Can low testosterone be treated by telehealth?

Yes. Evaluation, correctly timed labs at a laboratory near your home, prescriptions, and ongoing monitoring all work by secure video. Dr. Hasan sees men anywhere in Pennsylvania and Ohio by telehealth, and in person in Wexford.

How is this different from a TRT clinic or online service?

You're evaluated and followed by a single board-certified endocrinologist who diagnoses the cause before treating — rather than receiving a protocol from a questionnaire and a rotating clinician. Visits are long enough to think, and care continues over time.

Low Testosterone & TRT · Pittsburgh & Telehealth in PA and OH

Low testosterone, diagnosed before it's treated.

A low number is a signal, not a diagnosis. Dr. Hasan finds the cause, protects your fertility, and monitors therapy safely, in Wexford or by secure video.

Book Appointment → Call (412) 485-0311

Sound familiar?

One symptom is easy to dismiss. Several tell a story.

Low libidoErectile changesFewer morning erectionsFatigue rest doesn't fixMuscle lossBelly fat that won't budgeLow mood or irritabilityBrain fogPoor sleep

Finding the cause

One low number. Many possible reasons.

The cause decides the treatment. Sometimes fixing it restores testosterone without lifelong therapy. Sometimes it reveals a problem that needs attention on its own, such as a pituitary tumor.

Dr. Hasan is a former co-director of a pituitary clinic in Pittsburgh. When the labs point to the pituitary gland, the evaluation goes straight to the right tests, including MRI when needed.

Weight & insulin resistance

Lowers testosterone, and low testosterone makes weight harder to lose.

Sleep apnea

Common, often missed, and treatable.

Medications

Opioids, steroids, and some others suppress production.

High prolactin

A pituitary hormone that shuts testosterone down.

Pituitary problems

The gland that signals the testes to make testosterone.

Testicular causes

Injury, genetics such as Klinefelter syndrome, or past treatment.

Getting the diagnosis right

Timing matters as much as the number.

Blood samples drawn in the early morning for testosterone testing

Early-morning tests, repeated

Testosterone peaks in the morning and varies day to day. Diagnosis needs two properly timed morning blood tests, not one random result.

Read with the right partners

LH, FSH, and prolactin show whether the problem starts in the testes or the pituitary. Free testosterone is checked when binding proteins are abnormal.

A clear answer first

You know why it's low, and whether treatment will help, before anything is prescribed.

Treatment options

The right treatment depends on the cause and your plans.

Replacement

Testosterone therapy

Injections, gels, or oral capsules, dosed to your labs and adjusted over time. Restores energy, libido, and mood when low testosterone is confirmed.

If you want children

Fertility-sparing therapy

Standard testosterone can lower sperm production. Medicines such as clomiphene or hCG raise your own testosterone instead. This is discussed before you start, not after.

Root cause

Treat what's driving it

Weight loss, sleep apnea treatment, or a medication change can raise levels on their own. See medical weight loss.

Safe therapy is monitored therapy

What we check once you're on testosterone

Labs are checked a few months after starting, then at least yearly, following Endocrine Society guidance.

Testosterone levelMeasured at the right point in your dosing cycle.

Red blood cell countHematocrit rises on therapy and can thicken the blood.

ProstatePSA and screening matched to your age and risk.

Heart & blood pressureBlood pressure, cholesterol, and heart rhythm symptoms.

SleepTestosterone can worsen untreated sleep apnea.

FertilityRevisited whenever your plans change.

Members get lab reviews and dose adjustments between visits, without waiting for the next appointment. Compare membership options →

Already on testosterone?

Started at a TRT clinic or online? Get a specialist review.

Many men start testosterone from a single lab result. Dr. Hasan reviews whether therapy was needed, checks your dose, red blood cell count, and fertility plans, and then fine-tunes treatment or helps you come off it safely.

Questions, answered

Low testosterone FAQ

How is low testosterone diagnosed?

With symptoms plus at least two early-morning blood tests showing low testosterone, read alongside LH, FSH, and prolactin. A single result, especially one drawn later in the day, isn't enough.

Will testosterone therapy affect my fertility?

It can. Standard testosterone often lowers sperm production. If you may want children, fertility-sparing options such as clomiphene or hCG are discussed before treatment starts.

Is testosterone therapy safe for my heart?

A large 2023 trial (TRAVERSE) found no increase in heart attacks or strokes with testosterone in men with confirmed low testosterone. It did show more atrial fibrillation and blood clots, which is why careful selection and monitoring matter.

Can low testosterone cause erectile dysfunction?

It can contribute, but ED has other causes too, including blood vessel, nerve, and medication effects. Testosterone alone won't fix ED when another cause is driving it.

Can I be treated by telehealth?

Yes, if you're in Pennsylvania or Ohio during the visit. Labs are drawn near your home, and prescriptions and monitoring work by secure video. In-person visits are in Wexford.

Find out what's really behind your symptoms.

Your first visit includes a full evaluation, the right labs, and a call from Dr. Hasan with your results and plan.