The Blog

by Marc Richman, M.D. Testosterone deficiency syndrome (TDS, or Low T), as its name implies, is a medical condition in which a man’s level of testosterone, the male hormone, is insufficient. Low T can cause a variety of problems: sexual dysfunction, fatigue, lack of motivation, loss of vitality and difficulty building muscle mass. A specialist

One of the most poorly understood aspects of American medicine today, especially in the realm of men’s health, is prostate-cancer screening. Indeed, the PSA — prostate-specific antigen — test, a blood screening that can detect early-stage prostate cancer, is one of the most hotly debated and misunderstood tests in the history of medicine. Why? Well, although non-expert

As a urologist who specializes in men’s health, I’ve encountered a string of patients lately who are getting treatment for testosterone deficiency from those I consider non-experts — family-practice doctors, OB-GYNs and the always suspicious “anti-aging” specialists. I’m always hesitant to criticize people in my line of work, but in all of these recent cases, the docs

In honor of Men’s Health Week, June 15-21, the urologists of Obsidian Men’s Health will answer questions daily via social media. Use the hashtag #AskObsidian. McLean, Va. — Many men do whatever they can to avoid visits to their physician. In recent decades, a variety of health-care institutions have developed services specifically for women — now,

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 whether a man is supplementing his testosterone with topical medicine or injections. A major recent study conducted

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 deficiency syndrome (TDS) is common, but it’s often poorly understood by doctors.

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 it is an art form requiring specialized training, excellent communication skills, diagnostic acumen and strategic planning.

Obsidian Men’s Health offers “Vasectomy Thursdays and Fridays” during March Madness, with a special discount while North Carolina and local teams remain in the running. March Madness is upon us! And while men’s thoughts naturally turn this time of year to basketball, brackets and beer, Obsidian Men’s Health urges them to add, yes, a vasectomy

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 there’s usually an explanation, as one recent patient

Schedule a consultation and mention  “Heart On” before Feb 20th and receive 10% off your initial consultation.   Want to make sure you’re able to perform this Valentines Day? Here are five tips for making sure you get your heart on. 1. Dump the routine! — After a few years in a committed relationship, it’s easy

I’ve written before about the perils of treating low testosterone with anything other than medically sound therapies under the guidance of an expert urologist or endocrinologist. To understand why, look no further than the array of anti-aging clinics nationwide that purport to correct low T “naturally” and help men age more gracefully with what they claim

  Low testosterone is a drag. When a man’s testicles stop producing adequate amounts of the stuff, he’s got testosterone-deficiency syndrome (TDS), which brings with it a host of problems: fatigue, dysphoria, sexual dysfunction, increased body fat and difficulty building muscle mass. Today, testosterone-replacement therapy (TRT) is the sole legitimate medical treatment for TDS. It’s