Low Testosterone
If you have low testosterone (also known as hypogonadism) we can help.
The Best Treatments
For Low Testosterone
See the best low testosterone urology doctors.
Our treatments have incredible precision and pinpoint accuracy. We offer the complete range of proven treatments including medicines, injections, and testosterone pellet implantation. Testosterone pellet implants are done as an outpatient in our state of the art offices with no pain and great outcomes. Advanced Urology has one of the only Centers of Excellence for erectile dysfunction and this can be evaluated as well to improve your general and sexual health as a whole.
Low testosterone makes daily activities a struggle. Symptoms include fatigue, lack of energy, mood changes, hot flashes, and sexual dysfunction. We have targeted and precise therapies for testosterone replacement therapy with great results and fewer side effects. Our Center of Excellence is nationally recognized for quality, outcomes, and patient satisfaction.
3 Step Journey To Success
Initial Visit
Our goal is to provide you personalized and innovative health care. We are professional, discreet, and empathetic. Our first visit in our clean, modern offices is to establish a relationship and understand your treatment goals. Meet us online or in person.
Testing
Urine is sent for urine culture to look bacteria. Imaging of the kidneys and bladder is performed via ultrasound.
Minor Procedure
You are sedated through an IV in our surgery center. Our proprietary algorithm is performed to clean your bladder and improve your symptoms. The procedure typically takes 30 minutes and you are sent home the same day.
What is Low Testosterone?
Testosterone is a hormone released by the testicles that helps with a variety of functions in the body including brain, heart, sexual function, and overall well being. Low testosterone is defined as two abnormally low blood levels of testosterone with symptoms.
Symptoms include fatigue, low energy, decreased sex drive, and mood changes. Low T is common and occurs because of aging, genetics, and medical conditions. This includes high blood pressure, diabetes, high cholesterol, sedentary lifestyle, and tobacco use. Low T is treated via lifestyle changes and medicines.
Goals Of Low Testosterone Treatment
Testosterone Pellet Implant
Testosterone pellet implantation is a proven and reliable way to replace testosterone. Pellets are typically implanted every 3 months with local anesthesia in about 5 minutes in our state of the art offices. Generally 8 small pellets the size of tic tacs are placed into the fat of the butt. This minimizes side effects and maximizes outcome. Benefits of pellet implant include more stable testosterone levels, no need to inject or apply testosterone daily, and improved long term outcomes. Patients generally prefer this method because of the consistency of outcomes. Advanced Urology has an amazing Center of Excellence for male sexual health. Our surgeons Drs. Dave, Shah, and Farber are the best implant surgeons in the Southeast and are experts in male sexual health.
Injection Therapy
Injection therapy involves a small needle to inject either testosterone or HCG into the buttocks or thighs. This is generally done weekly however less or more frequent formulations are available. HCG and testosterone are sometimes given together to decrease testicular atrophy associated with testosterone replacement therapy.
Topical Medicines
Topical medicines are gels or creams rubbed on the skin that are then absorbed into the blood stream. This results in a testosterone surge in the morning that mimics normal male increases in testosterone in the early hours of day. This testosterone should not come into contact with women or children when wet. Topical Medicines or gels (Androgel, Testim, Fortesta, Axiron, compounded creams) are generally covered by insurance with a $50 to $100 monthly copay.
Oral Medicines
Testosterone oral replacement is not yet commercially available for most men. The FDA has approved Jatenzo for a minority of patients with rare causes of low T. For the majority of men (over 98%) with age related hypogonadism, Jatenzo is not approved. There are numerous side effects including high blood pressure and liver damage. The majority of supplements available online are unproven. Clomid is used in younger men who are in need of testicular stimulation for sperm production. Clomid often has numerous side effects including diarrhea, blurry vision, nausea, and fatigue. Anastrazole is typically given with testosterone replacement to decrease estrogen levels in blood.
Advantages Of Advanced Low Testosterone Treatments
A winning team committed to your fight.
Our award winning team will collaborate with you, your family, and the other providers involved in your care. We think communication is essential in delivering great outcomes. The most important thing to know is that we are here for you.
Helps brain, heart, bone, sexual health
Safe and effective
Covered by most insurances
Affordable cash pay option available
Minimal to no pain
Outpatient
Convenient Telehealth options
Advanced Treatment Options
ADVANCED TESTOSTERONE REPLACEMENT TREATMENT
- Topical Medicines - Topical medicines are gels or creams rubbed on the skin that are then absorbed into the blood stream. This results in a testosterone surge in the morning that mimics normal male increases in testosterone in the early hours of day. This testosterone should not come into contact with women or children when wet.
- Injection Therapy - Injection therapy involves a small needle to inject testosterone into the buttocks or thighs. This results in large peaks and troughs of testosterone levels which can cause fluctuations in emotions. This is generally the most cost effective way to replace testosterone if out of pocket.
- Oral Medicines - Testosterone oral replacement is not yet commercially available for most men. The FDA has approved Jatenzo for a minority of patients with rare causes of low T. For the majority of men (over 98%) with age related hypogonadism, Jatenzo is not approved.
- Testosterone Pellet - Testosterone pellets are the most popular option for testosterone replacement. These pellets are inserted under the skin pain free in clinic and leave you worry free with steady testosterone release for 3-4 months. We have men's health experts in the Southeast with Drs. Shah, Dave, and Farber who can evaluate you to determine if you are a candidate.
T-BOOSTING FOR YOUNG MEN WISHING TO PRESERVE FERTILITY
- Vitamins - Over the counter vitamins such as DHEA, which are precursors for testosterone, are safe and work well with diet and exercise to safely increase your natural testosterone without hurting your fertility.
- Injection Therapy - Injection therapy involves a small needle to inject HCG, a synthetic drug that is similar to the hormone LH naturally produced by your body to boost your testosterone. This can be pricey as it is generally not covered by insurance but is a good way to boost your natural testosterone.
- Oral Medicines - Clomid is an oral fertility medication that can be used to boost the brain hormones that cause a downward increase in testosterone production from your testicle. Anastrazole is another oral medication that is sometimes given to stop conversion of testosterone to estrogen.
- Lifestyle Changes - We recommend lifestyle changes for all patients. This includes a plant based diet, consumption of water (avoid tea, alcohol, soda), less stress, more sleep, more exercise, and weight loss. This is the best way to stay heart healthy and improve both your natural testosterone and your overall health.
Schedule Appointment Online
6 Reasons To Come To Advanced
Same Day Appointments
Need to be seen today? Advanced Urology offers same day appointments and even urgent same day surgery.
World Class Facilities
We have ultramodern facilities to provide all your care.. This includes offices, lab studies, advanced testing, and state of the art surgery centers. We want you to have a pleasant and pain free experience.
Advanced Techniques
Advanced Urology offers the latest with Advanced Implant therapy. This precision allows for targeted millimeter accuracy, minimizing side effects.
Best In Class Outcomes
Our data warehouse includes 100 million data points that continuously track quality measures and ensure the absolute best outcome. Our personable men’s health doctors will tailor an individual treatment plan based on your unique needs. Results matter.
Leading Edge Technology
We utilize the best latest high end technology to ensure great outcomes. This includes Endoluxe Vision, daVinci X robotics, and Exactvu microultrasound.
Expert Doctors
Our men’s health specialists are board certified with Advanced training in men’s health. This super-specialization leads to more experience, greater expertise, and a better outcome. Drs. Dave, Shah, and Farber are world renown for their skill, knowledge, and compassion.
