Men's Health
Medically reviewed by Dr. Patricia Sitnitsky, M.D. · Last reviewed July 2026
Avita MD provides comprehensive men's health care for adults at our clinics in Los Altos, Mountain View, and Los Gatos. Our services include testosterone evaluation, prostate health screening, cardiovascular risk assessment, metabolic health evaluation, hormone optimization, and management of conditions like erectile dysfunction, fatigue, and weight gain. We accept Medicare, most major PPO plans, and HMO plans.
We are a physician-owned practice with 12 providers and same-day appointment availability. On-site phlebotomy and EKG at all three locations mean your testing and exam happen in one visit.
Testosterone and Hormone Health
Testosterone levels in men typically decline by about 1% per year after age 30. By the time many men notice symptoms, levels may have dropped significantly. Fatigue, reduced muscle mass, weight gain around the midsection, low libido, irritability, poor concentration, and disrupted sleep are all potential signs of low testosterone.
At Avita MD, we start with a comprehensive blood panel that includes total and free testosterone, estradiol, DHEA-S, sex hormone-binding globulin (SHBG), cortisol, and thyroid hormones. We also check metabolic markers, liver function, and a complete blood count. If your levels are low, we discuss the full range of options, from lifestyle modifications and sleep optimization to bioidentical hormone replacement therapy (BHRT).
When testosterone replacement therapy is appropriate, we deliver it through topical creams and gels, injections, or pellet therapy, and recommend the method that best fits your profile and lifestyle. Energy and libido often improve within a few weeks, while changes in body composition, cognition, and mood typically develop over two to three months.
We do not prescribe testosterone without a clear diagnosis and thorough evaluation. And if we do start treatment, we monitor your levels regularly to keep you in an optimal range with minimal side effects.
Prostate Health
Prostate cancer is the second most common cancer in American men. Early detection through PSA (prostate-specific antigen) testing can catch it when it is most treatable. Your provider will discuss when PSA screening makes sense for you based on your age, family history, and risk factors.
Beyond cancer screening, we also evaluate and manage benign prostatic hyperplasia (BPH), which causes urinary symptoms like frequent urination, weak stream, and nighttime waking. When specialist care is needed, we coordinate referrals to urologists at El Camino Health, Stanford, and UCSF.
Cardiovascular Risk Assessment
Heart disease is the leading cause of death in men. Many risk factors, like high blood pressure, elevated cholesterol, and insulin resistance, develop silently for years. A standard cholesterol test tells only part of the story. At Avita MD, we can run advanced lipid panels with particle size and number, measure inflammatory markers (hs-CRP, homocysteine), and perform on-site EKG testing.
For patients with family history or elevated risk, we coordinate coronary calcium scoring and other advanced imaging. Learn more about our heart health services.
Metabolic Health and Weight Management
Insulin resistance, pre-diabetes, and metabolic syndrome are common in men and often go undiagnosed on standard blood work. We test fasting insulin, HbA1c, and comprehensive metabolic markers to identify problems early. If your weight is not responding to diet and exercise, hormonal and metabolic factors may be contributing, and we investigate those before assuming it is a willpower issue.
Erectile Dysfunction and Sexual Wellness
Erectile dysfunction (ED) affects more than half of men over 40 to some degree. It can be caused by low testosterone, cardiovascular disease, diabetes, medication side effects, psychological factors, or a combination. We evaluate the underlying cause as part of our sexual wellness care, which is important because ED is sometimes an early warning sign of heart disease. Treatment may include hormone therapy, medication, lifestyle changes, or referral to a urologist.
Schedule Your Appointment
Call Avita MD at (408) 495-5770 or book online. Same-day and next-day appointments are available at our clinics in Los Altos, Mountain View, and Los Gatos. If you want a deeper evaluation of your overall health, consider our executive wellness exam, which includes over 60 biomarkers and a comprehensive hormone panel.
This page is for general educational purposes and is not medical advice. Individual results vary. Talk with an Avita MD provider about your specific health needs.
Sources & references
This page draws on guidance from the following authoritative medical and public-health organizations.
- Men's health topics and screenings — MedlinePlus, U.S. National Library of Medicine
- Clinical preventive service recommendations — U.S. Preventive Services Task Force
Frequently Asked Questions About Men's Health
What men's health services does Avita MD offer?
Avita MD provides comprehensive men's health care including annual physicals, testosterone evaluation, cardiovascular risk assessment, prostate health screening (PSA), metabolic health evaluation, mental health screening, and hormone optimization. We also offer bioidentical hormone replacement therapy and coordinate specialist referrals.
What are the signs of low testosterone?
Common signs of low testosterone include fatigue, reduced muscle mass, increased body fat (especially around the midsection), low libido, erectile dysfunction, irritability, difficulty concentrating, and poor sleep. Avita MD can check your testosterone levels with a simple blood test at any of our three locations.
At what age should men start getting PSA tests?
The American Cancer Society recommends that men discuss PSA screening with their doctor starting at age 50 for average-risk men, age 45 for men at higher risk (African American men or men with a first-degree relative diagnosed with prostate cancer before 65), and age 40 for men with the highest risk. Your Avita MD provider will help you decide what is right for you.
Can I get a full hormone panel at Avita MD?
Yes. Avita MD offers comprehensive hormone panels for men that include total and free testosterone, estradiol, DHEA-S, cortisol, SHBG, thyroid hormones, and prolactin. On-site phlebotomy at all three of our locations means your blood draw happens during the same visit.
Do you treat erectile dysfunction?
Yes. Avita MD evaluates and treats erectile dysfunction as part of our sexual wellness care. We look at underlying causes, including low testosterone, cardiovascular disease, diabetes, medication side effects, and psychological factors. Treatment may include hormone therapy, medication, lifestyle changes, or referral to a urologist when appropriate.
How is testosterone replacement therapy delivered?
Avita MD delivers testosterone replacement therapy through topical creams and gels, injections, or pellet therapy. Your provider recommends the method that best fits your hormone profile, lifestyle, and preferences, and monitors your levels with follow-up lab work to keep you in an optimal range.
How soon will I notice results from testosterone therapy?
Energy and libido often improve within a few weeks of starting testosterone replacement therapy. Changes in body composition, cognition, and mood typically develop over two to three months. Avita MD schedules follow-up labs to track your progress and adjust your dosing.
What insurance do you accept?
Avita MD accepts Medicare, most major PPO plans, and HMO plans. Preventive visits and many diagnostic tests are covered under most plans. Call (408) 495-5770 to verify your coverage before your appointment.
Ready to Schedule?
Book online, call us at (408) 495-5770. Same-day and next-day appointments are available.