Lab-confirmed low testosterone, treated with long-acting EvexiPEL® pellets placed in about 15 minutes at our Anderson office — and managed by a urology team that also keeps an eye on your prostate and blood counts. No daily gels. No shots at home.
Testosterone gradually declines after about age 30. For some men it drops far enough to cause symptoms that creep in slowly — and get blamed on stress, work, or “just getting older.”
Many of these symptoms overlap with other problems — sleep apnea, thyroid disease, depression, medication side effects. That’s why a proper evaluation starts with morning bloodwork and a full history, not a symptom quiz. If your testosterone is truly low, Katy will tell you. If it isn’t, she’ll help you figure out what is going on.
Hormone pellets are small cylinders of bioidentical testosterone — a little larger than a grain of rice — placed just under the skin of the upper buttock during a quick office visit. They dissolve slowly and release a steady dose of testosterone over roughly four to six months.
Compared with gels, there’s nothing to rub on every morning and no risk of transferring testosterone to a partner or child through skin contact. Compared with injections, there are no peaks and crashes between doses and no needles at home — just a re-insertion visit a few times a year.
Because pellets can’t be removed once they’re placed, Katy confirms low testosterone with lab work before your first insertion and reviews the rest of your health — including your prostate — so treatment is safe and appropriate for you.
Plenty of clinics will hand you testosterone. Fewer will diagnose it properly, monitor it the way guidelines call for, and treat the rest of your men’s health at the same time.
Urology guidelines call for low testosterone to be confirmed on two separate early-morning blood tests — not a single reading or an online questionnaire. Katy also checks the hormones that control testosterone, so you get the right diagnosis before you get a treatment.
Testosterone can raise your red blood cell count and blood pressure, and it affects the prostate. We check your blood counts, blood pressure, and PSA before you start and at follow-up — the same monitoring urologists are trained to do — and adjust your plan if anything shifts.
Katy works alongside Dr. Colin Linke, a board-certified urologist. If a PSA rises, an erection problem needs more than testosterone, or a prostate question comes up, you’re already in the right place.
Katy reviews your symptoms, health history, medications, and goals, then orders morning bloodwork: total and free testosterone, blood counts, PSA, and the related hormones that explain why your level is low.
If your labs confirm low testosterone and pellets are a good fit, Katy calculates your starting dose from your levels, weight, and history, and explains what to expect — including cost.
After numbing a small area on the upper buttock, Katy makes a tiny opening in the skin, places the pellets, and closes it with a small bandage. Most men are in and out in about 15 minutes.
Labs are rechecked about 4–6 weeks after your first insertion to confirm your levels and blood counts. Re-insertion is typically scheduled every 4–6 months, with dosing adjusted as needed.
Everyone responds differently, and results depend on how low you started, your overall health, and how consistently your levels are kept in range. With a properly dosed and monitored plan, many men report:
Many men notice changes in energy, sleep, or mood within the first few weeks of their first insertion. Sex drive, muscle, and body composition improve more gradually over the first few months, and follow-up labs make sure you’re getting the benefit without overshooting.
It isn’t a shortcut for weight loss, and it won’t fix erections caused by blood-flow problems on its own. The good news: we treat erectile dysfunction, prostate symptoms, and the rest of men’s urologic health here too, so you get the right combination rather than a single fix.
Katy is a board-certified Family Nurse Practitioner, credentialed by the American Academy of Nurse Practitioners, with an additional specialty certification in urology. She earned her Master of Science in Nursing from Ball State University and brings more than 15 years of medical experience to her patients.
Her clinical focus includes men’s and women’s sexual health, hormone replacement therapy, benign prostatic hyperplasia, and vasectomy counseling — which means she understands how testosterone, erections, and prostate health overlap in ways a testosterone-only clinic often misses.
Katy sees testosterone therapy patients at our Anderson office. Appointments are relaxed, unhurried, and built around your questions.
