He adds, "In cases where men want to preserve their fertility potential, I recommend alternative testosterone therapies, such as clomiphene citrate, which help boost natural testosterone production." However, a prior study has found that some of these supplements actually do contain testosterone or testosterone precursors, which should only be taken under a doctor’s supervision. Over-the-counter testosterone remedies commonly advertised on TV are mainly vitamin and herbal supplements. However, other conditions, such as underlying depression or stress, can also cause these symptoms. Kian Asanad, MD, a urologist specializing in men’s health at USC Urology, part of Keck Medicine of USC, answers these questions and more. As women go through menopause, some men may go through a similar experience called andropause, which results from a decrease in their natural testosterone production. You should consult them if there’s a structural issue, a procedure is needed, or prostate/urinary symptoms are present. The goal is to recover motivation for sexual interactions and erotic fantasies. This lack of interest can occur in any area of sexuality in general (generalized HSDD) or specifically towards a partner (situational HSDD). Often, individuals with HSDD avoid any form of sexual contact. What is the term for male infertility? What is the main cause of male infertility? What does male infertility look like? How is male infertility diagnosed? If you have bothersome signs of low testosterone, avoid over-the-counter supplements. But you should address symptoms that interfere with your quality of life. There’s no one-time fix for low testosterone in men. It’s treatable with testosterone replacement therapy. Do you have more questions about the treatment for testosterone deficiency syndrome or hypoactive sexual desire? The method of testosterone replacement therapy depends on availability, safety, tolerability, effectiveness, and the preference of both the patient and the doctor. The main goal of testosterone replacement therapy is to restore normal physiological testosterone concentrations. What are the side effects of testosterone replacement therapy? Is testosterone replacement therapy safe? While general awareness and understanding of testosterone replacement therapy has improved in recent years, many people still have questions. It is possible to have low levels and not experience symptoms. If your doctor diagnoses low testosterone, other tests may be considered before therapy.