Low Testosterone Treatments

Our male fertility experts can improve testosterone deficiencies to get you feeling your best.


Explore Options for Low Testosterone Treatments with Posterity Health

While hormone fluctuations are a normal occurrence, Low-T is a common condition for many American males. Data suggests that over 3 million men in the U.S. suffer from a testosterone deficiency, and only 32% will seek treatment after receiving a diagnosis (IJIR). If left untreated, Low-T can cause a multitude of unpleasant symptoms and may be a marker for male infertility issues. At Posterity Health, we can help address your condition and symptoms with a multitude of low testosterone treatments and therapies, whether it be medical or surgical, that are personalized to your needs. 

Unlike many other Low Testosterone (Low-T) providers, Posterity Health’s experts understand the profound negative impact testosterone treatments can have on sperm, fertility, testicular size and overall health. They will create a personalized plan to address your low testosterone concerns while simultaneously optimizing your fertility status. 

What is Low Testosterone?

Testosterone is a sex hormone produced by both males and females. This hormone is naturally much higher in males and it plays a key role in the development of many male characteristics (e.g., hair growth, vocal cord lengthening, etc.). And, of course, your testosterone levels are critical for sperm production (spermatogenesis) as well as being an excellent indicator of testicular health. 

Also referred to as male hypogonadism, Low-T can occur in any male regardless of their age. Different symptoms can develop depending on your age and the condition’s severity. You may receive a Low-T diagnosis when your blood testosterone drops to less than 300 nanograms per deciliter (ng/dL), although new data suggests that an age adjusted testosterone level may be a better assessment of testosterone deficiency.

In general, males with low testosterone may experience symptoms like: 


Reduced sex drive


Erectile dysfunction


Poor concentration and memory




Reduced energy/endurance


Diminished physical performance


Low motivation





Is Low Testosterone Connected to Male Fertility? 

Male hypogonadism or low testosterone may be an indicator for poor testicular function. Conditions such as varicoceles (veins around the testicles) can lower testosterone levels while also affecting sperm production. Assessing hormone levels in general, and testosterone values in particular, gives a window into reproductive function. By correcting these abnormalities, improvements in fertility may result. Manipulating these male fertility hormones takes consideration and experience along with a diverse understanding of how the medications affect the male reproductive cycle. 

Be Mindful of How Testosterone Therapies Affect Fertility

Testosterone therapies and treatments may actually worsen male fertility. In fact, testosterone therapy can lead to a dramatic decrease in sperm counts and may even result in Azoospermia (which is an absence of all sperm in the ejaculate).  

That’s why a personalized treatment plan developed by a Posterity Health expert is essential when treating Low-T. Fortunately, hormone issues and male infertility can both be significantly improved with the proper evaluation and management of an experienced reproductive urologist (i.e., a men’s health or male fertility specialist). 

The Posterity Health Approach to Low Testosterone Treatments 

Our male fertility specialists will create a custom solution to treat your symptoms successfully within the context of your overall goals, and we can improve your fertility and your testosterone simultaneously. With our remote capabilities, you can access our expertise and receive care from anywhere in the U.S. 

Your Telehealth Evaluation & Diagnostics 

To find the right low testosterone treatments for you, you’ll first meet with one of our male fertility specialists for an in-depth telehealth consultation. During this meeting, you’ll complete a detailed intake questionnaire and answer a series of questions to help us learn about your medical history, your reproductive history, and any contributing factors to your low testosterone diagnosis. 

From there, we will order diagnostic assessments that may include things like bloodwork testing, a scrotal ultrasound, a semen analysis if you have future fertility plans, and more. These assessments are comprehensive and will check things that may not be assessed by other providers like your prolactin hormone levels. All of the data collected allows us to treat you on a personalized level so you can find the symptom relief you need, and if needed- without harming your fertility. 

Your Personalized Low Testosterone Treatment Plan

Once we’ve analyzed your data, our male fertility specialists will use evidence-based medicine and their decades of experience to develop your personalized treatment plan. We’ll take into account your symptoms, previous and current treatments/therapies, your health history, and more to build a custom strategy that will boost your testosterone without negatively affecting your fertility status. 

We may recommend one or several Low-T treatments for you, and will coordinate those treatments with your schedule. Our team will routinely follow-up with you after starting your treatment plan to ensure you’re getting the results you want and we will make adjustments to your strategy as needed. 

The Most Reliable Testosterone Treatments 

At Posterity Health, we may prescribe certain medications to improve your testosterone deficiency and reduce symptoms, including:

Testosterone Enhancement 

These are designed to increase your natural testosterone production while preserving fertility. They include: 

  • Clomiphene Citrate  an oral medication that increases LH and FSH signaling to the testicles to increase testosterone production and sperm production 
  • Anastrozole  an oral medication that blocks the conversion of testosterone to estradiol, therefore increasing testosterone levels, decreasing estradiol and indirectly increasing LH and FSH signaling to the testicles to further increase testosterone production and sperm production 
  • HCG – Injection medication that mimics LH signaling to the testicle increasing testosterone production 

For men without a fertility plan, these treatments and other adjuvants can be used along with Testosterone replacement. 

Testosterone Replacement 

We offer the most comprehensive options for exogenous testosterone. When used alone, these options will likely compromise your sperm production. 

  • Topical Testosterone Gels – These are the easiest and most common modalities, and are applied to your shoulders daily. Common Low-T gels include Androgel, Axiron, Testim, and compounded gels. 
  • Oral Testosterone Supplements – Typically taken twice/day by mouth, oral supplements are easy, well-tolerated, and there’s no risk of liver damage. Common oral testosterone supplements include Jatenzo and Tlando
  • Subcutaneous Injections – Whether you get autoinjectors (e.g., Xyosted) or needle administration, Low-T injections will be given multiple times per week to stabilize your hormone levels. Your injections may include testosterone enanthate, propionate, and cypionate. 
  • Intramuscular Injections – This is the most common testosterone replacement strategy because it’s low-cost and effective. The injections are administered to the thigh/upper quadrant of the buttocks weekly and your options include the injections listed above and other anabolics. 
  • Testosterone Pellets – These are administered via a quick, 15-minute in-office procedure. The pellet is inserted at a small puncture site under the skin and dissolves over 3-6 months allowing stable levels over a longer period of time. 
  • Intranasal Testosterone Natesto is a fast-acting, nasally administered testosterone medication. It’s a great option for those wishing to preserve sperm production or avoid needles. 

Treat Testosterone Deficiency and Infertility with Posterity Health

Whether you’ve received a Low-T diagnosis or have suspicions about your testosterone, we can help you find the personalized care that you need. Our men’s health and male fertility experts offer the full range of Low-T treatments that can efficiently treat your symptoms. In addition, we’ll take care of your fertility concerns and make sure your Low-T treatments do not harm your fertility status. 

Contact us today to schedule your initial low testosterone evaluation with our male fertility experts.