Testosterone Deficiency
Clinic — Houston, TX
Low testosterone — or hypogonadism — is more than just low energy or reduced libido. It affects bone density, muscle mass, metabolic health, and cardiovascular risk. Our endocrinologists in Houston provide thorough evaluation and evidence-based treatment, not just prescriptions.
Quick Facts
Recognizing Testosterone Deficiency
Testosterone deficiency (hypogonadism) occurs when the body does not produce enough testosterone. It can result from problems in the testes (primary hypogonadism), the pituitary or hypothalamus (secondary hypogonadism), or from age-related decline.
Endocrinologists are the right specialists for testosterone deficiency because we investigate why your testosterone is low — ruling out pituitary tumors, thyroid disorders, and other treatable causes — not just replace the hormone without a diagnosis.
Fatigue
Persistent tiredness not explained by sleep or activity
Muscle Loss
Decreased muscle mass and strength despite exercise
Bone Thinning
Low bone density and increased fracture risk
Cognitive Changes
Brain fog, poor concentration, or low mood
Weight Gain
Increased body fat, especially abdominal fat
Low Libido
Reduced sex drive and erectile dysfunction
How We Evaluate & Treat Low Testosterone
Comprehensive Lab Evaluation
We measure total testosterone, free testosterone, LH, FSH, prolactin, and SHBG — at the right time of day (morning, when levels are highest). We also assess metabolic health, thyroid function, and complete blood count.
Identify the Root Cause
We determine whether your low testosterone is primary (testicular) or secondary (pituitary/hypothalamic) — a critical distinction that changes treatment. Secondary hypogonadism may be caused by a pituitary adenoma, obesity, sleep apnea, or medications.
Evidence-Based Treatment
Treatment options include testosterone replacement therapy (gels, injections, or pellets), or — for men who want to preserve fertility — stimulation therapies such as clomiphene citrate or hCG. Note: We do not prescribe aromatase inhibitors for hypogonadism management. We select the approach that best fits your health goals and clinical profile.
Monitoring & Optimization
Testosterone therapy requires ongoing monitoring of hormone levels, hematocrit, PSA, bone density, and metabolic markers. We provide structured follow-up to optimize your results safely and effectively.
Physicians Who Treat Testosterone Deficiency
Related Education Resources
Testosterone Deficiency FAQ
Why should I see an endocrinologist instead of a men's health or TRT clinic?
Endocrinologists are the only board-certified specialists in hormone disorders. We investigate the cause of low testosterone rather than just prescribing replacement. This matters because undiagnosed pituitary tumors, thyroid disorders, and other conditions can mimic low T and require very different treatment.
Will testosterone therapy affect my fertility?
Exogenous testosterone suppresses natural sperm production. If you want to preserve or restore fertility, we offer alternative treatments (clomiphene, hCG) that stimulate your own testosterone production. This is an important conversation to have before starting any therapy.
Is low testosterone a normal part of aging?
Testosterone does decline gradually with age — about 1–2% per year after 30. But significant symptomatic deficiency is not "just aging." Many men benefit considerably from evaluation and appropriate treatment regardless of age.
Do you offer telemedicine for testosterone management?
Yes. We offer telemedicine appointments across Texas, making it convenient to get expert endocrine care for hormone disorders from the comfort of home.