HRT for Men $199


Do You Have Low Testosterone?



  1. Do you have a decrease in libido (sex drive)?
  2. Do you have a lack of energy?
  3. Do you have a decrease in strength and /or endurance?
  4. Have you lost height?
  5. Have you noticed a decreased “enjoyment of life”?
  6. Are you sad and /or grumpy?
  7. Are your erections less strong?
  8. Have you noted a recent deterioration in your ability to play sports?
  9. Are you falling asleep after dinner?
  10. Has there been a recent deterioration in your work performance?


If you answered yes to question 1 or 7, or any 3 other questions, you may have low testosterone. Talk to your doctor to see if you should be tested.

Libido and Low Testosterone

Testosterone is the major hormone that provides a man with his sex drive. As men age, their ability to produce testosterone declines; it’s a just a normal part of life. However, when a man’s testosterone level falls outside the normal range, it can cause a decrease in libido.  A change in a man’s sex drive not only affects him, it impacts his relationship with his partner as well. And that’s a touchy subject for a lot of guys.

The good news is that a decrease in a man’s sex drive is treatable.  If you have noticed a change in your sex drive, along with other related symptoms such as weak erections, or a lack of energy, you could be a candidate for testosterone replacement therapy. Regaining your sex drive will make your life more enjoyable, put a spring in your step, and improve your relationship with your partner.

Lack of Energy Linked to Low Testosterone

Have you noticed that you no longer enjoy some of your favorite activities due to a lack of energy?  Maybe you stopped exercising because you just didn’t feel “up” for it.  Maybe you just have a tough time getting through the day. All men get tired occasionally, but prolonged, continuous fatigue at any age is not normal, and it can affect everything from your work performance to your attitude.  And it could be no fault of your own. What was once considered to be just a normal part of the aging process, more and more doctors are recognizing that low energy is a symptom of low testosterone levels. If you have noticed a lack of energy along with other related symptoms such as a decrease in libido or weak erections, you could be a candidate for testosterone replacement therapy.

Low Testosterone and Weak Erections
You’re in an incredibly intimate moment, and you’re unable to perform. It’s an incredibly embarrassing subject for a lot of guys to talk about.  It’s even more embarrassing to experience. And it may be no fault of your own. By age 40, most men experience weak erections at some point in their lives. The good news is that regardless of the cause, weak erections are treatable. The inability to perform sexually can be attributed to a lot of different factors: stress, poor health, and others.  Another possible cause is low testosterone. The first step is diagnosing the cause of the problem. Your symptoms should not be ignored as they could signal a serious health condition. If you suffer from weak erections and other symptoms including a lack of energy or a decrease in libido, you could be a candidate for testosterone replacement therapy.

Poor Sleep
-Testosterone helps regulate sleep patterns, producing restful nights, and a more energetic start to the day.
-Decreasing Enjoyment of Life, Grumpiness and/or Depression
-Testosterone assists in stabilizing mood and creating balance that will positively impact work and personal relationships.
-Decreasing Strength and Endurance
-Testosterone directly enhances our overall strength and endurance, giving you the means to accomplish your goals more effectively.
-Deteriorating Work or Sporting Performance
-Testosterone restores motivation and focus creating a more productive you, regardless of activity.

Is Low Testosterone Causing My Problems?

Men sometimes tease each other about not having enough testosterone, but low hormone levels are no joke. Testosterone is the most important sex hormone in men — too little of it can cause a variety of symptoms. “Distinguishing symptoms of low testosterone from symptoms of some chronic illnesses can be difficult. Feeling tired, loss of interest in sex, difficulty maintaining an erection, lack of energy, and mood changes all may be signs of many different issues. That is why it is important to see your physician,” explains David Fenig, MD, associate director of male fertility and sexuality at Chesapeake Urology Associates in Baltimore, Md.

Normal Aging or Another Problem?

