Private · Board-Certified · Telemedicine High-end men's health care without a crowded waiting room.

Private men's health care
from home, on your schedule.

Work directly with Michael Hoffman, MD — a board-certified urologist and multi-year Castle Connolly Top Doctor — for erectile dysfunction and low testosterone care that is actually explained, monitored and adjusted over time. Testosterone replacement therapy, when appropriate, is used to support better mood, energy, sleep, exercise tolerance and muscle gain, and is integrated with weight and metabolic health — including weight-loss treatment with GLP-1–based injectables when appropriate, often coordinated with testosterone therapy so weight, hormones and metabolic health are moving in the same direction — as part of an overall plan for long-term wellbeing rather than a quick fix.

Male fertility is addressed with the same level of detail: semen analysis counseling, evaluation of hormonal and structural factors, and careful discussion of how treatment choices — including TRT and other medications — affect sperm production now and in the future. The aim is a single, coherent plan for sexual function, hormones and family planning.

Physician Michael Hoffman, MD · Board-Certified Urologist
Experience High-volume surgical & complex men's health practice
Recognition Castle Connolly Top Doctor (multiple years)
Men's Health Telemedicine
Physician-guided, convenient care
Telemedicine
Secure video visits with a urologist who manages men's sexual, hormonal and fertility health every day, scheduled around real life instead of clinic hours. Care is physician-led from start to finish, with practical attention to cost — including working with you to find affordable pharmacies, generics and treatment options whenever possible.
  • Evidence-based care for ED, low testosterone, Peyronie's disease and male infertility
  • Visits from home or work, without travel, parking or a crowded waiting room
  • Help navigating cost-conscious options and realistic long-term treatment plans
Services

Modern men's health, done properly.

This is a physician-led men's health practice focused on depth, not volume. The goal is to understand what's really going on and build a plan that fits your life — not just renew a prescription.

Erectile dysfunction

A careful workup that looks at blood flow, hormones, medications, performance anxiety, sleep and stress. Treatment can include medication, lifestyle changes and hormone optimization when appropriate, with the goal of predictable, sustainable performance in the bedroom — not just a quick script.

Testosterone optimization

Thoughtful testosterone replacement therapy (TRT) when it is truly indicated, with counseling about fertility, cardiovascular risk and long-term monitoring. The focus is on better mood, energy, sleep, libido, exercise tolerance and muscle gain — combined with weight management and metabolic health, not testosterone in isolation.

Fertility & family planning

Infertility workup, counseling and treatment options from a urologist who understands how testosterone, other medications and lifestyle affect sperm production. Discussion includes preserving fertility while optimizing hormones whenever possible.

Weight, sleep & metabolic health

Weight, visceral fat, sleep quality, blood pressure and testosterone all interact. Telemedicine visits can integrate nutrition, activity, medication-assisted weight loss and TRT when appropriate — including GLP-1–based injectable treatments for weight loss when they make medical sense — with clear discussion of expectations, side effects, monitoring and cost. The goal is better labs, better numbers and better day-to-day life, not chasing a single number on the scale.

Hair, finasteride & hormones

Detailed counseling on finasteride, minoxidil and other hair treatments with clear discussion of sexual function, mood and long-term hormonal health. The aim is a realistic, individualized plan — not fear, and not blind reassurance.

Screening & long-term follow-up

PSA, prostate, testicular and metabolic screening folded into an ongoing men's health relationship. Kidney stones, prior surgery and evolving hormone or fertility issues are tracked over time instead of in isolated “one-off” visits.

This practice is best suited for men who want a clear explanation of what is going on, honest discussion of risks and trade-offs, and a long-term plan for performance, hormones, fertility, weight and overall health — not just a quick refill.

Modern men's health services
Conditions

Common concerns addressed.

Many men wait years before talking about these issues. Telemedicine creates a quieter, more comfortable environment to finally address them directly.

  • Erectile dysfunction and performance anxiety
  • Low testosterone and borderline “low-normal” levels
  • Men considering or already on testosterone replacement therapy
  • Changes in libido, energy, sleep and mood
  • Weight gain, central obesity and metabolic syndrome
  • Hair loss, finasteride use and hormone balance questions
  • Male factor infertility and semen analysis counseling
  • Fertility preservation considerations before starting TRT
  • Peyronie's disease (curvature, pain, deformity)
  • Elevated PSA and prostate health questions
  • Long-term follow-up after kidney stones or urologic surgery
  • General “Am I on the right track?” men's health and prevention questions
Physician-Led Care

About Michael Hoffman, MD

Men's health is too important to outsource to an app or a rotating pool of anonymous providers. Here, you work directly with a urologist whose career is built around these issues.

Dr. Michael Hoffman
Michael Hoffman, MD Board-Certified Urologist · Castle Connolly Top Doctor Hudson Valley, New York

Dr. Hoffman is a board-certified urologist who has spent his career taking care of men with kidney stones, elevated PSA, prostate enlargement, prostate cancer, sexual dysfunction, hormonal concerns and fertility issues. He runs a high-volume clinical and surgical practice and brings that same level of clarity and directness to his telemedicine work.

