Erectile Dysfunction: Gain confidence with peak sexual health

Many men experience low energy, poor focus, or a decrease in sex drive at some point in their lives. While these symptoms can stem from various causes, one common underlying issue is low testosterone. Studies have shown that as many as one in four men over 30 deals with low testosterone. (1) Testosterone replacement therapy (TRT) can help restore hormonal balance and improve quality of life, but only when prescribed safely and legally by a qualified medical professional.

If you’re wondering how to get prescribed TRT, this guide explains the proper steps for how to receive TRT safely and legally. We’ll also explore what to expect during the process, and why choosing a reputable provider like Gameday Men’s Health can make all the difference.

What Is TRT and Why Is It Prescribed?

Testosterone replacement therapy (TRT) is a medical treatment designed to restore healthy testosterone levels in men diagnosed with hypogonadism, a condition in which the body produces too little testosterone. Testosterone plays a vital role in energy, muscle mass, sexual function, mood, and overall vitality.

When testosterone levels drop below the normal range, men can experience symptoms that affect both physical and mental well-being. Typically, low testosterone ranges are considered to be below 300 ng/dL (approximately 10.4 nmol/L). (2) TRT can work to bring levels back to a healthy balance, helping men regain focus, strength, and confidence.

However, it’s important to note that TRT is not a “one-size-fits-all” treatment and should always be customized to each individual based on lab results, symptoms, and medical history. Proper diagnosis and ongoing monitoring are key to ensuring that treatment is both effective and safe.

Symptoms That May Indicate Low Testosterone

Low testosterone can manifest in a variety of ways, often building gradually over time. Common signs may include: (3) 

• Fatigue and low energy
  
• Decreased libido or erectile dysfunction
  
• Loss of muscle mass or increased body fat
  
• Mood changes, irritability, or depression
  
• Difficulty concentrating or brain fog
  

While these symptoms can point to low testosterone, they do not confirm it on their own. Some common symptoms of low T may also point to other medical conditions such as thyroid imbalances, sleep apnea,, nutrient deficiencies, or diabetes, which may produce similar effects. (4) That’s why proper testing and medical evaluation are essential before starting any form of hormone therapy.

The Process of Getting Prescribed TRT

Getting TRT prescribed safely and legally involves several structured steps. Following this process ensures that your treatment is medically appropriate, effective, and legally compliant. At Gameday Men’s Health, we ensure that all proper protocols are being followed when prescribing TRT, so you can feel confident in your safety and long-term health.

Step 1: Schedule an Initial Consultation

Your first step is to meet with a licensed healthcare provider who specializes in hormone health. During this appointment, you’ll discuss your symptoms, medical history, and lifestyle factors that could be influencing your hormone levels. A knowledgeable provider will assess whether your symptoms are consistent with low testosterone and explain what testing is needed.

Step 2: Get a Blood Test

A blood test is the cornerstone of any TRT evaluation. Your provider will order lab work to measure your total and free testosterone levels. In most cases, levels below 300 nanograms per deciliter (ng/dL), combined with symptoms of testosterone deficiency, may indicate a need for treatment. However, interpretation can vary depending on age, health status, and lab standards.

Step 3: Medical Evaluation and Diagnosis

Once your test results are ready, your provider will review them alongside your symptoms and overall health goals and history. If your testosterone levels are low, they may also check other hormones such as thyroid or prolactin levels, and assess blood counts to rule out underlying issues. (5)

A formal diagnosis of male hypogonadism (low testosterone) must be made before TRT can be legally prescribed. This diagnosis confirms that your symptoms and test results align with a true testosterone deficiency rather than a temporary fluctuation.

Step 4: Receive a Personalized Treatment Plan

If low testosterone is confirmed, your provider will create a customized TRT plan tailored to your goals and health needs. Common delivery methods include:

• Injections administered weekly or biweekly
  
• Topical gels applied daily
  
• Other physician-approved delivery systems such as pellets or patches

Your provider will explain the pros and cons of each method, monitor your hormone levels, and adjust treatment as needed. Ongoing follow-up appointments and lab testing are crucial to track your response to the treatment and ensure your body is responding positively.

Why You Should Never Self-Prescribe Testosterone

It may be tempting for some men to order testosterone products online or obtain them without a prescription, as modern technology has made accessing these products easier than ever before. However, using testosterone without medical supervision is both illegal and unsafe. 

