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Educational information and further resources
Testosterone plays a vital role in men’s health — influencing energy, muscle mass, mood, bone strength, and sexual function. But as men age, testosterone levels naturally decline, and for some, that drop leads to symptoms that impact quality of life.
If you’ve been feeling constantly tired, losing motivation, or noticing changes in strength or libido, it may be time to get your testosterone levels tested. Here’s what you need to know about testing, diagnosis, and determining whether testosterone replacement therapy (TRT) is right for you.
Testosterone is a hormone produced mainly in the testicles, and it affects nearly every aspect of men’s health. It helps regulate muscle and bone density, fat distribution, metabolism, mood and focus, sex drive and erectile function, and even red blood cell production.
When levels drop, the effects can ripple through both physical and emotional health. This condition—known as low testosterone or male hypogonadism—occurs when the body doesn’t produce enough of the hormone. Aging is the most common cause, but factors like chronic stress, obesity, certain medications, or underlying medical conditions can also play a role.
The Canadian Urological Association notes that testosterone deficiency (TD) becomes more common with age, though for some men, the decline is significant enough to cause symptoms that affect energy, motivation, and quality of life.
While every man is different, some of the most common signs of testosterone deficiency include:
If you recognize several of these symptoms, it’s worth discussing testosterone testing with your healthcare provider.
Once symptoms point toward possible low testosterone, the next step is testing. Here’s how doctors confirm a diagnosis:
Before testing, your provider may start with a symptom checklist or questionnaire, such as the ADAM (Androgen Deficiency in Aging Males) test, which screens for symptoms related to low testosterone. You can complete the ADAM test online here: Take the ADAM Test
If your results suggest possible testosterone deficiency, the next step is a simple blood test.
Blood is drawn in the morning (before 10 a.m.), when testosterone levels are highest. The test measures total testosterone, and sometimes free testosterone, to provide a full picture of hormone balance.
If results are borderline or low, testing should be repeated on a separate day since hormone levels fluctuate naturally. As per British Columbia’s Testosterone Testing Guidelines, diagnosis requires consistent low levels from at least two morning tests.
If low testosterone is confirmed, your doctor may also test:
According to the Canadian Urological Association and Canadian Men’s Health Foundation, testosterone replacement therapy should only be prescribed to men who meet both criteria:
TRT is not recommended for men with normal testosterone levels, as excess hormone can increase risks without benefit.
Potential contraindications include:
For men with confirmed hypogonadism, TRT can restore hormone balance, improve mood and vitality, and enhance overall quality of life.
Testosterone replacement therapy restores healthy hormone levels using delivery methods tailored to each patient:
Some men receive injections every 1–2 weeks, which provide stable hormone levels. Others prefer daily topical gels or creams applied to the skin. Patches deliver continuous absorption, while pellets, inserted under the skin, offer long-lasting effects.
Your doctor will recommend the method that best fits your lifestyle, preferences, and medical history.
When prescribed correctly and monitored safely, TRT can help:
The Canadian Urological Association’s guidelines note that patients “can anticipate improvements in many of the common symptoms of testosterone deficiency (libido, energy levels, sexual function)” after three months of therapy.
TRT requires ongoing follow-up to ensure safe and effective results. Most doctors will schedule:
While side effects are rare under medical supervision, possible risks include acne, increased red blood cell count, or mild fluid retention. The benefits and risks should always be discussed in advance.
If you’re feeling the effects of low testosterone — physically, mentally, or emotionally — testing is the first step toward answers. Confirming your hormone levels can clarify whether TRT could help you feel stronger, sharper, and more energized again.
At Precision Clinic in Calgary, men’s health specialists provide evidence-based testosterone testing and treatment plans. The clinic follows current Canadian guidelines for diagnosis and therapy, ensuring every patient receives safe, personalized care.
You can start by completing the ADAM Test and booking a consultation to review your results and next steps.