Testosterone Replacement Therapy Consultations

Testosterone Optimisation Gives You The Foundations Necessary To Achieve Your Full Potential

 

TRT Consultations

Let Us Support You In Your Journey To Achieving Optimal Hormonal Balance And Stability


 

Testosterone Deficiency Syndrome (TDS)

Testosterone Deficiency Syndrome (TDS) or Male Hypogonadism is a recognised medical condition. There are three types:-

  • Primary Hypogonadism – Where you have an issue with your testes.
  • Secondary Hypogonadism – Where you have an issue with your hypothalamus and/or pituitary.
  • Mixed Hypogonadism – Where there is an issue with both.

It is important to establish a diagnosis so that not only can a possible reversible cause be identified, but also so that your personalised management protocol can be tailored to you.

Testosterone levels decline with age.  This serves a biological function, making way for future generations. Low testosterone however, is bad for your health.  Optimising your testosterone levels decreases your susceptibility to chronic diseases.

In this modern ‘civilised’ world we are living longer, but are we living better? Advances in modern medicine have had an impact on both our quality and quantity of life.  It is a rather peculiar situation to ignore optimising hormonal balance, when it serves as one of the core fundamentals in sustained health.

The impact of this modern life and living environment on testosterone levels is not to be ignored.  Average testosterone levels are dropping at an alarming rate as we become more civilised. Our DNA hasn’t changed, so the decline can only be attributed to our lifestyles.

 

Common Symptoms

In our clinic, the commonest presenting symptoms of low testosterone include:-

  • Loss of libido and/or erectile dysfunction.  The NHS solution?  A little blue pill.
  • Low mood, anxiety, depersonalisation.  The NHS solution?  Antidepressants.

Our patients have often resisted this and sought out the actual diagnosis – LOW TESTOSTERONE.

Other symptoms include:-

  • ‘Brain fog’, loss of motivation and drive.
  • Fatigue, loss of strength, poor recovery after exercise.
  • Weight gain and increased visceral fat distribution.

Symptoms can also include night sweats, increased insulin resistance and loss of bone mineral density (osteoporosis).

Our patients often confess to not feeling like their old selves anymore, and are desperate to feel ‘normal’ again.  Testosterone Replacement Therapy (TRT) isn’t about making you super-human, it’s about restoring you to your former self.  It’s about giving you the ability to take that leap over the invisible barrier that exists when your testosterone level is low.

 

Treatment

Our Gold Standard treatment is Testosterone Cypionate/Enanthate and Human Chorionic Gonadotropin (HCG).  The single short-acting ester attached to the testosterone makes controlling both testosterone and oestradiol levels easy as there is a linear increase with an increase in dose.  We do not use Sustanon, a blend of four esters, as the inevitable peaks and troughs often mean an aromatase inhibitor is needed to control oestrogen.  Why complicate matters with artificial chemicals that can have a negative impact?  Surely, it’s better to finely titrate your levels according to your genetics and physiology?

Human Chorionic Gonadotropin is a fundamental component to restoring hormonal balance, it perfectly mimics Lutenising Hormone (LH).  Not only is it important for retaining fertility and testicular size, there are LH receptors in the brain that convey a qualitative improvement compared to testosterone only TRT protocols.  HCG also up-regulates other hormones in the cascade down from Pregnenolone.  Ignore it at your peril, anybody claiming that HCG is not important in Testosterone Replacement Therapy displays a fundamental lack of understanding in hormone optimisation and restoring hormonal balance within the body.

 

Our Philosophy

Optimising your testosterone level at our TRT clinic isn’t about chasing numbers, its actually about you and how you feel, rather than a quantitive number. Dr Stevens, our specialist TRT doctor, will work with you to help you find that perfect TRT protocol for your individual needs. It’s about relinquishing a little control in order to gain it back, it’s about placing your trust in your TRT Doctor. Let us be the TRT doctor and you be the patient. We want Testosterone Replacement Therapy to be routine, we don’t want it to consume you because it really doesn’t need to. We want you to get on with living your life!

