting enough sleep.
Benefits of Treatment
For men with confirmed low testosterone, treatment can lead to major improvements in quality of life, such as:
-
More energy: Many men report feeling less tired and more active.
-
Improved sexual health: TRT may restore libido and improve erectile function.
-
Better mood: Some patients experience reduced symptoms of depression or anxiety.
-
Increased muscle and bone strength: TRT often helps build muscle mass and improve bone density.
Possible Side Effects
Like any medical treatment, TRT has potential side effects. These may include:
-
Acne: Increased testosterone can lead to skin breakouts.
-
Sleep apnea: TRT can worsen severe, untreated sleep apnea.
-
Increased red blood cell count: This can raise the risk of blood clots, so we regularly monitor blood levels.
-
Prostate issues: Testosterone may enlarge the prostate or worsen urinary symptoms. Men with prostate cancer are not candidates for TRT.
-
Infertility: TRT can reduce sperm production and affect fertility.
-
Heart concerns: Some studies suggest a slight increase in cardiovascular risk in older men on TRT.
At Brightmark Health, we monitor all patients closely with regular lab tests and follow-up visits to ensure safety.
Ongoing Monitoring
If you begin testosterone therapy, your levels will be checked again after three months, and then twice a year thereafter. This helps us ensure your treatment is both safe and effective.
Pricing
Initial Consultation – $300
Includes a 30-minute visit with Dr. Wu and all labs needed to confirm your diagnosis and evaluate your readiness for testosterone therapy.
Patients will need three separate morning testosterone tests.
If testosterone replacement is recommended and you wish to proceed:
-
Non-member patients: $120/month
-
Member patients: $80/month
This price includes all follow-up labs, office visits (one in the first year, two in following years), and twice-monthly injections.
The Bottom Line
Low testosterone can have a real impact on your health, energy, and overall well-being. The good news is that it can be treated safely and effectively with the right care and monitoring.
At Brightmark Health, we take a comprehensive approach to men’s health—offering clear communication, evidence-based treatments, and personalized care every step of the way.
Our Men’s Health Pricing
Initial consultation – $300
Includes 30 minute office visit with Dr. Wu, all labs needed to confirm diagnosis of low testosterone, and labs needed prior to testosterone replacement therapy.
Patients will need to have three different morning testosterone labs drawn.
If patient’s diagnosis of low testosterone is confirmed, and patient desires testosterone replacement we charge:
$120/month for non member patients
$80/month for member patients.
Includes all labs needed to monitor testosterone therapy and follow-up office visits (1 in the first year, 2 after the first year), along with twice monthly testosterone injections.