This article helps explain the diagnosis processes of testosterone deficiency: https://www.health.harvard.edu/drugs-and-medications/testosterone–what-it-does-and-doesnt-do?fbclid=IwAR3wyOBo7CuGXm8rMnL6DpkDxYjV7jjPNAKlNTH3itmcOY5faV5qenMwYe0
It isn’t a cookbook diagnosis, and you shouldn’t be worried about being referred to a specialist if you have the symptoms and a work-up for other causes comes back negative.