 

Our Patients

We are very proud of what a positive impact The Men’s Health Clinic has had on our patients’ well-being. I think our testimonials and the continued growth of the TRT clinic speaks volumes. It’s about changing the philosophy of testosterone optimisation, it’s about increasing understanding and awareness, it’s about applying common sense to attaining and sustaining health.

Let us help you be you again.

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New Patient TRT Consultation

(60 Minutes)

Your initial appointment involves a face-to-face consultation with Dr Stevens where he can review your symptoms, conduct a thorough physical examination and assess your overall suitability for Testosterone Replacement Therapy.

This will include a review of what symptoms and signs are of most importance to you, and whether or not these are likely to be attributable to low testosterone, or potentially another cause that may also need to be addressed.  A review of the quantitative and qualitative screening questionnaires issued prior to your appointment act as a good starting point for you to identify what matters most to you.

It is important to look at your past medical history, current/past significant conditions, illnesses and operations that may be influencing your current state of health.  An in-depth look at current and past medication usage may give an indication of what is going on, and whether alterations to these may influence the decisions we make in your care.

Your social history is also taken into consideration, including any past drug usage, as this can often provide a useful insight into your current testosterone level. The information you give is in complete confidence so the more information Dr Stevens has, the more he can potentially assist you.

Your bloods will then be taken to look at the quantitative blood markers necessary for initiating Testosterone Replacement Therapy.  The ‘TRT Check Plus’ blood test (detailed below) is the preferred option for this as it gives us a comprehensive analysis of your blood, so that a diagnosis can be made and other possible causes excluded.  If you have had previous blood tests and/or investigations carried out, please bring hard copies of these with you so that they can be taken into consideration.

At the end of your consultation you will have the opportunity to use our InBody 770 medical grade bioelectrical impedance scanner.  This allows us to record and track data relating to your physical health, as well as providing you with a benchmark to work from.  Repeat scanning would also form part of your annual face to face follow up reviews.

 

Consultation Price:  £280 + Blood Tests

Book Your Appointment

 

 

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First Follow Up TRT Consultation

(30 Minutes)

Your first follow up consultation is usually one week after your initial 60-minute ‘New Patient’ consultation, where Dr Stevens will review your blood test results and commence treatment as appropriate.

You should allow up to 30 minutes for this consultation.

 

Consultation Price:  £160 + Medication

Book Your Appointment

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New Patient TRT Consultation

(90 Minutes)

This is effectively the 60-minute ‘New Patient’ consultation, plus FIRST 30-minute ‘Follow Up’ consultation (usually one week later) combined.

Suitable for patients already on TRT, wishing to transfer their care from another provider.  If you are transferring your care over to us, you will need up to date blood results which include testosterone, oestradiol, prolactin and SHBG, before booking your consultation.

This 90-minute consultation may also be suitable for patients living much further afield, for whom frequent visits to our clinic are impractical.  In this instance, you will need to already have confirmed Testosterone Deficiency Syndrome (TDS), as demonstrated by recent blood tests.  For a diagnosis of TDS, you will need the following blood results at a bare minimum – FSH, LH, Prolactin, Testosterone, Oestradiol, SHBG, FBC and PSA.

At the end of your consultation you will have the opportunity to use our InBody 770 medical grade bioelectrical impedance scanner.  This allows us to record and track data relating to your physical health, as well as providing you with a benchmark to work from.  Repeat scanning will also form part of your annual face to face clinical reviews.

 

Consultation Price:  £420 + Medication

Book Your Appointment

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Follow Up Telephone Consultation

(15 Minutes)

Four weeks after commencing treatment you will need to organise having your bloods drawn to see how your body is responding to therapy.

You will also need to schedule a telephone consultation with Dr Stevens at around five weeks (to allow enough time to have your results to hand) to discuss how therapy is going and for any adjustments to be made to your starting protocol if necessary.

