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Testosterone Deficiency

Hormone & Testosterone Replacement Therapy in South Florida

Imbalanced testosterone levels can have a negative impact on male health and vitality. Testosterone deficiency, for example, can contribute to everything from erectile dysfunction to low energy to loss of bone mass. At Z Urology, our specialized team offers comprehensive testosterone replacement therapy (TRT) to help you regain vitality, improve your overall health, and rediscover your best self. With convenient locations throughout South Florida, expert care is just around the corner.
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What is Hormone Replacement Therapy for Men?

Hormone replacement therapy (HRT) is a medical treatment designed to restore healthy hormone levels in the body. Testosterone replacement therapy (TRT) is the most common type of treatment to address hormone imbalance in males. At certain phases in life, men can experience low testosterone (hypogonadism).

As men age, testosterone production naturally declines. Lower levels of testosterone cause physical, mental, emotional, and sexual symptoms that can affect quality of life. TRT aims to alleviate these symptoms by regulating healthy hormone levels in the patient. 

Common signs of low testosterone can include:

  • Fatigue or low energy 
  • Noticeable decrease in libido (sex drive)
  • Difficulty getting or maintaining an erection 
  • Mood changes, especially irritability and depression
  • Reduced muscle mass 
  • Increased body fat
  • Difficulty concentrating 
  • Decreased bone density
  • Memory loss
  • Hair loss

Low testosterone symptoms can look different from patient to patient. It’s important to see a specialist to make sure your symptoms are a result of hormone imbalance and then undergo proper treatment to resolve the issue under a doctor’s care.

Types of Testosterone Replacement Therapy 

At Z Urology, we recognize that every man's hormonal needs are unique. Our approach to testosterone replacement therapy is highly personalized so that you can have the most effective treatment for your specific situation. 

Types of testosterone replacement therapy are:

  • Topical gels
  • Patches 
  • Injections 
  • Nasal sprays
  • Pellets 

Testosterone pellets are small, organic materials (about as small as a grain of rice) that are inserted into the skin using a small incision. Pellets are a common protocol for TRT since they slowly release testosterone into the body over 3-6 months.

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Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment

Whether you're experiencing urinary symptoms, dealing with a chronic condition, or need specialized treatment, Z Urology is your go-to care team. We provide the highest quality of care and truly value patient communication so you feel comfortable and informed every step of the way.

Contact Z Urology today to book an appointment and take the first step towards better urological health!
Schedule an Appointment
or Call (954) 714-8200
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