Testosterone Replacement
Therapy consultations

Before booking a New Patient TRT Consultation and commencing treatment under our care, you will need to have a formal diagnosis of Testosterone Deficiency.

An accurate diagnosis can only be made following a comprehensive blood test that includes a full hormone panel, as well as your more general health parameters which would highlight any potential reversible causes for your low testosterone. You would then need a second, more basic, confirmatory test four weeks later to confirm those initial results.

TRT should always be viewed as a life-long therapy, treatment will only be recommended by our doctors if you have already attempted to address any negative health and lifestyle factors, or there are no obvious reversible causes for your low testosterone.

When you first make contact with The Men’s Health Clinic, the path that you follow with us will typically start from one of three routes:

Route 1

If you feel that you are suffering with the signs and symptoms of Testosterone Deficiency and are based in the UK, we can help you with organising the necessary diagnostic blood testing through our clinic. This will be followed by a complimentary telephone call with our doctor at no additional charge. During this call, they will review your initial comprehensive blood results with you and give you their professional recommendations for moving forwards.

Route 2

If you have already had recent blood tests carried out demonstrating possible low testosterone and wish to be considered for treatment by our clinic (including international patients), please forward those to us by email, including a brief summary of what led you to test in the first instance. These will be reviewed by our doctor, who will personally contact you by email with their professional recommendations.

Route 3

If you are already on Testosterone Replacement Therapy and wish to transfer your care to our clinic, please forward any relevant blood results you have to date (including your original diagnostic ones), to us by email.  Please also include a brief summary of your current treatment. These will be reviewed by our doctor, who will personally contact you by email with their professional recommendations.

If you wish to discuss your personal situation further prior to committing to any treatment with us, you are welcome to book a 15-minute Telephone Consultation with one of our doctors, there is a fee for this service.

Your first appointment will always involve an in-person consultation with your doctor in clinic.  At this appointment your doctor will thoroughly review your bloodwork, discuss your current symptoms and conduct a thorough physical examination before commencing treatment with you.

We will always look at your medical history and current/past medication usage which may be influencing your current state of health, and the ongoing decisions we make about 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 you give us, the more we can potentially assist you.

Where appropriate, your doctor will go through safe preparation of your injectable medications, and gently guide you through safe and correct injection technique so that you leave the consultation room with confidence, ready to embark on the next stage in your journey.

At the end of your consultation you will have complimentary use of our InBody 770 body composition 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. You will be offered repeat scanning every 12 months if you attend clinic for your routine follow up consultations. There is no additional fee for this service.

We are always happy to support you in approaching your GP to have your ongoing blood tests and medications organised under the NHS where possible. A letter requesting shared-care with your GP can be issued at the end of your consultation, or at a later date, if required.

Please allow up to 60 minutes for this appointment.

Based on the treatment option you selected during your New Patient Consultation, you will undergo a blood test either 4 or 12 weeks after starting therapy to evaluate your body’s response. Since everyone is unique and may respond differently to treatment, it’s crucial that this blood test is completed and reviewed at this stage.

We can help you arrange your blood tests through clinic, or your GP may agree to organising these for you. Once we have received your results, you will be asked to schedule a 15-minute Telephone Consultation with your doctor to review your results, discuss how therapy is going and for any adjustments to be made to your starting protocol if necessary.

You are welcome to book a Telephone Consultation between routine follow ups if you wish to discuss your current treatment plan with your doctor over the phone, rather than by email.

Please allow up to 15 minutes for this appointment.

Again, depending on which treatment option you selected at your new patient consultation, your first formal follow up will be either 11 or 24 weeks into therapy with us. After this you will be routinely reviewed every 6-12 months.

This consultation is an opportunity for your doctor to review your current protocol, discuss any health concerns that you might have and formulate an on-going action plan so that we can continue to safely and effectively prescribe your TRT.

Your next 4-6 months of medications will also be issued at this appointment.

Clinic Consultations

We are firm believers in the value of human contact and a personal approach, which is at the very heart of our ethos. Therefore, we always encourage patients to attend the clinic for follow up consultations whenever possible. During your visit, any necessary monitoring blood tests can be conducted as part of your consultation, so there’s no need to arrange them in advance.

Once every 12 months, you will 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.

Please allow up to 30 minutes for all clinic appointments.

Video Consultations

For remote video consultations, we can assist in arranging your blood tests remotely one week prior to your appointment, or your GP may be able to organise them for you.

When booking your follow up appointment, you can choose between a 15-minute (£80) or 30-minute (£160) session. If everything is progressing well with no concerns to address, you may opt for the 15-minute appointment. However, if you have any updates or need more time, please select the 30-minute appointment.

This comprehensive blood panel (47 health markers) encompasses all of the tests required to monitor your general state of health on an annual basis when on treatment.

In addition to a full hormone panel, this test looks at your other general health parameters to help identify any potential reversible causes of low testosterone, and give you a more complete picture of your overall health.

This advanced test also goes one step further by looking for some vitamin and mineral deficiencies, which can also have a negative impact on your testosterone levels.

This comprehensive blood panel (43 health markers) encompasses all of the tests required to monitor your general state of health on an annual basis when on treatment.

In addition to a full hormone panel, this test looks at your other general health parameters to help identify any potential reversible causes of low testosterone, and give you a more complete picture of your overall health.

This blood panel includes all of the tests required for routine monitoring whilst on Testosterone Replacement Therapy, so that you and your doctor can be confident that your treatment is continuing to be prescribed safely and effectively.

This blood panel identifies what physiological effect your recent protocol change has had on your male hormone levels. Your doctor will take these into consideration, alongside any current or ongoing symptoms, when considering any further changes to your treatment protocol.

This blood test measures the amount of Prostate Specific Antigen (PSA) in your blood. PSA is a protein produced by normal cells in the prostate and also by prostate cancer cells. It is normal to have a small amount of PSA in your blood, and the amount rises slightly as you get older and your prostate gets bigger. A raised PSA level may suggest you have a problem with your prostate, but this does not necessarily mean cancer. All abnormal results should be discussed with your doctor.

Dihydrotestosterone (DHT) 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.

Please note that this test is sent to a referral lab for processing and results can take up to 10 working days to arrive.

Dehydroepiandrosterone (DHEA) is a hormone produced from cholesterol by the adrenal glands, which your body converts into testosterone and oestrogen. It affects many areas of health and wellbeing. Most of the DHEA in the body exists in the blood in the sulphated form, DHEA-S, which is what this test measures.

Pregnenolone is the precursor to all steroid hormones. For steroid hormone production, cholesterol converts into pregnenolone in the adrenal glands and then several enzymes complete the production of multiple hormones.

Please note that this test is sent to a referral lab for processing and results can take up to 20 working days to arrive.

Cortisol plays a role in metabolism and is the main hormone involved in stress and the fight-or-flight response. Disorders of the adrenal glands can cause the over or underproduction of stress hormones which can cause symptoms such as excessive fatigue, anxiety, insomnia and weight gain. This test measures whether your cortisol production levels are too high or too low, which could be having a negative impact on your sense of well-being.