low sex drive, no energy, can't focus? it could be low t.
Low T occurs in most men as they age and often causes a combination of symptoms. These symptoms are typically divided into the following categories: Sexual, Energy & Sleep, Physical, Thought-Processing and Mood.
Not sure if your symptoms are Low T? Assess your symptoms here to find out.
The chart below describes what you may be experiencing in each of these categories and provides a comprehensive list of both medical and behavioral treatment options.
Low T Symptoms & Treatment CHart:
Click on any image or subject for more detailed info.
Sexual Symptoms
Decreased interest in sex, difficulty achieving / maintaining an erection
Energy &
Sleep
Low motivation, feeling sluggish, midday crash, daytime sleepiness
Physical /
Physique
Weight gain, difficulty putting on muscle with exercise
Thought Processing
Lack of focus, mental fog, difficulty concentrating, low productivity
Mood
Anxiety, depression
Sexual Symptoms
Low Libido
- Decreased interest in sex/sexual activity
Medical Treatments
- Testosterone Replacement Therapy
- Dopimanergic medications (e.g.,buproprion)
- Medications targeting low libido (e.g., PT-141)
- Tadalafil 5mg (*secondary benefit)
Behavioral Treatments
- Decrease masturbation frequency
- Sex Therapy/Couples Therapist
- Redefine/expand sexual activity
- Explore use of sexual aids and toys
Erectile Dysfunction (ED)
- Difficulty acheiving and maintaining an erection
- Less rigid erection
Medical Treatments
- Testosterone Replacement Therapy
- PDE5 Inhibitors (e.g., Sildenafil)
- Penile Injections with Autoinjector
- Penile Prosthesis
- Shockwave Therapy
- Regenerative Cell Therapy
- Constriction Bands & Vacuum Erection Devices (VEDs)
- PT-141
Behavioral Treatments
- Diet: a “heart healthy” diet
- Exercise
- Stress Management
- Limit smoking & alcohol consumption
- Explore non-intercouse sexual activities
- Sex Therapy
Energy &
Sleep
Decreased energy
- Low motivation
- Midday crash or fatigue; daytime sleepiness
- Feeling sluggish
- Decreased interest in favorite activities
Medical Treatments
- Testosterone Replacement Therapy
- Buproprion
- Stimulants (e.g., modafanil)
- Treat Depression if present
- Evaluate for Sleep Apnea- and manage if present
Behavioral Treatments
- Exercise
- Diet
- Medications and/or Therapy
- CPAP machine/ oral appliance
Sleep Issues
- Poor sleep quality
- Frequent nighttime waking
- Difficulty falling sleep
- Sleep apnea
- Daytime sleepiness
Medical Treatments
- Testosterone Replacement Therapy
- Evaluation for sleep apnea/disorders
- Magnesium, melatonin
- Diphenyhydramamine (Benadyrl), doxylamine succinate
- Anti-hypnotics: zolpidem (Ambien), zalepion (Sonata)
- Orexin 2 inhibitors: trazadone
- Gabapenitin
Behavioral Treatments
- CPAP machine/ oral appliance
- Creating a sleep routine/pattern
- Stress Management
- Stay active during the day/exercise
- Avoid alcoholic beverages & caffeine in the afternoon
- Avoid exercise close to bedtime
- Avoid large meals before bedtime
Physical /
Physique
Weight Issues
- Weight gain / difficulty losing weight
- Difficulty putting on muscle with exercise
- Excess belly fat
- Poor recovery from workouts
Medical Treatments
- Testosterone Replacement Therapy
- Approved weight loss drugs (GLP1 agonists, phentermine)
Behavioral Treatments
- Regular and consistent exercise
- Dietition/Diet adjustments
- Sleep
- Stress Management
- Therapy
Exercise
- Inability to gain muscle
- Loss of muscle mass
- Poorer post-exercise recovery
- Lower exercise endurance
Medical Treatments
- Testosterone Replacement Therapy
- Sermorelin, ipamorelin
Behavioral Treatments
- Strength/resistance training to increase muscle mass
- Recovery: rest days
- Increase lean protein intake
Thought Processing
Lack of Focus / Mental Clarity
- Inability to concentrate
- Mental block/fog
- Low productivity
Medical Treatments
- Testosterone Replacement Therapy
- Stimulants/Treat underlying ADHD
- Bupropion
Behavioral Treatments
- Limit screen time, especially before bed Screen for ADHD
- Improve sleep habits
- Avoid high-sugar meals/sugar spikes
- Coping skills: use a daily planner/reminders
Mood
Mood changes
- Anxiety
- Depression
Medical Treatments
- Testosterone Replacement Therapy
- Anti-depressants (SSRIs, SNRIs, bupropion, other classes)
- Anti-anxiety medications
Behavioral Treatments
- Therapy
- Sleep
- Nutrition
- Exercise
WHY SHOULD I CHOOSE MAZE?
At Maze, we perform a complete evaluation, including blood work, followed by the development of a customized treatment plan that we will create together, as a team. No matter how old or young you are, or how long you've been suffering with Low T symptoms, we can help you treat your condition, even if you've had unsuccessful results elsewhere.
IN A PATIENT’S OWN WORDS...
No Energy & No Libido...
I was having difficulty sleeping, had no energy and a low libido. I knew something was off so I visited my primary care doctor who diagnosed me with low testosterone. However the treatment plan he and another specialist provided did not give me the results I wanted.
A friend then referred me to Dr. Werner. He had a great experience so I figured I would give it a try. I was expecting Dr. Werner to simply prescribe some medication but my initial visit turned out to be so much more! I met with a team of professionals who did a comprehensive evaluation of me.
Now, I feel great, I’ve lost body fat and my relationship with my wife has greatly improved. I couldn’t be happier!
– P, 52, NY –