This article was clinically reviewed by Haley C., FNP.
Experiencing low testosterone, or low T, can feel like an uphill battle, especially when it comes to finding healthcare that feels inclusive, respectful, and knowledgeable about gay, bisexual, and queer identities. If you’re a cisgender man or gender queer or nonbinary person who was assigned male at birth and have concerns about low testosterone, FOLX is here to offer the affirming care you need to thrive.
Our team of LGBTQ+ specialized clinicians is dedicated to helping you navigate low testosterone with a personalized approach. From virtual appointments and hormone therapy to community resources and a vibrant peer network, FOLX is here to support your health and wellness journey, on your terms.
What is low testosterone, and how can FOLX help?
Testosterone is a hormone that plays a critical role in maintaining muscle mass, bone density, mood, and sexual health. As testosterone levels decrease naturally with age, or due to other health factors, symptoms of low testosterone can emerge. These symptoms might include low energy, decreased libido, mood changes, and challenges with erectile function.
At FOLX, we understand that gay, bi, and queer men and gender diverse people often face additional barriers when addressing these issues in traditional healthcare settings. Our clinicians offer a nonjudgmental, inclusive space where your concerns about low T are taken seriously, and your care is centered on you as a whole person.
Symptoms You May Experience with Low Testosterone
Low testosterone symptoms can vary from person to person, but here are some common signs that you may be experiencing low T:
- Fatigue and Low Energy: Persistent tiredness even after a good night's sleep.
- Decreased Libido: Reduced interest in sex or changes in sexual performance.
- Mood Changes: Feelings of irritability, depression, or anxiety.
- Reduced Muscle Mass: Noticeable loss of muscle strength or mass.
- Difficulty with Focus: Brain fog or issues with concentration.
- Erectile Dysfunction: Challenges achieving or maintaining erections.
If you’re noticing these symptoms, FOLX clinicians can help you evaluate your testosterone levels and work with you to create a care plan that addresses your specific needs.
How can FOLX clinicians help manage low testosterone?
Managing low testosterone starts with a comprehensive understanding of your body and your health goals. At FOLX, we use a holistic approach to determine the best course of action, looking at everything from lifestyle habits to hormone levels and mental health.
How can FOLX clinicians evaluate low testosterone?
When evaluating you for low testosterone, our expert clinicians at FOLX take a thorough and compassionate approach tailored specifically to your unique needs and experiences. The process typically begins with a detailed consultation, where we’ll discuss your symptoms, medical history, and any concerns you might have.
From there, we will likely order blood tests to measure your testosterone levels, alongside other relevant markers that could affect your hormone health or be the cause of your symptoms.. Throughout this process, our goal is to ensure that you feel heard, supported, and fully informed, as well as guided by evidence-based standards of medical care, empowering you to make decisions about your health that align with your goals and values, and clinical safety. Evaluation for low testosterone often requires more than one appointment to fully evaluate your symptoms, labs, and discuss treatment options.
Comprehensive Blood Tests for Low Testosterone Evaluation
When assessing low testosterone levels, our clinicians at FOLX order a series of blood tests to gain a thorough understanding of your hormonal health. These tests may include:
- Total Testosterone:
- Purpose: Measures the overall level of testosterone in your blood.
- Importance: Helps determine if your testosterone levels are below the normal range.
- Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH):
- Purpose: These hormones are produced by the pituitary gland and stimulate the testes to produce testosterone.
- Importance: Determines whether low testosterone is due to issues with the testes (primary hypogonadism) or the pituitary gland/hypothalamus (secondary hypogonadism).
- Prolactin:
- Purpose: Measures the level of prolactin, a hormone that can influence testosterone production.
- Importance: Elevated prolactin levels can suppress testosterone production and may indicate pituitary disorders.
- Thyroid Function Tests (TSH, Free T4):
- Purpose: Evaluates thyroid hormone levels.
- Importance: Thyroid disorders can impact testosterone levels and overall hormonal health.
- Comprehensive Metabolic Panel (CMP):
- Purpose: Provides information about your overall metabolism, including liver and kidney function.
- Importance: Ensures that other bodily functions are normal, as they can influence hormone levels.
Possible Referrals to Specialists
Based on the results of these blood tests, you may be referred to a specialist for further evaluation and treatment:
1. Endocrinologist
- When You Might Be Referred:
- If blood tests indicate complex hormonal imbalances beyond testosterone, such as issues with the thyroid or adrenal glands.
- If there are abnormalities in LH, FSH, or prolactin levels that suggest a problem with the pituitary gland or hypothalamus.
- If you have symptoms that suggest a broader endocrine disorder, such as unexplained weight changes, fatigue, or changes in mood.
- Role of the Endocrinologist:
- Provides specialized care for hormonal imbalances.