Self-prescribing testosterone can potentially lead to a range of health problems, including: (6)

• Hormonal imbalances that worsen symptoms rather than improve them
  
• Infertility or testicular shrinkage from improper dosing
  
• Cardiovascular risks, such as increased blood pressure or cholesterol changes
  
• Liver strain from unregulated compounds 
  
• Misdiagnosis, meaning you’re not addressing the actual issue that’s causing the symptoms in the first place. 

Unregulated testosterone products can also be contaminated or counterfeit, containing harmful fillers or incorrect dosages. Beyond the health risks, there are serious legal consequences. Possessing or using testosterone without a valid prescription may lead to fines or criminal charges, that vary depending on your location. 

The only safe and lawful way to start TRT is under the guidance of a licensed medical professional who can confirm a legitimate need, prescribe the correct dosage, and monitor your health.

How Gameday Men’s Health Makes Getting Prescribed TRT Easy

At Gameday Men’s Health, the process of getting prescribed TRT is straightforward, professional, and centered on your well-being. From initial testing to personalized treatment plans, every step is designed to make you feel informed and supported.

Here’s what you can expect when you choose Gameday:

• Convenient, private testosterone testing at a nearby Gameday clinic
  
• Consultations with licensed medical professionals who specialize in men’s hormone health
  
• Custom-tailored TRT plans based on your unique lab results and lifestyle
  
• Regular follow-up appointments to ensure optimal results and safety
  

At Gameday, appointments are fast, discreet, and designed to fit your busy schedule. Gameday’s team understands that men often delay getting help due to stigma or uncertainty, so we prioritize a welcoming and judgment-free environment that’s catered to men’s needs. 

With Gameday Men’s Health, you can feel confident knowing your TRT journey is medically supervised, fully compliant, and focused on helping you perform your best in every aspect of life.

Taking the First Step Toward Better Health

Low testosterone can impact your energy, motivation, and overall quality of life, but it doesn’t have to define you. By seeking proper testing and working with a trusted provider like Gameday, you can take control of your health and safely restore your vitality.

Gameday Men’s Health offers the expertise, medical oversight, and personalized care you need to start TRT the right way. If you’ve been experiencing symptoms of low testosterone, now is the time to get evaluated. Contact your local Gameday location today to schedule your consultation today and take the first step toward feeling like yourself again.

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References

1. Low Testosterone: Are you “One in Four”? 
2. Evaluation and Management of Testosterone Deficiency (2024) 
3. 10 Effects of Low T 
4. Understanding Low Testosterone Symptoms and What They Mean 
5. Male Hypogonadism 
6. Injectable Testosterone and the Risks of Self-Medication in Men

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Testosterone plays a central role in men’s health, influencing everything from energy and focus to lean body mass and sexual vitality. However, it’s important to remember that testosterone is a controlled substance under U.S. law. (1) 

For men exploring testosterone replacement therapy (TRT) to address symptoms of low testosterone, this may come as a surprise. But understanding why testosterone is regulated, what the laws mean, and how to use it safely under medical supervision is essential for protecting both your health and your legal standing before you begin treatment for low T. 

In this guide, we’ll explain why testosterone is a controlled substance, how it came to be regulated, and why working with a licensed clinic such as Gameday Men’s Health ensures you are receiving safe and effective treatment.

What Is Testosterone and Why It Matters

Testosterone is the primary male sex hormone and an androgenic-anabolic steroid hormone naturally produced by the body. It drives physical, mental, and emotional well-being throughout men’s lives. Healthy testosterone levels help maintain (2):

• Lean muscle mass and strength
  
• Energy and endurance
  
• Focus, motivation, and stable mood
  
• Healthy libido and sexual performance
  

As men age, testosterone production naturally declines, often by about 1% per year after age 30. (3)  For some, this decline can lead to noticeable symptoms such as fatigue, reduced muscle tone, irritability, or low sex drive.

In these cases, testosterone replacement therapy (TRT) can be a legitimate, medically supervised treatment. TRT may help men restore healthy hormone balance, improve energy, enhance mental clarity, and provide a higher overall quality of life.

However, because testosterone can also be misused outside of a medical setting, it’s classified by the government as a controlled substance, and that distinction has important implications.

What Does “Controlled Substance” Mean?

