Low testosterone treatment (TRT) in Atlanta
Low testosterone is diagnosed with symptoms plus a blood test, and treated with testosterone replacement therapy (TRT) as gel, pellets or injections, or with medications such as clomiphene. Men's Health Georgia urologists see men for low T at all 14 Advanced Urology offices in metro Atlanta.
Medically reviewed by Dr. Chirag Dave
Key facts
- Men with symptoms and a low testosterone level on a blood test are candidates for TRT.
- We offer testosterone gel (daily), pellets (in office, about every 3 months) and injections (weekly up to every 10 weeks), and prescribe clomiphene and anastrozole when appropriate.
- Everyone on TRT has bloodwork every 3 to 6 months and a yearly exam.
- Insurance may cover one form and not another; we factor that in.
Symptoms of low T
- Decreased energy
- Decreased libido (sex drive)
- Difficulty building lean muscle mass
- Moodiness
- Difficulty concentrating
- Loss of bone density
Low testosterone can also contribute to erectile dysfunction and is commonly seen in men with Peyronie's disease. See ED treatment.
Compare your options
| Option | How it is given | How often | Considerations |
|---|---|---|---|
| Gel | Rubbed on the skin at home | Daily | Steadier levels, no needles; can transfer to partners and children by skin contact; costs more than injections |
| Pellets | Placed under the skin in a short office procedure | About every 3 months | Convenient; small procedure risks (bleeding, infection, pellet coming out in less than 1%) |
| Injections | Into the muscle, in clinic or at home after nurse teaching | Weekly up to every 10 weeks | Usually costs less; more peaks and valleys in levels; needles |
Other options include Natesto® nasal testosterone; skin patches are no longer recommended because of skin irritation.
Clomiphene and anastrozole for men
Testosterone is not the only medication for low T. After an evaluation and bloodwork, our physicians prescribe these when appropriate.
Clomiphene for men
Clomiphene citrate is an oral medication that signals the pituitary gland to release more LH and FSH, the hormones that prompt the testicles to make testosterone. Because it boosts the body's own production rather than replacing it, it does not suppress sperm production the way testosterone therapy can. That makes it an option your physician may discuss if you want to keep fertility or have children in the future.
- Taken by mouth.
- Monitored with testosterone and other hormone levels.
- Prescribed after evaluation, when appropriate. See male infertility.
Anastrozole for men
Anastrozole (Arimidex®) is an oral medication that decreases the conversion of testosterone to estrogen. Some men, including some on testosterone therapy, convert more testosterone to estrogen than expected. Anastrozole may be used when estrogen levels are high, and your physician checks your levels with bloodwork.
- Taken by mouth.
- Used when estrogen levels are high.
- Prescribed after evaluation, when appropriate.
Tamoxifen, which blocks the effects of estrogen, may also be used in some cases.
TRT near you in metro Atlanta
Men's health appointments are available at all 14 Advanced Urology offices, Monday to Friday, 8am to 5pm. Low T often overlaps with erectile dysfunction; if ED has not responded to treatment, ask about penile implants.
Monitoring on any testosterone therapy
Whatever form you choose, your physician monitors you at regular intervals, usually every 3 to 6 months, to make sure your symptoms are controlled and to check for side effects. Follow-up usually includes:
- Bloodwork for testosterone and other hormone levels every 3 to 6 months.
- Bloodwork for lipids, hemoglobin and hematocrit, and PSA every 6 months.
- A yearly physical exam, including a digital rectal exam to check the prostate.
Frequently asked questions
How do I know if I have low testosterone?
Symptoms such as low energy, low libido, moodiness, trouble concentrating and difficulty building muscle can suggest low T. The diagnosis needs a blood test: men who have symptoms and a low testosterone level on a blood draw are candidates for testosterone replacement therapy.
Which form of testosterone is right for me?
There is no single right option for everyone. Gels give steadier daily levels without needles, injections cost less and can be given weekly up to every 10 weeks, and pellets are placed in the office about every 3 months. The choice depends on your preferences, your health and sometimes your insurance.
Will insurance cover testosterone therapy?
Coverage varies by plan, and some insurers cover one form of testosterone and not another. We take that into account when choosing your treatment.
Can I switch to a different form of testosterone?
Yes. If your first choice does not give the effect you want or does not fit your routine, a different option can be tried.
What does clomiphene do for men?
Clomiphene citrate is a pill that signals the pituitary gland to release LH and FSH, the hormones that prompt the testicles to make more of their own testosterone. Unlike testosterone therapy, it does not shut down the body's own production, which is why it is often discussed with men who want to preserve fertility.
Why is anastrozole prescribed for men?
Anastrozole lowers the conversion of testosterone to estrogen. It may be prescribed when estrogen levels are high, for example on testosterone therapy, and is monitored with bloodwork.
Where can I get TRT near me in Atlanta?
Men's Health Georgia sees men for low T at 14 Advanced Urology offices across metro Atlanta, Monday to Friday, 8am to 5pm. Call 404-586-4570 or find an office.
How often will I need bloodwork?
Usually every 3 to 6 months for testosterone and hormone levels, every 6 months for lipids, hemoglobin, hematocrit and PSA, plus a yearly exam.
Physicians who see patients for this
Talk with a urologist
Appointments at 14 Advanced Urology offices across metro Atlanta and north Georgia. Find an office.