Low Testosterone Specialist

Kiavash Nikkhou, MD

Board Certified Urologist & Kidney Stone Specialist located in Thousand Oaks, CA

Low testosterone affects around 40% of men 45 and older. Kiavash Nikkhou, MD, a board-certified urologist in Thousand Oaks, California, can diagnose your low testosterone and then prescribe various treatment options to regulate your hormones and stop your uncomfortable symptoms. Dr. Nikkhou offers more than a quick fix — he provides long-term surveillance to help you maintain peak testosterone levels as you age. Book an appointment online or call the office today.

Low Testosterone Q & A

What is testosterone?

Testosterone is a primarily male hormone that you produce in your testicles. Your brain monitors your testosterone level and transmits signals to generate more of it when needed. 

Testosterone is vital for healthy male development. It helps boys grow facial hair, build muscle strength, and develop a deepened voice during adolescence. 

Testosterone also contributes to sperm production, libido, bone density, energy level, emotional balance, and other vital aspects of your health and wellness.

What is low testosterone? 

Some men have too little testosterone or low testosterone (low-t). The American Urology Association defines low testosterone as a blood testosterone level of fewer than 300 nanograms per deciliter (ng/dL). The average testosterone level in men is 697 ng/dL. 

What symptoms does low testosterone cause?

Low testosterone can cause many unpleasant, upsetting, and embarrassing symptoms, including: 

  • Reduced libido
  • Erectile dysfunction
  • Hair loss
  • Lean muscle loss
  • Chronic fatigue
  • Weight gain
  • Depression
  • Lack of focus
  • Poor memory

Testosterone deficiency can affect virtually every aspect of your life, including your work, home life, social relationships, and more.

What causes low testosterone?

Many possible issues may cause low testosterone, including:

  • Genetic conditions like Klinefelter syndrome
  • Testicular trauma
  • Testicle removal due to cancer
  • Cancer treatments, including chemotherapy and radiation
  • Autoimmune illness
  • Infections
  • Pituitary gland disease

Testosterone level usually decreases with age. Only a small amount (as little as 1%) of young men have low testosterone, but after age 45, it affects around 40% of men.  

Obesity and diabetes are both risk factors for low testosterone, and the condition is prevalent in those with HIV (30%) and AIDS (50%). 

How do you treat low testosterone?

Dr. Nikkhou offers multiple treatment options for low testosterone. After your initial diagnosis, Dr. Nikkhou prescribes an appropriate solution and then follows up with long-term surveillance. 

Testosterone treatment usually involves supplementing your body's natural testosterone with transdermal patches, injections, implanted pellets, intranasal sprays, or dissolvable oral tablets. Dr. Nikkhou can explain the different options and help you choose the best one.

With multiple effective treatment alternatives available, there’s no reason to live with low-t. Call Kiavash Nikkhou, MD, or schedule a confidential appointment online.