The term “controlled substance” comes from the U.S. Controlled Substances Act (CSA), a law passed in 1970 to regulate drugs with potential for abuse or dependence. Under this law, substances are divided into five categories known as “schedules.” (4)

• Schedule I: No accepted medical use and a high potential for abuse (e.g., heroin, LSD).
  
• Schedule II: Accepted medical use but high potential for abuse (e.g., oxycodone, Adderall).
  
• Schedule III: Accepted medical use with a moderate potential for abuse (e.g., anabolic steroids such as testosterone).
  
• Schedule IV: Lower potential for abuse (e.g., Xanax, Valium).
  
• Schedule V: Lowest potential for abuse (e.g., certain cough syrups).

Testosterone is classified as a Schedule III controlled substance, which means it has legitimate medical applications but also carries risks if misused. This scheduling ensures testosterone can only be distributed and used under the guidance of licensed healthcare professionals, such as Gameday Men’s Health.

Why Testosterone Is Classified as a Controlled Substance

Testosterone wasn’t always regulated as tightly as it is today.  Anabolic steroids, including testosterone, were often used recreationally by athletes, bodybuilders, and others seeking physical enhancement from the middle of the 20th century through the 1980s. (5)

This widespread misuse raised concerns about health consequences and unfair athletic advantages. Reports linked non-medical use of testosterone to serious side effects such as heart problems, liver damage, hormonal imbalances, and aggressive behavior. (6)

In response, the Anabolic Steroid Control Act of 1990 was passed, officially placing testosterone and other anabolic steroids under Schedule III of the Controlled Substances Act. This legislation made it illegal to possess or distribute these substances without a prescription.

Today, healthcare providers must follow strict guidelines when prescribing testosterone. That includes verifying a patient’s medical need through lab testing, documenting treatment plans, and regularly monitoring hormone levels.

The goal of this regulation is to prevent illegal distribution and misuse of testosterone, to protect patients from unsafe or contaminated products, and to ensure medical use is based on legitimate clinical need rather than performance enhancement.

These safeguards exist to balance access to effective treatment with the responsibility to prevent harm.

Legal vs. Illegal Use of Testosterone

The difference between legal and illegal testosterone use comes down to medical supervision and prescription authority.

Legal use means testosterone has been prescribed by a licensed healthcare provider based on diagnostic testing and clinical evaluation. Under this supervision, testosterone therapy is safe, controlled, and personalized to treat each individual.  Dosages are tailored to the patient’s body chemistry, and regular follow-ups ensure optimal results and minimal side effects.

Illegal use refers to taking testosterone without a prescription or buying it from unverified sources, black-market sellers, or overseas pharmacies.

Unregulated testosterone products can cause serious health and legal issues, including:

• Contaminated or counterfeit drugs that may contain dangerous impurities or incorrect dosages
  
• Hormonal disruption leading to infertility, mood swings, or testicular shrinkage
  
• Legal consequences such as fines or potential jail time for possession without a prescription (7)

Some men turn to online “shortcut” sources for testosterone believing they’ll save money or get faster results than using a licensed provider. However, the reality is that unprescribed testosterone can often cause more harm than good, and could make recovering from low T that much more difficult.

Safe and Responsible TRT Under Medical Supervision

When prescribed by a licensed medical provider and properly monitored, testosterone replacement therapy can be safe and effective for appropriate candidates. The key is consistent medical oversight and individualized treatment planning.

A responsible TRT program includes:

1. Comprehensive testing to confirm low testosterone levels and rule out underlying causes.
   
2. Personalized dosing based on your unique hormone profile and goals.
   
3. Ongoing monitoring to ensure healthy hormone balance and detect any side effects early.
   
4. Patient education so you understand how to use testosterone safely and responsibly.

At Gameday Men’s Health, testosterone therapy is managed by licensed professionals who follow all federal and state regulations to ensure the patient’s safety. Every treatment plan is designed to restore balance naturally, using medical-grade testosterone prescribed only when clinically appropriate.

Patients receive individualized care and ongoing support so they can feel their best while staying within legal and safety guidelines. When performed correctly and with proper supervision and dosage, TRT is about bringing your body back into equilibrium and restoring T levels to their appropriate levels, not elevating them to unnatural levels.

Moving Forward with Confidence and Safety

Testosterone therapy can be life-changing for men struggling with fatigue, low libido, or decreased strength due to hormonal imbalance. But it’s crucial to approach testosterone therapy the right way — through licensed medical supervision, not self-diagnosis or online shortcuts.

