I have secondary hypogonadism as a result of pituitary adenomas. Essentially, my pituitary gland no longer functions, meaning I can't make testosterone. It took me about seven months and a dozen different specialists to find the problem and treat it.
First step is get a testosterone screening. A lot of docs will try to convince you that you're depressed or it's something else. Doesn't matter. Insist on getting the test. They'll probably make you do it several times over the course of a few weeks.
Why is this important? Because if you have a testosterone problem, it can actually be quite serious, like cancer, so best to know why you have it, even though most cases are idiopathic.
From these tests, your doctor should be able to tell you if you have primary hypogonadism (something in the testes isn't working) or secondary (something in the brain isn't working). From there, you will be referred to specialist. Because I had secondary, I had to go see an endocrinologist, which you can't see on your own without a doctor's referral.
I had to do a whole bunch of tests and get an MRI before they found the tumors. They won't proscribe you any meds typically before they figure out what's going on because they rather treat the problem than the symptoms.
If what you have in untreatable, or they simply don't know what is causing it, they usually proscribe androderm, and if that doesn't work, the follow up of Clomid.
If neither of those are successful, then you can get the more potent forms, such as injections. It seems like a hassle, but you should be more concerned about what is causing your testosterone problem instead of how to fix it. In the mean time, I recommend the supplement Tribulus Terrestis, which is a Bulgarian herb extract that promotes testosterone production and does not need a proscription.