There’s no reason to accept low testosterone as part of ageing.
In sexually active years, most men are concerned about their testosterone levels. Besides impacting sexual function, testosterone is closely linked to muscle strength, cholesterol and glucose control as well as heart health.
As men approach andropause, testosterone levels are gradually reduced by around 1% every year. This may also increase the risk of osteoporosis, in addition to the other long-term effects highlighted above.
The good news: There are several testosterone replacement therapy options that have been shown to increase energy levels, muscle mass, bone density, and sex drive, as well as to reduce other symptoms in men who suffer from low testosterone for other reasons.
Did you know?
Testosterone is useless to you when it is attached to proteins in your body. Testosterone that is free floating and unattached to proteins is what is useful to you. Ask for a properly calculated free testosterone level at your next blood test.
Our Gold Standard for Testosterone Replacement Therapy (TRT)
We offer a Gold Standard approach to Testosterone Replacement Therapy (TRT) that we believe provides the most effective results for restoring healthy, stable androgen levels. Our approach combines daily subcutaneous Testosterone Cypionate injections with Human Chorionic Gonadotropin (hCG). This method not only optimizes testosterone levels but also mimics the natural diurnal variation in testosterone, providing the most physiological and effective treatment for testosterone deficiency.
We offer three treatment options tailored to each patient’s needs and preferences:
Option 1
Testosterone Cypionate + hCG or Testosterone Cypionate Alone
Testosterone Cypionate is a once weekly testosterone injection , providing stable and consistent hormone levels. These injection can be done yourself at home.When combined with hCG, this option helps maintain testicular function, preventing atrophy and supporting fertility.
Option 2
Testosterone Undecanoate + hCG or Testosterone Undecanoate Alone
Testosterone Undecanoate is a 3 monthly injectable form of testosterone with a longer duration of action, reducing the frequency of injections. Injections need to be performed by your doctor in clinic. Paired with hCG, it provides enhanced testicular protection and fertility support.
Option 3
Testosterone Gel + hCG or Testosterone Gel Alone
Testosterone Gel offers a convenient, non-injection option. It is absorbed through the skin, providing stable testosterone levels. Like the injectables, it can be combined with hCG to prevent the suppression of natural hormone production.
Why We Advocate the Use of hCG Alongside Testosterone Replacement
Testosterone Replacement Monotherapy can suppress the body’s natural production of Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH) from the pituitary gland. This suppression can lead to:
- Infertility
- Testicular Atrophy (shrinkage)
- Reduced Libido
By adding hCG to TRT, we mimic the body’s natural hormonal feedback system, helping maintain testicular size, function, and fertility. Some individuals may be concerned about the aesthetic appearance of their testicles, particularly the potential shrinkage that can occur with long-term testosterone replacement alone. hCG stimulates the testes to produce their own testosterone and supports spermatogenesis (sperm production), thereby reducing the negative side effects associated with testosterone monotherapy.
Supportive Medications in Conjunction with TRT
To optimize TRT results and address potential side effects, we also prescribe Clomiphene and Anastrozole in certain cases.
Clomiphene (Clomid)
- Clomiphene is often used to help restore natural testosterone production and improve fertility. It works by stimulating the pituitary gland to produce more LH and FSH, which can help maintain sperm production and testicular size while on TRT.
Anastrozole (Arimidex)
- Anastrozole is an aromatase inhibitor that prevents the conversion of excess testosterone into estrogen. This can help prevent side effects such as gynecomastia (breast tissue development) and water retention, ensuring that your testosterone therapy remains as effective as possible.
How fast do Testosterone Replacement Injections Start Working?
How fast do Testosterone Replacement
Injections Start Working?
FAQ
How fast can we see results from testosterone replacement injections?
It depends on why you are taking the injections. You would expect to see improved sexual function from 3-4 weeks, improved emotional health between 4-5 weeks, and improved strength, body shape and health from 6-12months.
How can I get tested for my testosterone levels?
It’s a simple blood test best done fasted and before 10am in the morning. Testosterone level start to dip after the early morning.
What are some of the side effects of Testosterone Replacement?
Side effects of testosterone replacement therapy can include acne, prostate growth, sleep problems, a stop to sperm production (be sure to tell your doctor if you are planning to preserve your fertility), increased blood cell production, and increased estrogen levels (which can be addressed by your doctor).
Our Doctors
Dr Samuel
MB BCh, BaO (Ireland),
MRCS (England)
Dr Jess
BSc (S’pore), MBBS (Aus)
FECSM (Fellow of the European Committee Sexual Medicine)
Your Health, Your Confidence.
Don’t let health concerns hold you back. Early intervention can significantly improve quality of life.