By understanding what testosterone can do and why it’s classified as a controlled substance, you can make informed decisions that protect your health, follow the law, and deliver lasting results.

With that said, men struggling with low testosterone should know that there are still safe and effective options that will help you feel more like yourself again. At Gameday Men’s Health, our TRT program is built around three pillars to help men regain control over their health: clinical accuracy, personalized care, and patient safety.

If you suspect you may have low testosterone, and are looking for answers, contact your local Gameday Men’s Health location today to schedule a consultation. A quick, confidential test is the first step toward finding the right solution for restoring your energy, focus, and confidence safely.

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References

1. Drug Scheduling 
2. How Testosterone Benefits Your Body 
3. Why Are Testosterone Levels Decreasing? 
4. The Controlled Substances Act (CSA): A Legal Overview for the 119th Congress
5. What Is the History of Anabolic Steroid Use?
6. The Uses of Anabolic Androgenic Steroids Among Athletes; Its Positive and Negative Aspects- A Literature Review 
7. Steroids Fast Facts

Shockwave therapy has become one of the most talked-about non-invasive treatments for men dealing with erectile dysfunction (ED), chronic pain, and sports-related injuries. Shockwave therapy’s ability to improve blood flow, accelerate healing, and restore function without surgery  and with minimal downtime has made it increasingly popular among men looking for long-term results.

But before men start treatment, many are left wondering: will shockwave therapy be covered by insurance?

The short answer is that it depends on your condition, provider, and insurance plan. In this guide, we’ll explain when insurance may cover shockwave therapy, when it typically does not, and why choosing a direct-pay clinic like Gameday Men’s Health can be beneficial for many by cutting out the insurance company altogether.

What Is Shockwave Therapy?

Shockwave therapy, also known as acoustic wave therapy, uses sound waves to stimulate healing and improve blood circulation in specific areas of the body. It was originally developed to help break up kidney stones, but doctors soon discovered it could also help promote soft tissue and enhance blood flow. (1)

For men, shockwave therapy is best known for helping to treat erectile dysfunction. Low-intensity sound waves are applied to the penis to stimulate blood vessel formulation and improve circulation. Better blood flow often leads to stronger, more natural erections over time. (2)

Outside of ED, higher-energy forms of shockwave therapy are used to treat a variety of orthopedic and sports medicine conditions, including: (3)

• Plantar fasciitis
  
  
• Tennis or golfer’s elbow
  
  
• Shoulder or knee tendinopathies
  
  
• Greater trochanteric pain syndrome
   
• Medial tibial stress syndrome 
  
  
• Knee osteoarthritis

It’s important to distinguish between low-intensity shockwave therapy (LiSWT) for ED and high-energy shockwave therapy used in orthopedics. While the technology is similar, the energy levels, treatment goals, and insurance eligibility differ.

When Insurance May Cover Shockwave Therapy

Some insurance providers do cover shockwave therapy, but this typically applies to orthopedic or musculoskeletal conditions rather than erectile dysfunction.

Insurance coverage may be available if:

• The treatment is prescribed for a medically recognized condition such as plantar fasciitis, tendinopathy, or greater trochanteric pain syndrome
  
  
• The procedure is performed by a licensed medical professional, such as a physical therapist or sports medicine physician
  
  
• The diagnosis meets your insurer’s definition of “medically necessary”
  
  
• There is sufficient clinical research supporting the use of shockwave therapy for your condition
  
  

When these requirements are met, your insurance provider may authorize shockwave therapy under procedural codes for extracorporeal shockwave treatment (ESWT). However, approval varies from one plan to another and won’t be uniform across all patients.

When Insurance Typically Does Not Cover Shockwave Therapy

Most insurance plans do not cover shockwave therapy for erectile dysfunction or sexual performance concerns. Clinical studies have shown promising results for men with vascular-related ED. (4)  However, many insurance companies still classify shockwave therapy for this purpose as experimental or investigational. Because it doesn’t meet their criteria for medical necessity, it’s almost always excluded from coverage.

Common reasons insurance companies deny ED-related shockwave therapy include:

• It is not FDA approved specifically for erectile dysfunction
  
  
• It is not listed as a covered benefit in the insurance plan
  
  
• It is considered elective or preventive rather than medically required

Despite this, many men may still choose to move forward with treatment. That’s why working with a trusted men’s health clinic such as Gameday Men’s Health is critical to ensuring you’re still receiving affordable, high-quality treatment even when insurance is not involved.

