Services
Men's health and hormonal care
You get the workup before the prescription and the monitoring after it. We evaluate and treat men's hormonal health, including testosterone therapy. Sexual health is part of the same conversation, and it is a normal thing to raise here.
Who this is for
Who this helps
- Fatigue, low mood or low libido that you have been putting down to age.
- You want the evaluation done properly before starting testosterone.
- You are on testosterone already and want it monitored properly.
- Something sexual health related you have been meaning to raise for a year.
- You want your conditions and your medications read together rather than one number treated.
What it involves
How this works
What is suppressing the level
A low level has a cause, and finding it changes what we do about it.
Monitoring that continues
We monitor levels, blood counts, prostate health, and how you feel on treatment.
Sexual health is part of the visit
Sexual health is a normal part of primary care, and one of the things people most often go years without raising.
Side by side
Exactly what is different at Naples Concierge Health
| The usual experience | What we do |
|---|---|
| A low number and a prescription. | An evaluation of why the number is low. |
| Therapy started, with monitoring left to the next visit you happen to book. | Levels, blood counts and prostate health followed. |
| Sexual health goes unraised because a short visit has to prioritize. | Sexual health is a normal part of primary care, and the visit is long enough to cover it. |
| A clinic that treats testosterone and nothing else. | Your primary practice, with the rest of your health in view. |
| Normal levels, so nothing more is said. | Normal levels, so we look for the actual cause. |
In more detail
What you should know
Low testosterone has causes, and some matter more than the number
Obesity, sleep apnea, poor sleep, significant stress, alcohol, opioids and several common medications all suppress testosterone. So do problems with the testes or the pituitary. These are less common, but they are considerably more important to identify.
Treating the number without asking why it is low leaves the underlying cause unaddressed. In several of those cases, treating the cause raises testosterone on its own, without lifelong therapy.
We ask first not to make it difficult, but because starting therapy closes off the question permanently, and it is worth asking once.
What monitoring involves, and why it is not optional
Testosterone therapy has to be monitored: levels to confirm you are in range, a blood count because it can thicken the blood, and prostate monitoring where appropriate. We also ask whether you feel better, because feeling better is the point of treatment.
It also has consequences worth understanding before starting, including effects on fertility that are not always reversible. That belongs in the conversation at the beginning rather than as a surprise later.
Where we are not the answer
We are not a testosterone clinic and we will not start therapy on request without an evaluation. If your levels are normal we will tell you, and we will look for the real reason you feel the way you do.
Questions
What people ask
Will you prescribe testosterone if my levels are borderline?
Sometimes, and it depends on far more than the number: symptoms, cause, your goals, and the risks in your particular case. We make that decision with you, and the number is only one part of it.
Will testosterone therapy affect my fertility?
It can, significantly, and the effect is not reliably reversible. If you may want children this changes the conversation substantially and there are alternative approaches worth discussing first.
Do I need therapy forever once I start?
Frequently yes, because taking it suppresses your own production. Some causes of a low level are treatable on their own, without committing to lifelong therapy.
Can you handle erectile dysfunction?
Yes, as normal primary care. It is also worth knowing that it is often an early cardiovascular sign, so it deserves a proper look rather than just a prescription.
Related reading
This page is general health information, not medical advice, and reading it does not create a physician-patient relationship with Naples Concierge Health or any of its physicians. Talk to a qualified clinician about your own health. If this is an emergency, call 911.
Start here
What is your medical care missing?
A short conversation with our member liaison about the care you have now: who follows up, who keeps your care coordinated, and where the gaps are. We will tell you if there are no gaps.