Treatments
Testosterone Replacement Therapy (TRT)
Careful diagnosis, personalized treatment, and ongoing monitoring
Fatigue, low sex drive, low mood, and loss of muscle can have many causes — low testosterone is only one of them. We start with a careful diagnosis, and if testosterone replacement therapy is right for you, we create a personalized plan and monitor it closely.
- Where
- In the office
- Diagnosis
- Symptoms + repeat morning labs
- Monitoring
- Regular labs and visits
TRT
Diagnosis first. Treatment only when it is right for you.
At a glance
What to know before you start.
- 01
Who it's for
Men with symptoms of low testosterone that are confirmed by blood tests.
- 02
Where care happens
In our offices, with lab work and follow-up visits to monitor treatment.
- 03
Coverage
Many plans cover evaluation and treatment when low testosterone is documented. We check your plan.
- 04
How to start
Book a consultation. Morning lab tests are usually part of the first steps.
Who qualifies
Is this right for you?
You may benefit from an evaluation if you have symptoms such as:
Whether a service is right for you is a clinical decision you make together with your physician.
- Low sex drive or erectile dysfunction
- Persistent fatigue or low energy
- Loss of muscle mass or strength, or increased body fat
- Low mood, irritability, or trouble concentrating
- Reduced bone density
TRT can reduce sperm production and fertility. If you are planning to have children, tell your physician — other options may be better for you.
What's included
What care includes
A safe TRT program depends as much on monitoring as on treatment.
Symptom review & exam
A full history and examination to look for all possible causes of your symptoms.
Confirmatory testing
Morning testosterone levels on two separate days, plus related labs.
Personalized treatment
Options such as injections or topical gels, chosen with you.
Ongoing monitoring
Regular checks of testosterone levels, red blood cell counts (hematocrit), and PSA when appropriate.
Dose adjustments
Changes to your treatment based on how you feel and on your lab results.
Getting started
What happens at your first visit.
- 1
Consultation
We discuss your symptoms, history, medications, and goals.
- 2
Lab testing
Morning blood tests on two separate days to confirm low testosterone.
- 3
Treatment plan
If TRT is appropriate, we choose a treatment and schedule monitoring visits.
Insurance & coverage
What your plan may cover.
Many insurance plans cover the evaluation, lab work, and treatment of low testosterone when it is confirmed by testing, sometimes with prior authorization. Coverage for specific medications varies.
We explain what your plan covers and any expected costs before you start treatment.
We accept most insurance plans, including Medicare and Medicaid, and nobody is turned down. Call (212) 888-2222 and we'll check your benefits.
How is low testosterone diagnosed?
With a combination of symptoms and blood tests. Testosterone is usually measured in the morning, on two separate days, because levels change during the day.
What forms of TRT are available?
Common options include injections and topical gels. Your physician will explain the pros and cons of each.
Are there risks?
Yes. TRT can raise red blood cell counts, affect fertility, and requires monitoring. That is why we check labs regularly throughout treatment.
How soon will I notice a difference?
It varies. Some people notice changes in energy or mood within weeks; other changes take months. We track your response at each visit.
Will I need treatment forever?
Not necessarily. Your physician will review whether treatment is still helping and appropriate at your follow-up visits.
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A personal care plan and monthly check-ins for two or more chronic conditions.
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