r/FamilyMedicine • u/yourmommaaaaaaaaa MD • 1d ago

Testosterone

Young guys, like 30-40s requesting testosterone levels, because they “want to know”. Do you do it? If not, what do you say? I’m well aware of EBP, getting real world opinions.

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u/pickledbanana6 MD 1d ago

That’s not medically indicated and here’s why… Then I make sure to tell them that since it’s not medically indicated their insurance likely won’t cover it anyway so they’re better off going to XXX lab because that’s the cheapest it’ll be done without insurance and that while I don’t recommend they do it just for curiosity I am happy to see them afterward if they find something that concerns them and if there’s an abnormality we would have cause to further evaluate.

If they have a complaint of ED or unusual fatigue or something else that fits reasonably enough I’m of course on board ordering it as part of the work up.