My testosterone is low — what should I do?
Reconfirm on two morning draws with total T, free T, SHBG, estradiol, LH/FSH, prolactin, and a CBC/CMP. Confirmed deficit with matching symptoms routes to Testosterone Optimization or, when fertility is a goal, Enclomiphene. Every initiation is synchronous-video reviewed.
Full answer
Low testosterone is confirmed on two morning draws because diurnal variation and acute illness can transiently suppress the axis. The full baseline (total T, free T, SHBG, estradiol, LH/FSH, prolactin, CBC, CMP, lipids) clarifies whether the deficit is primary, secondary, or functional. Symptomatic men with confirmed deficiency are evaluated for Testosterone Optimization. Men prioritizing fertility are evaluated for Enclomiphene, which preserves the HPG axis. Lifestyle drivers (sleep, body composition, alcohol, stress, medications) are addressed in parallel.
Educational. Not a substitute for individualized provider review.
- Methodology — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03