You should allow up to 15 minutes for this consultation.

 

Consultation Price:  £50

Book Your Appointment

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Follow Up TRT Consultation

Clinic / Skype

(30 Minutes)

Your next follow up consultation is usually eleven weeks after commencing treatment.  For this follow up you have the option of coming into clinic and having your bloods drawn as part of the consultation or, if more convenient, you may have this consultation conducted via Skype after you’ve already had your bloods taken at 10 weeks.

This consultation will be an opportunity to discuss your well-being and any side effects that you may be experiencing.  Dr Stevens will correlate this information with your blood results to see where your hormone levels are now that you are stable.  Your standard six month medications/prescriptions will also be issued at or following this appointment.

You will then be followed up just once every 6 months, with blood results.  Again, Dr Stevens will review your current protocol, discuss any health concerns that you might have and continue to formulate an on-going action plan so that he can safely and effectively prescribe your TRT.

You should allow up to 30 minutes for this consultation.

PLEASE NOTE – All patients MUST have a face to face consultation with Dr Stevens at least once every 12 months, so that a physical examination can be carried out as appropriate.  This is non-negotiable as it promotes safe and effective practice.  Once every 12 months you would also have another opportunity to use our InBody 770 body composition scanner so that we can continue to track and record data relating to your on-going physical health.

 

Consultation Price:  £160 + Blood Tests

Book Your Appointment

Blood Tests

 

TRT Check Plus:  £144

This comprehensive blood test encompasses all of the investigations required to make a preliminary diagnosis of testosterone deficiency.  It also looks at other health parameters to help identify any potential reversible causes of low testosterone, and gives you a more complete picture of your general health.  For accuracy, this test should be performed fasted, between 07:00-11:00, and not during an episode of acute illness.

Test Includes:-  Total Testosterone – Free Testosterone – Follicle Stimulating Hormone – Lutenising Hormone – Sex Hormone Binding Globulin – Prolactin – Oestradiol – Full Blood Count – Prostate Specific Antigen – Urea & Electrolytes – Liver Function Tests – HbA1C – Lipids incl. Cholesterol – Thyroid Function Tests

 

TRT Check:  £124

This blood test includes all of the necessary blood investigations for routine monitoring whilst on testosterone replacement therapy, so that you and your clinician can be confident that your treatment is continuing to be prescribed safely and effectively.

Test Includes:-  Total Testosterone – Free Testosterone – Sex Hormone Binding Globulin – Prolactin – Oestradiol – Full Blood Count – Prostate Specific Antigen

 

TRT Monitoring with Free Testosterone:  £94

This test identifies what physiological effect your recent TRT protocol change has had on your most important hormone levels. Dr Stevens will take these into consideration alongside your current symptoms.

Test Includes:-  Total Testosterone – Free Testosterone – Sex Hormone Binding Globulin – Prolactin – Oestradiol – Albumin

 

TRT Monitoring:  £84

Testosterone is the primary male sex-hormone and it is the precursor to bioavailable androgens such as oestradiol.  Prolactin is a hormone produced by the pituitary gland, it is important for sexual function and immunity.

Test Includes:-  Total Testosterone – Oestradiol –  Prolactin

 

Dihydrotestosterone (DHT):  £54

Dihydrotestosterone is one of your bioavailable male androgens.  Testosterone is converted to DHT by the enzyme 5-alpha reductase which is located in the testes and prostate.  DHT has effects on brain function (including libido), muscle growth and repair and prostate health.

Test includes:-  Dihydrotestosterone

 

Sensitive Oestradiol:  £44

The Liquid Chromatography / Mass Spectometry (LC-MS) test is a more sensitive measure of your oestradiol level.  The standard test tends to over read because the test cannot differentiate between oestradiol and CRP.  This is especially important in men who are having oestrogenic side effects such as water retention, breast swelling, nipple tenderness and loss of libido, alongside their TRT treatment.

Test includes:-  Sensitive Oestradiol (LC/MS)

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