Low sex drive
A careful assessment may identify testosterone or other causes.
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Men’s Sexual Wellness • Hormone Health
Changes in sex drive, energy or strength can be frustrating. Sometimes testosterone deficiency contributes, but sleep, stress, medications and medical conditions can cause similar symptoms. A thorough evaluation helps you avoid unnecessary treatment and focus on what will actually help.
Care in The Villages and Wildwood, welcoming patients from across Florida, the U.S. and internationally. Treatment location confirmed when scheduling.
Understanding your options
Symptoms may include reduced libido, fewer spontaneous erections, fatigue or changes in muscle mass—but they are not specific to low testosterone.
Professional guidance recommends diagnosing testosterone deficiency in men with compatible symptoms and consistently low levels, usually confirmed with repeat morning testing. Additional evaluation may be needed to find the cause.
Cleveland Health Center offers men’s hormone evaluation and individualized care. Treatment is considered only when benefits, risks, monitoring and fertility plans are understood.
Concerns we evaluate
The right treatment starts with identifying the condition—not simply matching a symptom to a device or product.
A careful assessment may identify testosterone or other causes.
Sleep apnea, mood changes, medications and chronic illness can contribute.
Hormones are one possible factor among many.
ED often has vascular and metabolic causes even with normal testosterone.
Understand which formulations are approved and why monitoring matters.
The treatment explained
A clinician reviews symptoms, medication use, sleep, metabolic and cardiovascular health and fertility goals. Accurate morning testosterone testing is generally repeated before diagnosis; further testing may be needed depending on results.
If treatment is appropriate, we discuss available formulations, expected effects and follow-up. Testosterone therapy can reduce sperm production and may be inappropriate in men attempting conception or with certain medical risks.
What to expect
Discuss libido, energy, sleep, erections and expectations.
Confirm consistently low testosterone when indicated and investigate causes.
Discuss prostate considerations, blood counts, fertility and other risk factors.
If prescribed, follow symptoms, testosterone levels and safety measures over time.
Your health comes first
A good consultation includes the choice not to pursue a procedure. We review established options, medical care and referrals whenever appropriate.
Can improve energy and sexual wellness independent of hormone therapy.
Some drugs affect libido or testosterone measurements.
Erectile dysfunction may need condition-specific therapy even when testosterone is normal.
Appropriate for unclear diagnoses, complex fertility concerns or high-risk conditions.
Why Cleveland Health Center
Sexual and pelvic health questions are personal. Our team takes the time to review your medical history, goals, treatment options and safety considerations.
Our practice is led by Florian Gegaj, MD, an ABIM board-certified internal medicine physician. We welcome patients from The Villages, Wildwood, across Florida and beyond.
Meet Florian Gegaj, MD, founder of Cleveland Health Center and an ABIM board-certified internal medicine physician.
Medical evaluation, thoughtful counseling, and coordinated care are central to our approach.
Your questions, answered
Usually yes; guidelines recommend confirming low values with a repeat morning sample when the diagnosis is suspected.
No. Blood flow, nerves, medication effects and mental health can also affect erections.
No. External testosterone can suppress sperm production and may be inappropriate if you plan to conceive.
Age alone is not enough; benefits and risks depend on symptoms, confirmed laboratory findings and health status.
Monitoring depends on treatment and individual factors and is explained before prescribing.
Continue exploring
Educational information only. Individual treatments are based on a clinical assessment, and results vary. Do not change prescribed medication without professional advice.
These concerns may overlap with sexual wellness, but they deserve their own evaluation. Learn more about our separate Urinary Incontinence & Pelvic Floor Therapy service and BTL EMSELLA treatment.