Low Testosterone
Low testosterone can affect energy, mood, libido, and muscle mass in men. IM Care Family NP evaluates and manages low testosterone via telehealth for New York State residents, using symptom review and lab testing to guide an individualized plan.
Common Symptoms
Fatigue or low energy
Reduced libido or sexual function
Mood changes or difficulty concentrating
Loss of muscle mass or increased body fat
What May Contribute
Age-related decline in testosterone production
Obesity, poor sleep, or chronic stress
Certain medications or medical conditions
Underlying pituitary or testicular conditions, in some cases
This is general information, not a diagnosis — many different conditions can cause similar symptoms.
How We Evaluate
Symptom history and review of overall health
Morning total testosterone lab testing, often repeated to confirm
Additional hormone panel testing (e.g., LH, FSH, free testosterone) when indicated
Review of contributing lifestyle and medical factors
Treatment Options We May Discuss
Lifestyle interventions (sleep, weight, exercise) as a foundation
Testosterone replacement therapy (TRT), when clinically appropriate and labs confirm low levels
Ongoing lab monitoring for safety and efficacy if TRT is started
Referral to urology or endocrinology for complex or unclear cases
Can This Be Managed by Telehealth?
Symptom review, lab order discussion, and ongoing TRT management (once started) can often be handled by telehealth. Initial lab testing is done at an outside lab such as Quest or LabCorp, and some evaluations may benefit from referral to a specialist.
Frequently Asked Questions
Real questions patients ask us about this condition.
Can low testosterone be diagnosed with a telehealth visit?
A telehealth visit can review your symptoms and order appropriate lab testing; the diagnosis is confirmed with blood work done at a lab such as Quest or LabCorp, then reviewed together.
Is testosterone replacement therapy safe?
TRT can be an appropriate option for men with confirmed low testosterone and bothersome symptoms, but it requires ongoing monitoring and isn't right for everyone. We review your individual risks and benefits before starting.
How is low testosterone tested?
Testing typically involves a morning blood draw for total testosterone, often repeated to confirm low levels, sometimes along with additional related hormone tests.
Will insurance cover testosterone testing or treatment?
Coverage varies by plan. We accept 13 insurance plans so far, including Medicare, Medicaid, and several commercial plans — see our Insurance page for the list. Labs are ordered as needed and paid directly to Quest or LabCorp, and self-pay options are available.
When to Seek Urgent Care
Contact urgent care, an emergency room, or call 911 right away if you experience:
• Testicular pain or swelling
• Severe mood changes, including thoughts of self-harm (seek emergency care or call 988)
• Chest pain or leg swelling while on testosterone therapy (possible blood clot or cardiac issue)
• Priapism (a prolonged, painful erection)
Ready to Talk to a Provider?
Schedule a consultation with Inga Melnikova, DNP, FNP-C to discuss your symptoms and next steps.
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