Meet the Rest of Our TeamPellet therapy may be a good fit if you:
Testosterone therapy isn’t right for everyone. Katy will review your full history before recommending treatment, and it is generally not recommended for men with untreated prostate or breast cancer, men actively trying to conceive, an already-high red blood cell count, untreated severe sleep apnea, uncontrolled heart failure, or a heart attack or stroke within the past several months.
Katy will give you written aftercare instructions and a direct number to call with questions.
Your evaluation and lab work are generally billed to your insurance like any other urology visit. Coverage for the pellets and insertion varies by plan, so we’ll go over exact pricing with you at your consultation before anything is scheduled — no surprises. Our Anderson team can help you understand what to expect from your benefits.
Because a single insertion lasts several months, many men find pellets compare favorably with the ongoing cost and hassle of daily gels or weekly injections. Ask us about pricing when you call: 765-DR-LINKE (765-375-4653).
The area is numbed first, so most men feel some pressure but little to no pain during the procedure. The site may be tender or bruised for a few days afterward, similar to a deep bump.
For most men, a single insertion provides a steady release of testosterone for about four to six months. Your metabolism, body size, and activity level can shorten or lengthen that window, which is why follow-up labs matter.
Many men notice changes in energy, sleep, or mood within a few weeks. Improvements in sex drive, muscle, body fat, and strength build over several months as dosing is fine-tuned to your labs and symptoms.
Yes. Testosterone from any source — pellets, injections, or gels — signals the body to stop making its own testosterone and sperm. Sperm counts can drop significantly and may not fully recover after stopping. If there is any chance you want to father children, tell Katy before starting so you can talk through your options.
Current evidence does not show that testosterone therapy causes prostate cancer. Testosterone can, however, stimulate a prostate cancer that is already present, so we check your PSA before you start and monitor it during therapy. Men with a history of prostate cancer need an individualized discussion with Dr. Linke before any treatment.
The largest study to date, published in 2023, did not find an increased risk of heart attack or stroke in men with low testosterone treated with testosterone therapy, though research is ongoing. We review your cardiovascular history before starting, and we monitor your blood pressure and red blood cell count, both of which testosterone can raise.
A morning total testosterone level, usually repeated on a second morning to confirm it, along with blood counts, PSA, and related hormones such as LH, prolactin, and estradiol. Levels are rechecked about four to six weeks after your first insertion and then periodically while you’re on therapy.
Your consultation and labs are generally billed to insurance like any other visit. Coverage for the pellets and insertion depends on your plan. We’ll review the full cost with you before scheduling.
Usually, yes. Katy will review your current dose and labs and time your first insertion so you don’t have a gap — or an overlap — in treatment.
Pellets are designed to dissolve on their own and aren’t meant to be removed once placed, so their effects gradually fade over a few months. Your body’s own testosterone production usually takes time to recover afterward. Katy will talk through this with you before your first insertion so you can make the decision that fits your goals.
No referral is needed. Call our Anderson office at 765-DR-LINKE (765-375-4653) or request a consultation online to get started.
Hormone pellets are compounded medications prepared by a licensed compounding pharmacy. FDA-approved testosterone products are approved for men with low testosterone caused by certain medical conditions; treating age-related low testosterone is common but considered off-label. Testosterone therapy is intended for men with symptoms and lab-confirmed low testosterone — it is not a performance or anti-aging treatment. Individual results vary, and no outcome can be guaranteed. Katy will help you weigh pellets against other forms of testosterone therapy so you can choose what’s right for you.
Schedule a low testosterone evaluation with Katy Cool, FNP-C at our Anderson office. Serving men across Anderson, Muncie, Noblesville, Pendleton, and central Indiana.
EvexiPEL® is a registered trademark of EVEXIAS Health Solutions. This page is for general educational purposes and is not a substitute for a personal medical evaluation. Treatment decisions are made with your provider after a review of your history and lab results.
