If you have noticed that your energy is not what it used to be, that your motivation has dropped, that your libido has declined, or that you just do not feel like yourself anymore, you are not imagining it. These are real, physiologic changes that deserve a real medical evaluation.
The testosterone and men’s hormone program at Urology Associates of Green Bay provides thorough, individualized evaluation and treatment for low testosterone and related symptoms. Your care is overseen by board certified urologists in a private practice setting. We do not make money selling you medications at a markup. We help you find the right therapy at the best available price.
This is not a pop up testosterone clinic or a telehealth subscription service. This is a urology practice with decades of experience, offering face to face evaluation and long term follow up.
Concerned about low testosterone? Schedule a confidential consultation. Call (920) 433-9400 or request an appointment online.
How We Evaluate Low Testosterone
Low testosterone is a clinical diagnosis, meaning it requires both symptoms and laboratory confirmation. We start with a detailed history of your symptoms, medical history, and medications, because many factors beyond testosterone can affect how you feel. We then check a morning total testosterone level, which is the standard screening test. Depending on the clinical picture, we may also check free testosterone, LH, FSH, prolactin, and other labs to help distinguish between primary and secondary causes of deficiency. This matters because the underlying cause can influence which treatment approach is most appropriate.
We treat symptoms, not numbers. If your total testosterone is 280 and you feel fine, you do not need treatment. If your total testosterone is 340 and you are struggling with fatigue, low libido, and brain fog, a conversation about treatment is absolutely warranted. Population reference ranges are averages, not individual thresholds.
Diet, Exercise, Supplements, and Lifestyle
Testosterone replacement is not always the first step, and it is never the only step. Meaningful improvements in energy, body composition, mood, and even testosterone levels can often be achieved through lifestyle modifications alone or in combination with therapy.
We discuss nutrition strategies that support hormonal health, including adequate protein, healthy fats, and key micronutrients such as zinc, vitamin D, and magnesium. We review sleep quality, which has a direct and well documented impact on testosterone levels. We discuss resistance training, one of the most effective natural ways to support testosterone and improve body composition. And we address weight management, because excess body fat promotes the conversion of testosterone to estrogen through aromatization and contributes to a cycle of hormonal imbalance.
We are honest about supplements. Some have reasonable evidence behind them and some do not. We help you separate marketing from science and avoid wasting money on products that are unlikely to help.
Testosterone Treatment: Individualized, Not One Size Fits All
If testosterone replacement therapy is appropriate, we offer multiple delivery methods and work with you to find the one that fits your lifestyle, your preferences, and your response to treatment.
Topical gels are applied daily and provide steady absorption throughout the day. They are convenient and well tolerated, though they do require attention to skin contact with partners and children until the gel has dried. Injectable testosterone is administered on a regular schedule, and most men learn to self inject at home after an initial teaching session in our office. Testosterone pellets are placed under the skin every three to six months, providing steady release without daily or weekly dosing. Oral testosterone options are also available.
Dosing is not standardized. We start at an appropriate dose based on your levels and symptoms, then adjust based on how you feel and what your follow up labs show. The goal is symptom improvement at the lowest effective dose, not chasing a target number. Follow up labs monitor for side effects including elevated hematocrit, PSA changes, and metabolic parameters.
What We Are Not
We are not a subscription service. We do not sell supplements out of our office. We do not upcharge on medications, injections, or tablets. We do not require unnecessary recurring lab panels. And we do not treat every man who walks through the door with testosterone. We evaluate you thoroughly, make a diagnosis, and build a treatment plan based on what you actually need. Your care is overseen by board certified urologists who can manage the full spectrum of men’s health, from hormones to sexual health to surgery.
Frequently Asked Questions
How do I know if I have low testosterone?
Common symptoms include fatigue, low energy, reduced motivation, depressed mood, difficulty concentrating, decreased libido, erectile dysfunction, loss of muscle mass, increased body fat, and poor sleep quality. These symptoms can overlap with other conditions, which is why a thorough evaluation matters. We start with your symptoms and confirm with bloodwork.
What testosterone level is considered low?
Most labs define the lower limit of normal as around 300 ng/dL for total testosterone, but this number is a statistical reference range, not a treatment threshold. We focus on your symptoms and how you feel, not just the number. A man with a testosterone of 280 who feels well does not necessarily need treatment. A man with a testosterone of 350 who is struggling significantly may benefit from a careful discussion about options.
Is testosterone replacement safe?
Testosterone therapy is safe for the right candidate when properly managed and monitored. We review cardiovascular history, check hematocrit (red blood cell levels), monitor PSA, and follow established prescribing guidelines. For men who want to preserve fertility, we discuss alternative approaches such as clomiphene or HCG that stimulate the body’s own testosterone production rather than replacing it directly. We do not recommend testosterone replacement for men actively trying to conceive without careful discussion of the implications.
Will testosterone therapy affect my fertility?
Exogenous testosterone suppresses the body’s natural signaling to the testes, which reduces sperm production. For men who want to maintain or restore fertility, we offer alternative treatments. This is an important discussion to have before starting any hormone therapy, and we take it seriously.
Do you treat men who are already on testosterone from another provider?
Yes. We see men who were started on testosterone at a primary care office, a men’s health clinic, or a telehealth service and who want more comprehensive monitoring, a second opinion, or a conversation about whether their current regimen is optimal. We also see men who want to transition off testosterone and need guidance on how to do that safely.
What does testosterone therapy cost?
Testosterone therapy through standard pharmacy sourced medications typically costs between $20 and $80 per month depending on the delivery method. We help you find the best price and do not upcharge on medications. There are no subscription fees or hidden costs.
Do you see patients from outside the Green Bay area?
Yes. We see patients from across northeastern Wisconsin and the Upper Peninsula of Michigan. Call our De Pere office at (920) 433-9400 or our Marinette office at (715) 732-3420.
Take the First Step
If you have been putting off a conversation about low testosterone because you were not sure where to go or who to trust, start here. A confidential evaluation can give you answers, options, and a plan. Call our De Pere office at (920) 433-9400 or our Marinette office at (715) 732-3420.
Urology Associates of Green Bay. Physician overseen testosterone and men’s hormone care. Thorough, transparent, and built around you.