question from a user
Do you test to confirm primary or secondary hypogonadism before determining treatment strategy? Does the strategy change depending on the diagnosis? If hypothalamus or pituitary down regulation are the presumed cause, do you recommend more advanced medical screening/imaging to determine root-cause of that issue?
AlphaMD's Answer
We work with a two stage consultation system unless you're already on TRT or have existing lab results, though I would say a lot of online TRT clinics don't do this. Typically you'll meet (via video) someone to talk about TRT & learn about your issues, and then we can determine who type of testing might be needed beyond the normal. Then, when testing comes back, we'll meet again with another provider to go over the results & talk about what type of treatment makes sense.
That aside, the cornerstone of good TRT is to follow a patient's symptoms & durations of symptoms, then perform testing based on that & using the testing to determine treatment dosing. The goal here is symptom relief for patients & to rule out other potential causes. If there is a chance that something else may be a play & someone should be following up with a traditional PCP or insurance system, then we suggest that. However access to TRT should be expanded, not gatekept, and we truly believe that.
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