Much of that work centers on men's sexual health and hormones: erectile dysfunction, low testosterone, Peyronie's disease, male factor infertility, and the way all of that intersects with weight, sleep, blood pressure, mood and exercise. Testosterone replacement therapy, when used, is prescribed thoughtfully and monitored over time, with specific counseling about fertility and long-term health rather than treating testosterone as a standalone quick fix.

Telemedicine allows these conversations to unfold in a quieter, more private setting, without the friction of travel, parking or a crowded waiting room. The goal is to align bedroom performance, hormone balance, energy, sleep and metabolic health into a single plan that makes sense for your real life and your budget.

Board-Certified Urologist
Castle Connolly Top Doctor
Men's Sexual & Hormonal Health
Male Fertility & TRT Counseling

A different kind of men's health visit.

This practice is built for men who want an ongoing relationship with a physician, not a one-click refill. If you value direct, unhurried conversation and clear medical reasoning, this may be a good fit.

The first step is simple: request a call back through the secure form below. You will receive a response outlining next steps, basic expectations, and how telemedicine visits are structured.

Go to call-back form

Please do not use this site for urgent or emergency issues. For emergencies, call 911 or go to the nearest ER.

Experience

What patients appreciate.

Real feedback will vary and should never be used as a guarantee. These examples illustrate the kind of experience this practice aims to deliver.

“For the first time someone took the time to explain why things were happening, not just write another prescription. We went over hormones, sleep, stress and relationships, not just a pill.”
— Patient in his 40s, ED and low testosterone
“I had been putting this off for years. Being able to talk from home, without a waiting room full of people, made it much easier to be honest about what was going on in the bedroom and with my energy.”
— Patient in his 50s, performance and TRT questions
“We connected the dots between my weight, sleep, blood pressure, testosterone and fertility. It finally felt like a single plan instead of five different doctors saying five different things.”
— Patient in his 40s, weight, metabolic and fertility concerns
Pricing

Transparent, conversation-first care.

Exact pricing and insurance arrangements can change over time and may vary by state and scenario. The structure below is an overview, not a contract. Details are clarified before any visit.

Initial telemedicine consultation
Comprehensive review and discussion
  • Review of history, current concerns and prior testing
  • Focused evaluation of ED, low testosterone, fertility and metabolic health
  • Discussion of diagnostic options and next steps
  • Initial treatment recommendations when appropriate
Follow-up visits
Ongoing TRT, fertility and men's health management
  • Adjustment of testosterone dosing and timing based on response and labs
  • Monitoring of fertility parameters when relevant
  • Review of new labs, imaging or specialist input
  • Fine-tuning of goals: energy, mood, libido, sleep, weight and muscle gain
Coordination with in-person care
When procedures or exams are needed
  • Guidance on when in-person evaluation is essential
  • Coordination with local imaging, labs or procedural care
  • Telemedicine follow-up to interpret results and plan next steps
  • Clear explanation of what can stay virtual and what cannot
FAQ

Frequently asked questions.

These answers are general and may not apply exactly to your situation. Specific recommendations are always made one-on-one during an actual visit.

Is this a replacement for my local doctor?

No. Telemedicine can complement, but not fully replace, in-person care. Some problems can be managed primarily by telemedicine with local labs and imaging. Others require in-person examination, procedures or ongoing local follow-up. That distinction is made explicitly.

Can I get prescriptions or TRT through this service?

When medically appropriate and legally allowed in your location, prescriptions — including testosterone replacement therapy — can be sent to your preferred pharmacy. Medications are never guaranteed; they follow a proper evaluation, lab work and discussion of risks, benefits and fertility implications.

How does TRT affect fertility?

Standard testosterone replacement can lower or shut down sperm production in many men. If fertility is a priority, there are ways to approach hormones more cautiously or use different medications. That discussion is a core part of any decision about testosterone therapy in this practice.

Do you handle emergencies?

No. This is not an emergency service. Chest pain, severe shortness of breath, signs of stroke, high fever, inability to urinate or any rapidly worsening symptom require immediate in-person care. For emergencies, call 911 or go to the nearest emergency room.

Next Step

Request a private call back.

There is no automated booking widget or chat bot here. Your message goes directly to Dr. Hoffman's practice, and your information is treated confidentially.

Call-back request form

You can also email directly at urologydoctor@gmail.com. Please do not use this form or email for urgent or emergency issues.

What to expect

You will receive a response outlining whether telemedicine is appropriate for your situation, what preparation is helpful (prior labs, imaging, medication list), and the structure and cost of an initial visit. When possible, options for cost-conscious medications and local resources are also discussed.

This site is for general information and does not create a doctor–patient relationship on its own. Recommendations are only made in the context of an actual consultation. This is not an emergency service.