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. 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 –