Men's Hormone Health · Low Testosterone · TRT

Low testosterone, evaluated properly.

Fatigue sleep won't fix. Fading libido. Weight that won't move and a mind a step slower. Each can mean low testosterone — or something behind it. Telling the difference is the work of an endocrinologist.

Book an Appointment → Call (412) 485-0311
Man lacing up to train — energy and strength restored after low testosterone treatment near Pittsburgh, PA
Board-Certified Endocrinologist Harvard MPH · Fulbright Scholar In-Person in Wexford · Telehealth Across PA + OH
The Short Version

A low number is a signal, not a diagnosis. Dr. Hasan finds what's behind it, protects your fertility, treats what's actually wrong — and follows you over time. One physician, every visit.

Not a TRT clinic. Not an online "T" app.

Those can mail you testosterone in days — off one lab number, no diagnosis. Testosterone is a hormone, and hormones are an endocrinologist's entire field. The difference:

Chia Endocrinology & Wellness

A board-certified endocrinologist finds the cause, confirms therapy is safe, weighs your fertility — then monitors you over time. Same physician, every visit.

TRT clinics & apps

A quick intake, a prescription off one lab value, rarely the same clinician twice — often not a physician at all. Convenient. Seldom a diagnosis.

Sound familiar?

One symptom is easy to dismiss. Together, they tell a story worth checking.

  • Low libido, less interest in sex
  • Erectile changes, fewer morning erections
  • Fatigue that rest doesn't fix
  • Muscle loss despite training
  • Belly fat that won't budge
  • Low mood, short fuse, no drive
  • Brain fog
  • Poor sleep
  • Thinning bones over time

One low number. Six possible stories.

Low testosterone result
Excess weight & insulin resistance Sleep apnea Thyroid disease Medications & alcohol High prolactin Testicular or pituitary problem
The cause changes the treatment — that's why it's found first.

Weight and insulin resistance lower testosterone, and low testosterone makes weight harder to lose — a loop worth breaking from both ends. Male hypogonadism can also trace to sleep apnea, thyroid disease, elevated prolactin, certain medications, or the testes and pituitary directly.

Diagnosed correctly, in three steps

  1. Morning labs, usually repeated

    Testosterone peaks early and swings daily — timing matters as much as the number. Ordered after your evaluation.

  2. Read in context

    Total and free testosterone with LH, FSH, and prolactin to locate the source — plus the thyroid and metabolic markers underneath.

  3. A clear answer first

    You know why it's low before any therapy begins.

Treatment — and the conversation most clinics skip

When therapy is genuinely warranted, it can restore energy, libido, mood, and muscle — dosed to you and monitored over time.

Fertility first: standard testosterone therapy can suppress sperm production. If children may be in your future, that belongs at the start — and fertility-protecting approaches exist. Dr. Hasan raises it before you begin, not after.

Living well again — energy, strength, and vitality restored after low testosterone treatment near Pittsburgh, PA
The goal isn't a number on a lab report — it's getting your life back.

The detail, in plain English

For the men who want the full picture — open what interests you.

What's actually behind a low testosterone number
A single low result is a starting point, not a diagnosis of hypogonadism. Excess weight and insulin resistance suppress testosterone production; untreated sleep apnea does the same. Thyroid disease, elevated prolactin, some medications, heavy alcohol, and chronic stress all lower levels — and occasionally the signal points to the testes (primary hypogonadism) or the pituitary gland (secondary hypogonadism) directly. Reading testosterone alongside LH, FSH, and prolactin turns "your level is low" into "here's why, and here's what to do."
How the testing is timed and read
Testosterone follows a daily rhythm and peaks in the morning, so diagnosis rests on properly timed morning blood draws, usually repeated on separate days — not one test at a random hour. Total and free testosterone are interpreted together with LH, FSH, and prolactin to locate the source of the problem, plus the thyroid and metabolic markers that often sit underneath. The result is a clear answer you can trust before any therapy begins.
Treatment options — including the fertility-preserving ones
When testosterone replacement therapy (TRT) is warranted, options include injections, gels, and other FDA-approved formulations, dosed to you and adjusted by follow-up labs. Because standard TRT can suppress sperm production, men who may want children can instead be treated with fertility-preserving approaches that stimulate the body's own testosterone production. And when the cause is weight, sleep apnea, thyroid disease, or a medication, treating that driver can restore levels without lifelong therapy at all.

Feel like yourself again

A thorough evaluation by a board-certified endocrinologist who finds the cause before writing the prescription.

Book an Appointment → Call (412) 485-0311

Also evaluated and treated

Hypogonadism Low libido & ED Weight-related low T Gynecomastia Muscle loss (sarcopenia) High prolactin Klinefelter syndrome

The physician

Dr. Farhad Hasan, MD, MPH — board-certified endocrinologist, Chia Endocrinology & Wellness, Wexford, PA

Farhad Hasan, MD, MPH — board certified in Endocrinology, Diabetes & Metabolism and in Internal Medicine; Harvard MPH as a Fulbright Scholar; fellowship trained at the University of Virginia. In person in Wexford, or by telehealth across Pennsylvania and Ohio. Verify board certification.

Common questions

How is low testosterone diagnosed?
Symptoms confirmed by properly timed morning blood tests, usually repeated, read alongside LH, FSH, and prolactin — not a single number in isolation. Testing is ordered after your evaluation.
Will testosterone therapy affect my fertility?
It can — standard therapy may suppress sperm production. Fertility is discussed before treatment begins, with fertility-preserving options when it matters to you.
Can low testosterone cause erectile dysfunction?
It can contribute, but ED has several possible causes — vascular, neurological, psychological, hormonal. Treating testosterone alone won't help if the real driver is something else.
Is testosterone therapy safe?
For appropriately selected men who are properly monitored, the benefits often outweigh the risks. Safety depends on your history and labs — established before therapy and tracked over time.
Can low testosterone be treated by telehealth?
Yes. Evaluation, correctly timed labs near your home, prescriptions, and monitoring all work by secure video — anywhere in Pennsylvania and Ohio, and in person in Wexford.
How is this different from a TRT clinic or online service?
One board-certified endocrinologist diagnoses the cause before treating — not a protocol from a questionnaire and a rotating clinician. Care continues over time.
Do you take insurance?
Chia Endocrinology & Wellness is a direct-care practice and does not bill insurance for visits. Labs and most medications typically bill to your insurance as usual; an itemized superbill is available on request. See pricing.
Book an Appointment → Call (412) 485-0311

Want to talk it through first? A complimentary 15-minute phone call with Dr. Hasan is available — schedule it here.