Low Testosterone Syndrome

Be yourself again.

Low testosterone does not mean the end of your sex life or your masculinity. It is a medical condition that can be treated safely and effectively. Many times men experience it in silence without knowing that there is a medical and sexological solution to regain energy, desire, self-esteem, and overall well-being. At our clinic, we support you with the latest medical advances and a comprehensive approach so you can feel like yourself again.

WHAT IS LOW TESTOSTERONE AND WHY DOES IT OCCUR?

Real recovery for your intimacy.

Testosterone deficiency or male hypogonadism is a condition in which the testicles do not produce sufficient amounts of testosterone. It can appear due to a natural age-related decline or due to alterations in the brain-testicle signal. It mainly affects sexual function, but also muscle mass, bone health, and overall well-being.

It is classified according to the location of the problem:

Primary or testicular: the problem is in the testicles.

Secondary or central: the alteration comes from the hypothalamus or pituitary gland.

35% OF MEN OVER 45 YEARS OLD HAVE THIS CONDITION.

When to Seek Help

Low Energy and Persistent Fatigue

When tiredness is not related to physical activity, does not improve with rest, and affects your daily performance, it is usually a sign of progressive hormonal deficiency.

Gradual Loss of Sexual Desire

If you experience a noticeable decrease in sexual interest or difficulty achieving erections, especially if your sexual function was previously normal, it may indicate low testosterone levels.

Visible Decrease in Muscle Mass and Increase in Abdominal Fat

When you notice loss of strength, muscle “softness,” or more fat in the abdominal area, it is usually related to testosterone-dependent metabolic function.

Irritability, Sadness, or Low Self-Esteem Without Obvious Cause

Persistent emotional changes, feelings of loss of vitality, or affected self-confidence are often due to the hormonal impact on the nervous system and mood.

If you recognize one or more of these signs, early evaluation can make a significant difference.

Most Common Causes

Low testosterone can have multiple origins and, in most cases, is not due to a single factor but to a combination of medical, hormonal, metabolic, and lifestyle elements. Understanding what is causing the hormonal decline is essential for choosing the appropriate treatment and avoiding future complications.

Medical Factors:

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Natural aging — involves the progressive decline of testosterone over the years. It is estimated that after age 30, total testosterone drops by about 1% per year.
Chronic diseases: obesity, type 2 diabetes, liver or kidney diseases, sleep apnea.
Problems in testicular production (primary hypogonadism) or alterations in the signal from the brain (pituitary/hypothalamus), due to genetic causes, infections, testicular damage, hormonal disorders.

Prevalence estimate: The prevalence of testosterone deficiency (TD) varies between 10-40%, and is known to increase with age, with an abrupt increase in men aged 45-50 years.

60-75%

Lifestyle Factors

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Sedentary lifestyle
Poor diet
Excessive alcohol consumption
Lack of sleep or poor quality sleep
Chronic stress
Overweight or obesity

Among overweight or obese men, there is a high prevalence of low testosterone. In one cited study, a very significant percentage of obese men showed hypogonadism—although exact figures depend on the study, it suggests that lifestyle contributes to an important group.

30-50%

Psychological Factors

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Prolonged stress
Chronic anxiety
Depression
Trauma or post-traumatic stress

These factors can alter hormonal balance and potentiate or aggravate symptoms of testosterone deficiency, especially when they coexist with other factors (medical or lifestyle). Many studies emphasize that hormone production also depends on the hypothalamic-pituitary axis—which can malfunction under psychological stress.

10-15%

Medication-Related Factors

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Chronic use of opioids, certain steroids, hormonal treatments, prostate medication, or other medications that affect the hormonal axis.

10-15%

Comprehensive Medical Evaluation

To determine the exact cause of low testosterone, we perform a comprehensive assessment that combines a detailed clinical history, complete hormonal studies, and specific diagnostic tests. This approach allows us to identify whether the origin is physiological, endocrine, lifestyle-related, or other medical factors, and thus establish the most appropriate treatment in each case.

1. Complete clinical history

2. Hormonal and metabolic laboratory checkup

4. Specific complementary tests

5. Functional evaluations and follow-up

Medical and Sexological Treatment

Low testosterone is a treatable condition and its most effective management combines medical treatment with sexological intervention. While the medical approach focuses on restoring hormonal levels and physical health, the sexological approach works on libido, confidence, sexual anxiety, and the couple’s relationship. Both approaches, when combined, allow for the recovery of energy, sexuality, and comprehensive well-being.

Medical Treatment

Complete medical evaluation: Hormonal studies including total and free testosterone, SHBG, LH, FSH, and prolactin.
Complementary tests as needed: Testicular ultrasound, bone densitometry, and spermogram if considering fertility.
Testosterone Replacement Therapy (TRT): Restoration of hormonal levels through different modalities adapted to age, physiological conditions, and chronic diseases.
Continuous monitoring and follow-up: Control of hematocrit, PSA, lipids, bone density, and possible side effects, ensuring treatment safety and efficacy.
Prevention of complications: Untreated hypogonadism can seriously affect overall health, including significant cardiovascular risks.
Personalized approach: Treatment adjustment according to individual needs and specific conditions of each patient.

