Low Testosterone in Men — How to Recognize It, Test for It, and Treat It Safely
Low testosterone is far more common than most men realize—and far more treatable. Yet many men aren’t sure what symptoms to look for or where to start. And with the rise of “fast TRT clinics,” it’s easy to get treatment that’s rushed, unmonitored, or inappropriate.
At ICONA, our approach is conservative, evidence-based, and led by providers trained in urology and andrology—the gold standard in men’s hormone care.
How Testosterone Declines With Age
Testosterone peaks in early adulthood and declines gradually—about 1% per year after age 30. But modern factors accelerate that decline:
Elevated stress
Poor sleep
Environmental exposures
Chronic inflammation
Increased body fat
Medication side effects
Low T doesn’t happen overnight. It’s usually a slow drift that becomes noticeable in your 30s, 40s, or 50s.
Common Symptoms of Low Testosterone
Men often ignore or normalize early signs:
Fatigue or decreased stamina
Less motivation or drive
Mood changes or increased irritability
Reduced libido
Erectile dysfunction
Loss of muscle mass or strength
Increase in body fat
Poor sleep
Cognitive “slowness” or brain fog
Many of these overlap with stress or aging—another reason proper testing matters.
When TRT Is Appropriate—and When It Isn’t
Testosterone therapy may be recommended when:
A man has symptoms and
Low levels are confirmed on abs
It is not appropriate when:
Symptoms appear but testosterone levels are normal
Underlying causes (sleep apnea, thyroid disease, medications) haven’t been evaluated
There’s uncontrolled prostate disease
A man is trying to preserve fertility without additional support
Why Medical Supervision Matters
Unchecked TRT—especially from “online refill clinics”—can cause:
Suppressed fertility
Elevated red blood cell counts
Gynecomastia
Mood changes
Unsafe dosing
Skipped monitoring
At ICONA, safety includes:
Individualized dosing
Regular monitoring (labs every 3–6 months)
Fertility-preserving alternatives when needed
Evaluation of cardiovascular and prostate health
Adjustment as life, stress, or aging changes
The goal is physiological, not extreme: restoring healthy range, not “superhuman” claims.
ICONA’s Approach
Men deserve thoughtful, medically accountable hormone care. Our approach to personalized, lasting results:
Step 1: Initial Visit – Meet with our experienced provider to complete a comprehensive assessment of your symptoms, medical history, lifestyle and goals. Complete labs to determine testosterone levels.
Step 2: Custom Plan – Receive a made-for-you, evidence-based treatment plan.
Step 3: Follow-Up Visits – Provide feedback about your treatment plan so our provider can make adjustments and refine your plan to better serve your goals.
Step 4: Ongoing Support – Follow-up with our provider every 3 to 6 months to ensure your treatment plan is still effective and hormone levels are optimal.
Low T is not about boosting ego—it's about restoring the energy, clarity, and vitality men need to feel like themselves again.