Hormones, measured before managed
Low energy, low desire, or a low number on a lab report are three different problems. We start by finding out which one you actually have.
George W. Carroll, MD Florida license ME48111NPI 1073644985 Men’s sexual medicine since 1992
Our approach
Evaluation starts with proper lab work and a real history — because symptoms blamed on testosterone often have other causes, and treating a number rarely fixes a symptom.
Where treatment is appropriate, Dr. Carroll’s preferred strategy is to raise your body’s own testosterone production using medication that stimulates your natural signaling — an approach that preserves fertility. Direct testosterone replacement can suppress your own production and be difficult to come off; stimulating your natural production — especially if you may want children — is where Dr. Carroll prefers to start the conversation.
What this looks like in practice
- Baseline labs, reviewed with you plainly.
- Treatment only where the labs and the symptoms agree it is warranted.
- Coordination with any ED or desire concerns, which are evaluated in their own right.
Common questions
- Do you prescribe testosterone replacement?
- Our practice focuses on raising your own production where that is clinically appropriate. If direct replacement is genuinely the right pathway for you, Dr. Carroll will say so and direct you accordingly.
- Can this be handled by telemedicine?
- Much of it, yes — consultations and lab reviews work well by video for Florida patients, with lab draws done near you.

Care provided by George Carroll, M.D.
Medically reviewed by George W. Carroll, MD (Florida license ME48111) · Reviewed August 2026
Start with the labs
Even if you choose to do nothing, it’s worth knowing what’s going on. Dr. Carroll will tell you, and the decision stays yours. One call to our office starts it — no obligation, no pressure, and no one pushing you toward a decision.
Office hours: Mon–Fri 9:00 AM – 5:00 PM.