Sexological Treatment

Sexual psychoeducation: Information about sexual function and the effects of hormonal deficiency to normalize expectations and understanding.
Performance anxiety management: Strategies to reduce stress and worry during sexual activity.
Sexual communication with your partner (if applicable): Improvement of intimacy and development of sexual cooperation strategies.
Self-esteem reconstruction: Work on confidence, body image, and perception of masculinity.
Cognitive and emotional therapeutic intervention: Techniques to manage depression, irritability, and mood changes related to hormonal deficiency.
Specific sexological techniques: Applied in a personalized manner according to each patient’s symptoms and needs.
Integrated approach: Assessment of symptoms and objective findings, proposing an individualized treatment that combines medical and sexological approaches for optimal results.

INTEGRATED APPROACH

Men choose Prada & Ortiz Men’s Sexual Health Center because our programs work.

Reclaim your vitality.

📞 Contact us today for a confidential consultation.

Bilingual Services: We provide services in both Spanish and English, ensuring clear and respectful communication.

Prada & Ortiz Men’s Sexual Health Center employs an integrated approach to Sexual Dysfunction treatment combining medical, psychological and sexological expertise to achieve lasting results.

We believe strongly that sexual dysfunctions require care addressing the medical, psychological, and sexological aspects to restore biological functions, rebuild connection, confidence, and increased pleasure in both you and your partner’s sexual life.

Our specialists — Dr. Ortiz and Dr. Yaz — offer discreet, evidence-based care with compassion and expertise.

TAKE THE FIRST STEP:

Comprehensive evaluation of biological and emotional factors
Personalized treatment plan (Sexual medicine + Sex therapy)
Professional guidance from a multidisciplinary team
Confidential, judgment-free environment

FREQUENTLY ASKED QUESTIONS

We want you to experience this process with peace of mind.

How can I know if I have low testosterone?

Testosterone is the male sex hormone produced primarily in the testicles. Low testosterone (hypogonadism) occurs when levels fall below the normal range (typically less than 300 ng/dL).

The ONLY confirmed way to identify low testosterone is through a blood test measuring total testosterone and free testosterone (more specific). Tests can be done in the morning while fasting (when testosterone is highest) and may be repeated if results are borderline. At our center, we commonly order laboratory tests to rule out hormonal problems.

I'm in my 20s and I want to try testosterone to feel more masculine, improve my muscle mass, and see what results I can get. Do you recommend this?

No, we do not recommend this. Men in their 20s are at their peak for testosterone production. Average testosterone at this age ranges between 600-800 ng/dL. There are risks that can occur, including: reduction of your body’s natural testosterone production, Some young men who use steroids never fully recover their production. At this age, your hormonal system is still developing and stabilizing, making it more vulnerable to disruption. Recovery (if it occurs) can take months to years. There are high risks of infertility and reproductive problems, as well as side effects such as emotional changes, liver damage, and increased blood pressure.

At our Center, we verify that there is a physiological cause requiring testosterone at this age. If it is necessary, we provide you with the right treatment.

Does a vasectomy affect testosterone levels in men?

A vasectomy does NOT affect testosterone levels. This is a common myth with no scientific basis. In a vasectomy, the vas deferens (the tubes that transport sperm) are cut, but testosterone production occurs in the Leydig cells within the testicles. Therefore, it does not ges affected.

Multiple long-term prospective studies (10+ years) demonstrate that there are NO changes in testosterone, LH, or FSH levels. Sexual function is not hormonally affected. If any man develops erectile dysfunction after a vasectomy, this may occur due to psychological or other medical conditions.

I don't want to depend on a pill to have an erection. What can I do?

This concern is legitimate. There are many non-pharmacological options. Creating dependence on medications for sexual dysfunction is a myth.

Many men use medication temporarily while working on the underlying cause(s), then discontinue it. Some use it indefinitely—like someone taking blood pressure medication for hypertension. This is not “bad”; it’s a way of managing the condition.

“Natural” pills sold online without medical supervision are not recommended. For better medication management and to gain more confidence in yourself, call our center.

Is Hormone Replacement Therapy safe? What are the risks?

Hormone Replacement Therapy (HRT) restores testosterone through injections, gels, or patches. Benefits include: increased desire in 2-4 weeks, better erections in 4-8 weeks, more energy, more muscle, and improved mood.

Some side effects may include : polycythemia (5-15%), sperm suppression (10-20%), acne (20-30%), gynecomastia (5-10%), and fluid retention (10-15%).

With appropriate monitoring, HRT is safe for the majority of men. This is why Dr. Ortiz at our center meticulously follows our patients’ treatments according to the international medical protocols required for safe treatment assurance.

Your intimate wellbeing transforms your life.

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