- Develops a comprehensive treatment plan, which may include hormone replacement therapy or other interventions.
2. Urologist
- When You Might Be Referred:
- If there are concerns related to the reproductive system, such as infertility, erectile dysfunction, or anatomical issues.
- If you have symptoms that suggest structural problems with the testes or other parts of the reproductive system.
- If you require specialized testing or treatments related to sexual health and reproductive function.
- Role of the Urologist:
- Conducts specialized examinations and tests related to the urinary and reproductive systems.
- Provides treatments for reproductive health issues, which may include surgical interventions if necessary.
Supporting You Throughout the Process
At FOLX, our goal is to ensure that you receive comprehensive and personalized care. Here's how we support you:
- Detailed Consultation: We begin with an in-depth discussion of your symptoms, medical history, and any concerns you may have to tailor the evaluation to your specific needs.
- Clear Communication: We explain each test and its purpose, ensuring you understand the process and what to expect.
- Coordinated Care: If referrals to specialists are necessary, we facilitate the connection and coordinate your care to ensure a seamless experience.
- Ongoing Support: Our team is here to answer your questions, address your concerns, and provide the support you need throughout your treatment journey.
By taking these steps, we aim to empower you with the knowledge and resources to make informed decisions about your health and well-being.
Treatment Options for Low Testosterone
There are several ways to manage low testosterone, and FOLX clinicians will work with you to identify the approach that aligns with your needs:
- Testosterone Replacement Therapy (TRT): FOLX clinicians can prescribe or continue prescriptions for testosterone therapy to help alleviate symptoms of low T, like low energy and decreased libido. Our experts will work with you to determine the right form of testosterone, whether that’s through injections, cream or gel.
- Lifestyle Adjustments: If your low testosterone is impacted by other chronic conditions, managing those by health lifestyle changes can help improve testosterone levels.
- Mental Health Support: The emotional toll of low testosterone is real, and our care doesn’t stop at physical symptoms. We can connect you with LGBTQIA+ affirming therapists who understand the unique challenges faced by people dealing with low testosterone.
If you have been receiving testosterone elsewhere, and want to transfer your care, that’s great! We can review your records and previous labs and continue your care, as medically appropriate.
How to Prepare for Your Visit to FOLX
To get the most out of your virtual visit, we recommend tracking any symptoms you’ve been experiencing, such as changes in energy, mood, or sexual health. Having a clear picture of your overall health will help your FOLX clinician tailor a treatment plan that meets your specific needs.
Additionally, bring a list of any current medications and supplements you’re taking, as well as any relevant medical history. If you have completed labs for low testosterone in the past, please have those at the appointment. This ensures that your FOLX clinician has all the information needed to provide comprehensive, personalized care.
FOLX's Unique Approach to Low Testosterone Care
At FOLX, we are committed to providing care that empowers you to make the best decisions for your health. Our clinicians take the time to listen to your concerns, discuss your options, and support you in a way that traditional healthcare settings often overlook. We pride ourselves on offering care that is as affirming as it is effective. We won’t just look at your testosterone levels, we will partner with you to take care of your holistic health.
Beyond clinical care, you’ll have access to FOLX’s Community Platform—a space where you can connect with others who are navigating similar experiences. This peer support network can be invaluable, offering reassurance, encouragement, and a sense of belonging.
Frequently Asked Questions
Can FOLX clinicians prescribe testosterone therapy for low testosterone?
Yes, FOLX clinicians can prescribe testosterone replacement therapy (TRT) for managing low testosterone, tailored to your specific health needs and goals.
What if I’m already on testosterone therapy?
If you're currently receiving testosterone therapy, FOLX clinicians can help optimize your treatment plan. We are committed to ensuring that your therapy remains effective and aligns with your health goals.
Is there a community aspect to low testosterone care at FOLX?
Definitely! FOLX offers a Community Platform where you can connect with other members, share your experiences, and access resources tailored to your journey through low testosterone.
In summary
Low testosterone doesn’t have to limit your life. At FOLX, we’re committed to helping you manage low T in a way that affirms your identity and addresses your unique health needs. Our clinicians and community are here to support you every step of the way, so you can reclaim your energy, confidence, and wellbeing. Join FOLX today and experience the healthcare you deserve.
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FOLX Health is the first digital healthcare company designed by and for the LGBTQIA+ community. Our services include primary care, gender-affirming hormone therapy including estrogen and testosterone (HRT), mental health care, sexual and reproductive health care, and fertility consultations. FOLX memberships give you access to LGBTQIA+ expert clinicians, peer support, thousands of LGBTQIA+ resources, and more. Whether you’re lesbian, gay, bisexual, transgender, queer, gender non-conforming, nonbinary, or another identity, you can find LGBTQ-specialized health care that helps you meet your wellness goals. Get all the benefits of becoming a FOLX member and sign up today!