Research suggests that one in four men over 30 have low testosterone. Some of this is a result of natural aging, but much of it may be due to other causes as well. “Signs of testosterone deficiency such as anemia, osteoporosis, and changes in body composition are also associated with aging. Often low testosterone is overlooked as a cause of these signs or symptoms when patients present with other medical conditions,” notes Dr. Fenig.

  • Aging.  It’s normal for men to have less interest in sex as they get older and to have fewer spontaneous erections, but it is not normal for older men to have no interest in sex. “Low testosterone is considered a level of less than 300 nanograms per deciliter (ng/dL); however, levels vary with age.
  • Depression. Low testosterone and depression share many of the same symptoms. Both low testosterone and depression can cause decreased sex drive, sadness, difficulty concentrating, fatigue, lack of energy, and loss of interest in normal activities. Low testosterone can be a cause of depression in some men.
  • Thyroid disease. Thyroid disease is more common in women than men, but men with thyroid disease may have many symptoms that are similar to low testosterone, including difficulty maintaining an erection, fatigue, irritability, and muscle weakness.
  • Type 2 diabetes. Type 2 diabetes and low testosterone commonly occur together in men over the age of 45. It is not clear if one causes the other, but symptoms can often overlap. If you have type 2 diabetes, you should be aware of the increased risk for low testosterone, especially if you have symptoms of decreased sex drive.
  • Damage to the testicles. Testicular tortion, trauma, infections of the testicles, and treatment of testicular cancer can be causes of low testosterone.
  • Drugs. Some studies have shown that long-term use of marijuana can cause decreased interest in sex and may lower testosterone levels. Chronic opiate use frequently causes low testosterone. Withdrawal of anabolic steroids will result in low testosterone, which may be irreversible.

Leave It or Treat It? That’s Your Choice!


  • Fatigue
  • Memory Loss                • Reduce stress and anxiety
  • Muscle Loss                                               • Enhance immune system
  • Erectile Dysfunction                           • Increase endurance
  • Weight Gain                                                    • Increase strength
  • Low Sex Drive                                              • Reduce weight and body fat
  • Depression                                                      • Enhance sexual performance
  • Hot Flashes in Men                                    • Enhance cardiac output
  • Night Sweats in Men                                  • Increase lean muscle
  • Hair Loss                                                        • Lower blood pressure
  • Sleeping Problems                                      • Remove wrinkles and cellulite
  • Irritability                    • Improve memory and mood
  • Prostate Problems            • Improve metabolism
  • Osteoporosis                • Cholesterol HDL/LDL balance


Testosterone is a hormone made by your body and is responsible for the normal growth and development of the male sex organs and for maintenance of other sexual characteristics. In men, testosterone is produced in the testes, the reproductive glands that also produce sperm. The amount of testosterone produced by the testes is regulated by the hypothalamus and the pituitary gland. Some effects of testosterone may include:

  • Growth and maturation of prostate, and other male sex organs
  • Development of male hair distribution such as facial hair
  • Changes in body muscle mass and strength and fat distribution
  • Sex drive and sexual function
  • Mood and energy level
  • Bone strength

However, Testosterone is more than just a sex hormone. There are testosterone receptors throughout your body from your heart, brain, muscles, bones, etc. Testosterone plays a critical role in maintaining a healthy immune system, insuring proper heart function, regulating mood and cognition, controlling blood sugars and healthy levels of cholesterol, controlling your blood pressure. It may even help prevent heart attacks and prostate cancer. Testosterone levels peak in men at around 30 and then slowly decline by an average of 1-2% per year. For some men this will be even faster, especially if they have sustained trauma, chronic disease, and cancer. Replacing Testosterone is incredibly important to a man’s life and vitality. Open Care is dedicated to helping men achieve their best at any age.

