Low testosterone: evaluation and treatment
Dr. Farah, a urologist in North Charleston, Summerville and Nexton, SC, evaluates and treats low testosterone. Low energy, low sex drive and erection changes have many causes, so the first step is confirming the diagnosis with blood tests.
Medically reviewed by Guillaume Farah, MD · Last reviewed October 2026
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Step 1 of 4
Your first visit
Week 1Dr. Farah asks about your symptoms, medicines and health history, and examines you.
What you do
Bring a list of your medicines and any past testosterone results.
Book a visitWhat Dr. Farah does
Orders the right blood tests.
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Step 2 of 4
Blood tests
In the morningTestosterone is checked in the morning, often on two separate days, along with other hormone levels, because levels change through the day.
What you do
Schedule your blood draw in the morning.
Book a visitWhat Dr. Farah does
Looks for the cause, not just the number.
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Step 3 of 4
Choosing a treatment
If levels are lowOptions include treating the underlying cause, lifestyle changes, and testosterone therapy as oral capsules, gels or injections. Testosterone therapy can lower sperm production, so it is avoided in men hoping to have children.
What you do
Tell Dr. Farah if you plan to have children.
Book a visitWhat Dr. Farah does
Explains the benefits and risks of each option.
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Step 4 of 4
Follow-up on treatment
Regularly while on treatmentBlood tests check your testosterone level, blood count and PSA while you are on treatment.
What you do
Keep your follow-up blood tests.
Book a visitWhat Dr. Farah does
Adjusts your dose and watches for side effects.
Common questions
What are the symptoms of low testosterone?
Common symptoms include low sex drive, erection changes, tiredness, low mood and loss of muscle. Many other conditions cause similar symptoms, which is why blood tests are needed.
Will testosterone therapy affect fertility?
It can. Testosterone therapy can lower sperm production, so men who want children should discuss other options first.
Seen within 24 to 48 hours.
Offices in North Charleston, Summerville and Nexton. Second opinions are welcome.
Start online, without insurance and without a referral
Youro is a membership-based online urology clinic. Care is convenient, private and covered by a simple membership instead of being billed to insurance. Get care for ED, enlarged prostate, UTIs, low testosterone, overactive bladder, and more.
Youro is a separate service owned by Dr. Farah and is not part of Palmetto Urology.