Aging, lifestyle factors, stress, poor sleep, and weight gain can all cause the glands in the body to reduce their production of vital hormones. Hypogonadism is a medical condition in which a male does not produce enough testosterone, a hormone responsible for many functions in the body. Men with hypogonadism have lower levels of testosterone and other hormones, and can experience a wide variety of symptoms as result of hypogonadism.


Spokane Vitality Center prides itself on tailoring testosterone therapy for each patient.  Through a combination of laboratory testing, thorough history and physical examination as well as patient discussion, your provider will fine-tune therapy according to individual response.

Estrogen management is often overlooked during testosterone replacement therapy and is as important as testosterone replacement itself.  Many of the unwanted side effects listed as complications surrounding testosterone replacement are directly related to elevated estrogen levels.  Estrogen parallels testosterone, and as we supplement testosterone, many men will experience drastic elevation in their estrogen levels.  If this is not followed closely there can be many untoward side effects including breast tissue development, hypertrophy of the prostate, water retention, erectile dysfunction, and emotional lability.  Estrogen is the defining female hormone, and while it is important in small quantities in males, markedly elevated levels will mask any benefit of testosterone replacement.

Many patients have sought treatment for low testosterone and failed to see improvement.  With simple and safe management of their elevated estrogen levels combined with a focus toward achieving an effective testosterone dosage out patients experience phenomenal changes not only in body composition, libido and energy, but also in their mood and emotional health.

The causes of low testosterone are numerous and we pride ourselves on combining a thorough physical examination and a detailed history in hopes of identifying the cause of your symptoms.  Many patients are identified to have causes outside of aging for their testosterone deficiency and receive treatment for conditions including obstructive sleep apnea, hypothyroidism, and vitamin D deficiency.