Dr. Matthew treats many professionals such as physicians, attorneys, engineers, accountants and executives. She appreciates that their time and privacy is as important as their health. As an independent medical practice she is able to respect these concerns. When considering testosterone replacement, there are various routes for replacement. Dr. Matthew is knowledgeable and experienced in all available modalities. She lectures on the topic and teaches other providers on the medical and procedural aspects of testosterone replacement.




As men pass the age of 30, they begin producing less testosterone. This condition of abnormally low testosterone levels (production) is called andropause. This decline in hormone production is gradual, occurring over several decades. In fact, testosterone levels drop by about 10% per decade. When there is a rapid decline, in a person with a pre-existing low testosterone level, symptoms may occur sooner than expected and be a cause for concern.


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What consequences may be observed in a man with low testosterone?

  • Low sex drive
  • Erectile dysfunction
  • Emotional, psychological and behavioral change
  • Decreased muscle strength
  • Increased upper and central body fat
  • Osteoporosis
  • Increased cardiovascular risk


Because the symptoms of low testosterone are often subtle, and similar to those caused by other medical conditions, low testosterone often goes untreated, with only one in twenty men with low testosterone receiving treatment.

Is Andropause serious?


Research is not conclusive on this matter. But clinical research points to an association between low testosterone levels and increased cardiovascular risk in men. Low testosterone levels may increase cholesterol, reduce bone density, and contribute to insulin resistance.