T Nation

Tested Low T. Do I Go to Urologist or Endo? (Los Angeles)


#1

I’m in Los Angeles and I just tested slightly low T for my age (35, ~500ng/dl) at a GP.

How do I seek a specialist?
Do I go to a urologist or an endocrinologist?
Are there any clinics, such as UCLA, that people have gone to?


#2

You do not have to seek out one considering you’re not hypogonadal. You tested at 500. That’s not low T.


#3

Please read the stickies found here: About the T Replacement Category

  • advice for new guys
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

You need these labs:
TT
FT
E2
LH/FSH
prolactin
CBC
fasting cholesterol - can be too low
fasting glucose
TSH

Almost all doctors are idiots when it comes to male hormone care. Endo’s see to do the stupidest things and Urologists are typically bad and take a rather narrow view of things. The best is an enthusiastic and cooperative GP.

Thyroid can really be a critical factor for energy, mood and libido and we see quite a few hints that low thyroid function can affect other hormones. If you have not been using iodized salt, there can be problems from that.

Doctors are mostly slaves to lab ranges and TT=500 does not get much traction, but TT=500 is certainly not optimal.

You will need to get educated by reading the stickies so you can deal with the doctors. You cannot be passive.

Your goal is to first look for causes of your low T that many be correctable. At your age, lower T levels is a symptom, not the disease.

Good hormone care in LA can be expensive as there are too many wealthy clients.


#4

Thank you so much for your reply.
I did set up an appointment with a urologist who specializes in male reproductive function at UCLA but I’ll look into a cooperative GP.
During my appointment, I’ll ask him about TT, FT, E2, LH/FSH, prolactin, CBC, fasting cholesterol, TSH, etc


#5

Urologists are typically bad at TRT and if they manage the basics of that, they probably have no interest in thyroid or adrenal status. See the finding a TRT doc sticky. You cannot be passive about these things.