Why Coverage Can Differ Between Providers

Coverage for shockwave therapy can vary significantly between insurance providers. There is no single policy that applies across the board. Instead, insurers typically determine eligibility based on several factors. These may include the specific condition being treated, FDA approval status for specific uses, the strength of clinical evidence regarding the therapy, and your specific health history.

Because policies differ, it’s best for you or your clinician to contact your insurance provider directly to ask whether shockwave therapy is covered for your specific diagnosis. Providing them with your diagnosis and your provider’s information can help you get a clear answer before you start treatment.

Typical Cost of Shockwave Therapy Without Insurance

For erectile dysfunction, shockwave therapy costs range from $250 to $500 per session, depending on your location and provider.  A full treatment plan usually includes 6 to 12 sessions spaced about a week apart. (5) Bundled pricing or payment plans may be provided to make treatment more accessible.

For orthopedic conditions, pricing depends on the area being treated and how many sessions are required. Some physical therapy or sports medicine clinics include shockwave therapy as part of a broader rehabilitation program.

While paying out of pocket can sound intimidating, many men find the results well worth the cost, especially those who have had long-term issues with ED. The treatment can reduce reliance on medication and improve quality of life.

How to Check if Your Insurance Covers Shockwave Therapy

Before scheduling your first session, contact your insurance provider to confirm whether any portion of your treatment might be reimbursed. To make the process easier:

1. Call the member services number on your insurance card.
   
   
2. Ask specific questions such as:
   
   
   
   • Does my plan cover extracorporeal shockwave therapy for my condition?
     
     
   • Is preauthorization required?
     
     
   • What documents are needed to prove medical necessity?
     
     
   • Are there in-network providers who offer this service?
     
     
3. Request an estimate of potential out-of-pocket costs.
   
   
4. Get confirmation in writing or note the reference number for your call.

Even if your plan doesn’t cover shockwave therapy, you might be able to use funds from a health savings account (HSA) or flexible spending account (FSA) to help pay for the treatment.

Why Gameday Men’s Health Does Not Take Insurance

At Gameday Men’s Health, we believe high-quality care shouldn’t be limited by the complexities of insurance. Our clinics don’t accept insurance, so you don’t need to worry about waiting for claims to be processed or approvals or for approval decisions. Instead, you’ll be able to speak directly with your provider about the cost of the treatment before you get started, giving you a complete and clear understanding of the financial commitment needed. 

Cutting out insurance allows you to skip the red tape and avoid waiting long periods for a decision before you can start treatments. Additionally, our competitive pricing shows you the all-in cost without hidden fees or surprise bills.

Our personalized plans provide shockwave or other ED treatments that are right for you, not just what an insurance company deems necessary within your coverage plan. Plus, you can still use HSA or FSA funds to pay for your care if eligible.

Taking the Next Step Toward Better Health

If you’re curious about shockwave therapy and its potential benefits but are concerned about insurance, you’re not alone. Whether or not insurance covers shockwave treatment depends largely on your plan as well as what you intend to use the treatment for. 

Patients seeking shockwave therapy for ED will almost assuredly need to pay out of pocket, although there may be exceptions. 

At Gameday, we cut out the mystery by telling you upfront about the all-in cost upfront. Since we don’t accept insurance, you don’t need to worry about whether or not your treatment will be covered. 

With no insurance barriers and personalized treatment plans, you can take control of your health without waiting for approval or dealing with denials. Our team of specialists will help you determine whether shockwave therapy is right for you and guide you through every step of your treatment journey.

If you’re ready to improve your performance, confidence, and overall health, contact your local Gameday Men’s Health clinic today to schedule a consultation.

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References

1. What is Shockwave Therapy and How Does It Work? 
2. Shockwave Therapy for Erectile Dysfunction (ED) 
3. The evolving use of extracorporeal shock wave therapy in managing musculoskeletal and neurological diagnoses 
4. Effectiveness of Low-Intensity Extracorporeal Shock Wave Therapy in Erectile Dysfunction: An Analysis of Sexual Function and Penile Hardness at Erection: An Umbrella Review 
5. Why Men Are Turning to Penile Shockwave Therapy for Lasting ED Relief

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