Testosterone is often called the “male hormone,” but its role extends far beyond fueling muscle mass and libido. It’s essential for bone health, energy, mood, red blood cell production, and even cognitive function. When testosterone levels drop—a condition called hypogonadism—it can impact nearly every area of life.
In recent years, advancements in treatment have opened up new, more convenient options for men, including a groundbreaking oral testosterone pill. But before we explore the future, let’s start by understanding the signs of low testosterone and the treatments available.
Common Signs of Low Testosterone
While symptoms vary, men with low testosterone often notice:
- Fatigue and Low Energy – Persistent tiredness that doesn’t improve with rest.
- Reduced Sex Drive – Decreased libido and fewer spontaneous erections.
- Erectile Dysfunction – Difficulty achieving or maintaining an erection.
- Loss of Muscle Mass – Decreased strength despite regular exercise.
- Increased Body Fat – Especially around the abdomen.
- Mood Changes – Irritability, depression, or loss of motivation.
- Poor Concentration and Memory – Mental fog and slower thinking.
- Weaker Bones – More prone to fractures or osteoporosis.
- Sleep Disturbances – Trouble falling or staying asleep.
Because these symptoms can develop gradually, many men don’t realize testosterone is the culprit until levels are tested.
Modern Treatments
Today, testosterone replacement therapy (TRT) comes in several forms:
- Injections – Given weekly or every few weeks, often the most cost-effective.
- Topical Gels or Creams – Applied daily, absorbed through the skin.
- Pellet Implants – Inserted under the skin, lasting 3–6 months.
- Nasal Gels – Absorbed through the nasal lining, applied multiple times daily.
Each has its pros and cons, and the choice depends on lifestyle, convenience, and medical factors.
New, Oral Testosterone is Now Available
Now, we have oral testosterone available in pill format. wasn’t a viable option due to liver toxicity risks with older formulations. That’s why, for decades, doctors avoided prescribing pills and stuck to injections or topical treatments.
That has changed. A new generation of oral testosterone undecanoate—approved by the FDA—bypasses the liver and is absorbed through the lymphatic system. This makes it much safer than past oral options.
Benefits of the new oral testosterone pills include:
- No Needles or Messy Gels – Just take as prescribed, usually twice daily with food.
- Steady Hormone Levels – Fewer spikes and crashes compared to older injections.
- Convenience – Easy to travel with and discreet to use.
- No Risk of Transference – Unlike topical gels, there’s no danger of unintentionally exposing others.
Who Is a Candidate?
Not every man with low testosterone is a good fit for oral pills—factors like existing health conditions, hormone levels, and treatment goals all play a role. A thorough evaluation, including blood work, is essential before starting any TRT.
The Bottom Line
Low testosterone can impact your energy, mood, relationships, and overall health. The good news is that treatments have evolved dramatically—from early injections to today’s safe and effective oral testosterone pills—offering men more options than ever.
If you suspect you may have low testosterone, speak with your Urologists at Urology Associates. We have the new oral testosterone available in our in-office dispensary making it convenient and easy to pick up right in our office. With the right diagnosis and personalized treatment plan, you can restore balance, boost vitality, and feel like yourself again.