Age related declines in Testosterone are associated with classic signs of Andropause, the Male Menopause. Andropause does not get discussed much but can cause significant declines in a man’s life. Andropause can be associated with negative attitudes about life, a loss of focus and concentration, loss of goals and directions in life, decreased libido, depression, and even a slowing down of cognitive functions. It is also associated with a decreased libido, frequency of sexual thoughts, and erectile dysfunction which can have a profound impact on a man’s sexuality and relationship. Physical changes can include thinning hair, a decline in lean muscle mass, bone density, and an increase in body fat, especially around the midline.

Normal Levels of Testosterone

In healthy men, testosterone levels (also known as T levels) between 300 ng/dL and 1000 ng/dL are considered normal. The brain and the testes work together to keep testosterone in this range. When levels of testosterone are below normal, the brain signals the testes to make more. When there is enough testosterone, the brain signals the testes to make less.

The question may arise whether the symptoms you have may be caused by Low Testosterone. Talking with your doctor is the first step in the treatment cycle. Your doctor can take a medical history and exam, assess your signs and symptoms and determine your testosterone levels (T levels).

Clinical signs and symptoms are an important indication for the need of Testosterone, but the best approach is objective laboratory values for the appropriate initial treatment and management of Testosterone deficiency. The ironic part of checking the normal laboratory range for Testosterone is that the levels are the same for a 20 year old to a 70 year old. Obviously, between 20 and 70 years of age, the man has lost over 70% of his Testosterone but it is considered “normal” by the laboratory. At Open Care Medical Center our philosophy is to optimize our clients. The optimal level for men is considered in the upper one third of the normal range for his age. When a man is at these levels of Testosterone, he
performs better physically, mentally, and sexually.


Unlike a woman’s menopause, when estrogen levels plummet over months to very low levels, men’s “andropause” is a gradual decline of testosterone levels over years. The effects of low testosterone can be insidious, even go unnoticed.
Some men with low testosterone levels have symptoms without recognizing them. “They may still have a sex drive, but not realize how much it’s declined.” Men with symptoms of low testosterone can have significant impairment in quality of life. Current medical thinking is “these men should be treated with testosterone replacement therapy”.


Perhaps you’re feeling less energetic, putting on a little extra weight around the middle, or just noticing your libido isn’t what it used to be. Now you’re suspecting andropause, the lowering of testosterone that goes with aging, might be the cause. How can we know exactly what our testosterone levels are? This is useful data to have, either to find if we’re low to begin with, or monitor the level of change as time goes by. There are a number of medical tests which your doctor can use to determine your testosterone levels. However, because of the evolving nature of these tests, many doctors are unaware of the proper test to use to determine. It’s to consult with a doctor who specializes in hormone replacement therapy that knows what type of test to request.

Testosterone blood test

Your doctor may advise that you get a testosterone blood test in his office. A “total” testosterone level checks the testosterone in your body; this is the most commonly used test. A “free” testosterone level checks the testosterone flowing in your bloodstream. Your doctor may choose to do this test as well.

When you get a testosterone blood test, your doctor, nurse or lab technician will simply draw a vial of blood from your arm and send it to a laboratory. Tests usually are done in the morning, when your testosterone levels are highest. Your doctor should have the test results back in about a week.

The Cost

Open Care does not “lock in” our patients with some type of expensive “packages”. Our patients are always in charge. At Open Care you pay for each service you received.

Initial consultation: $249.00 - $50 OFF first time discount = $199 ONLY 

Follow up consultation: $149.00
Lab Tests: $150.00 to $350.00 Promotion: FREE saliva hormone testing! (a $150 value)

(Depends on which panel)

Medication cost: $50.00 to $299.00 per month (depends on what medications and dosage)

The follow up lab tests usually will not be as complete as initial one and cost less. If you have done lab work recently, not longer than 6 to 9 months, our doctor may use that report and avoid repeat another one.

Insurance: Some insurances do cover medications and lab tests, you can call your insurance and pharmacy regarding your coverage. Open Care does not bill insurance but we can provide documents to help your insurance claim upon request.


As a full service medical clinic Open Care offers a wide range of health and medical services. For more information please visit our main site at

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