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Hypogonadism Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow provides specialised evaluation and advanced treatment for male hypogonadism—a clinical condition caused by low testosterone levels or impaired testicular function. Under the care of Dr. Aditya Sengar (Urologist), we offer a structured approach involving hormonal assessment, metabolic evaluation, fertility testing and tailored testosterone replacement therapy (TRT).
What is Male Hypogonadism?
Male hypogonadism is a hormonal disorder where the testes do not produce sufficient testosterone or adequate
sperm. It may be:
1. Primary Hypogonadism (Testicular Failure) – Testes fail to produce testosterone.
2. Secondary Hypogonadism (Pituitary/Hypothalamic Dysfunction) – Low LH/FSH leading to reduced stimulation of testes.
Symptoms affect energy levels, muscle mass, sexual function, mood, fertility and overall metabolic health.
1. Primary Hypogonadism (Testicular Failure) – Testes fail to produce testosterone.
2. Secondary Hypogonadism (Pituitary/Hypothalamic Dysfunction) – Low LH/FSH leading to reduced stimulation of testes.
Symptoms affect energy levels, muscle mass, sexual function, mood, fertility and overall metabolic health.
Low Libido & Sexual Dysfunction
Reduced testosterone commonly leads to low sexual desire, weak erections and reduced sexual performance.
Timely hormonal evaluation is essential.
Fatigue, Low Energy & Mood Changes
Chronic tiredness, irritability, depression and difficulty concentrating may be associated with testosterone deficiency.
Loss of Muscle Mass & Increased Fat
Testosterone plays a major role in maintaining muscle strength and metabolic balance. Deficiency causes
muscle loss and central fat accumulation.
Infertility & Poor Sperm Production
Low testosterone or impaired pituitary stimulation may reduce sperm count and quality, affecting fertility.
Hormonal therapy or gonadotropins may be required.
Causes & Risk Factors for Hypogonadism
Several conditions may impair testosterone production:
1. Age-related testosterone decline
2. Testicular injury or infection (orchitis, trauma)
3. Varicocele
4. Pituitary disorders
5. Genetic disorders (Klinefelter syndrome)
6. Chronic diseases – diabetes, obesity, liver/kidney disease
7. Medications – steroids, opioids
Proper diagnosis helps determine whether testosterone therapy or fertility-preserving treatment is required.
1. Age-related testosterone decline
2. Testicular injury or infection (orchitis, trauma)
3. Varicocele
4. Pituitary disorders
5. Genetic disorders (Klinefelter syndrome)
6. Chronic diseases – diabetes, obesity, liver/kidney disease
7. Medications – steroids, opioids
Proper diagnosis helps determine whether testosterone therapy or fertility-preserving treatment is required.
Why Choose Swastik Urology Clinic for Hypogonadism Treatment?
Swastik Urology Clinic offers a precise and evidence-based approach:
• Detailed Hormonal Evaluation
Testosterone, free testosterone, LH, FSH, prolactin and thyroid function are assessed comprehensively.
• Special Focus on Metabolic & Fertility Assessment
Semen analysis and metabolic profile where required.
• Safe Testosterone Replacement Therapy (TRT)
Individualised dosing via injections, gels or patches with medical supervision.
• Fertility-Oriented Management
Gonadotropin therapy or hCG-based regimens for men wishing to preserve fertility.
• Long-term Monitoring & Follow-Up
Ensures safe treatment, metabolic stability and optimal hormonal balance.
• Detailed Hormonal Evaluation
Testosterone, free testosterone, LH, FSH, prolactin and thyroid function are assessed comprehensively.
• Special Focus on Metabolic & Fertility Assessment
Semen analysis and metabolic profile where required.
• Safe Testosterone Replacement Therapy (TRT)
Individualised dosing via injections, gels or patches with medical supervision.
• Fertility-Oriented Management
Gonadotropin therapy or hCG-based regimens for men wishing to preserve fertility.
• Long-term Monitoring & Follow-Up
Ensures safe treatment, metabolic stability and optimal hormonal balance.
Hypogonadism Treatment Options at Swastik Urology Clinic
Treatment depends on whether hypogonadism is primary, secondary or functional:
1. Testosterone Replacement Therapy (TRT)
• Intramuscular injections
• Transdermal gels
• Patches
Used in men who are not planning fertility and have confirmed testosterone deficiency.
2. Fertility-Preserving Treatment
• hCG therapy
• Clomiphene citrate
• Gonadotropin therapy (hMG)
These treatments stimulate natural testosterone and improve sperm production.
3. Management of Underlying Conditions
• Varicocele repair
• Weight reduction for obesity-related hypogonadism
• Treatment of pituitary or thyroid disorders
4. Lifestyle and Metabolic Optimization
• Exercise, weight management
• Sleep optimization
• Control of diabetes/thyroid disorders
Treatment is customized based on hormonal reports, fertility goals and overall health.
1. Testosterone Replacement Therapy (TRT)
• Intramuscular injections
• Transdermal gels
• Patches
Used in men who are not planning fertility and have confirmed testosterone deficiency.
2. Fertility-Preserving Treatment
• hCG therapy
• Clomiphene citrate
• Gonadotropin therapy (hMG)
These treatments stimulate natural testosterone and improve sperm production.
3. Management of Underlying Conditions
• Varicocele repair
• Weight reduction for obesity-related hypogonadism
• Treatment of pituitary or thyroid disorders
4. Lifestyle and Metabolic Optimization
• Exercise, weight management
• Sleep optimization
• Control of diabetes/thyroid disorders
Treatment is customized based on hormonal reports, fertility goals and overall health.
Can lifestyle changes improve testosterone levels?
Yes. Weight reduction, regular exercise, adequate sleep and controlling diabetes can significantly improve testosterone levels, especially in functional or obesity-related hypogonadism.
Will testosterone therapy affect my fertility?
Yes. Testosterone therapy suppresses sperm production. Men who wish to have children are treated with fertility-preserving hormonal protocols instead of TRT.
How soon does testosterone therapy start working?
Initial improvement in energy and libido may be seen within 2–4 weeks. Full therapeutic benefits including muscle mass changes and mood stabilization may take 2–3 months.
Is long-term testosterone therapy safe?
Testosterone therapy is safe under medical supervision. Regular monitoring of testosterone levels, hematocrit, prostate health and metabolic markers is essential to ensure long-term safety.