Obsidian Blog

How Does Testosterone Replacement Therapy Affect Fertility?

As a urologist actively involved in screening and treating men with low testosterone, I’m frequently asked about the possible dangers posed to sperm production and overall fertility by testosterone-replacement therapy (TRT). This is a serious concern regardless of...

Do You Qualify for Low T Screening?

Low testosterone affects men differently: For some, it’s a devastating condition; for others, it’s little more than a nuisance. Urologists like me diagnose Low T, and gauge its severity, through a series of lab tests — but it’s by no means that simple. Testosterone...

Diagnosing Low T: A Strategic Approach

As a urologist who has focused on men’s health for more than a decade, I often treat testosterone-deficiency syndrome — TDS or, colloquially, “Low T.” Seemingly straightforward, it’s one of the most misunderstood, mismanaged medical conditions; diagnosing and treating...

When Treatment Makes Low T Even Lower

As a urologist who specializes in testosterone deficiency, I can assure you that the last thing a man wants is even lower T readings after he’s begun treatment. I see this maybe four or five times a year, and it baffles patients and non-expert physicians alike. Yet...

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About our Physicians

Our urologists have more than 30 years of combined experience helping men achieve and maintain a healthy sex life. More about Shane Geib, M.D. and Marc Richman, M.D.