Men's Health Care That Covers the Whole Picture

Low testosterone can cause low sex drive, erection problems, fatigue, low mood and loss of muscle. These symptoms also have many other causes, such as poor sleep, sleep apnea, weight, medications, alcohol and thyroid problems, so we look at the whole picture first.

Low testosterone is confirmed with morning blood tests on more than one day before treatment is considered, along with other labs to look for the cause. When testosterone replacement therapy is appropriate, we talk through the forms available, such as gels and injections, and the monitoring each one needs. Treatment includes regular follow-up labs, such as testosterone levels and a blood count, and for some men a PSA test.

Testosterone is a controlled medication. It is prescribed only when appropriate and following the federal and Utah rules that apply, which may include an in-person visit. Testosterone therapy can lower sperm production and fertility, so if you hope to have children, tell us before starting, because other options may be a better fit.

Erectile dysfunction is common and treatable, and it can be an early sign of other health problems. It is often linked to heart and blood vessel health, high blood pressure, diabetes, high cholesterol, smoking, some medications, low testosterone and stress. That is why we look at your heart health and labs along with treating the symptom.

When appropriate, treatment may include prescription medications such as sildenafil or tadalafil. These medicines must never be taken with nitrate medications, such as nitroglycerin for chest pain, or with nitrate drugs sometimes called poppers, because the combination can cause a dangerous drop in blood pressure. We review all of your medications and your heart health before prescribing. An erection that lasts more than 4 hours, or chest pain during sex, needs emergency care: call 911 or go to the nearest emergency room.

Men's health also covers medical weight loss, blood pressure, cholesterol, prediabetes and type 2 diabetes, often with home readings and labs at a local lab. Preventive care includes screenings that fit your age and history, such as cholesterol, blood sugar and colon cancer screening, and a conversation about whether prostate cancer screening makes sense for you.

Stress, sleep, anxiety and depression matter, too. In men they can show up as irritability, anger, drinking more or pulling away, rather than sadness. We take them seriously and can help. If you are in crisis or thinking about harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911.