Your Questions Answered

What You Need To Know Before Embarking on Your TRT Journey With Us

 

 

Who are The Men’s Health Clinic?


The Men’s Health Clinic is a private CQC registered medical clinic based in Dorset.  We are an internationally recognised clinic with patients travelling to us from all over the UK, Europe and further afield.  We specialise in the diagnosis and treatment of Testosterone Deficiency using Testosterone Replacement Therapy (TRT).

We also offer diagnostic services such as online blood tests, nutritional deficiency testing, diagnostic sleep studies, ambulatory blood pressure monitoring and body composition analysis, as well as nutrition coaching  Our emphasis is one of prevention, using modern medicine as an adjuvant to the cornerstones of health; namely lifestyle, nutrition and exercise.  We offer you a holistic approach to your health.

Terms like the ‘Male Menopause’ and the ‘Andropause’ serve no other purpose than to mislead the general public and trivialise something that can have a significant impact on a man’s quality and quantity of life.  You wouldn’t deny a diabetic insulin, you wouldn’t show disdain for a hypothyroid patient requesting the most effective medications available and you most certainly wouldn’t trivialise the female menopause and live to tell the tale, you’d be lynched!  So why not apply the same standard to TDS?

 

Who will be looking after me? 


Dr Robert Stevens is the Founder & Medical Director of The Men’s Health Clinic and you will be under his direct, personal medical care.  We have an ever growing team who help facilitate all non-clinical and admin related matters.  Together we aim to offer you an unrivalled bespoke service.  Our mission is to set the standard, not simply meet the current one.

 

How is The Men’s Health Clinic different from other TRT clinics and ‘providers’?


We offer a personalised approach to patient care.  Your individualised protocol is particular to YOUR genetics, physiology and requirements.  There is no one-size-fits-all protocol, much like you are not identical in make-up to the next person.  It is also important to appreciate that nature is not constant and is subject to change.  A sledgehammer approach to TRT demonstrates a basic lack of understanding and appreciation of TDS and TRT.

We pride ourselves in offering our patients a personal, complete service.  The doctor-patient relationship is sacred, you should not simply be shopping online for TRT, you need to be constantly working together with your doctor if you are going to achieve your goal in restoring and optimising your androgen levels.  I insist on a face to face consultation with all new patients for a number of reasons.  If I am going to effectively manage your long-term health and act in your best interests, I need to meet you in person. We have a growing number of international patients and men that live long distances from our clinic.  I still insist on a yearly face to face consultation irrespective of this, and once on board, my patients always understand why.

One of our primary objectives is to increase your level of understanding regarding Testosterone Deficiency, Testosterone Replacement Therapy and the bigger picture which is your overall health.  We work with you so that you have realistic expectations, there are no false promises here.

We are fully transparent about every aspect of your care, health is not finite, we want you to be fully engaged in the process.  TRT is a lifelong medication, we need to have a healthy doctor-patient relationship, built upon trust for it to serve your best interests.

 

What is GOLD STANDARD care?


We have used the British Society for Sexual Medicine guidelines and the American TRT model to create our own bespoke TRT protocols and management plans which are specifically tailored to meet your individual requirements.  We have many patients who have transferred their care over to us from the NHS and other private providers including Balance My Hormones, Optimale, The Leger Clinic and The Centre for Men’s Health because they recognise the benefits of personalised, gold standard care.

Our gold standard testosterone of choice is Testosterone Cypionate/Enanthate.  In my professional opinion they are the simplest, most effective choice of testosterone ester for achieving balance and stability.  However, other options are available and the pros and cons for each can be discussed at your new patient consultation.  We always recommend the use of Human Chorionic Gonadptropin (HCG) alongside testosterone.  On occasion, an aromatase inhibitor may be required to control excess oestrogen.  We use a suicidal inhibitor called Exemestane as it has a very short half-life and allows you to titrate the dose according to effect, many other clinics use Anastrozole which is often much harder to titrate due to its long half-life.

Gold standard care extends far beyond your choice of treatment options.  We pride ourselves on the personal, accessible service that we offer and our patients recognise the benefits of this.  Have a read of our testimonials page of our website to see what they have to say.

 

Should HCG be a part of my TRT protocol?


100% YES.

Human Chorionic Gonadptropin (HCG) used alongside testosterone:-

  • Increases fertility
  • Maintains/restores testicular size
  • Improves libido and penis sensitivity
  • Up-regulates other steroid hormones

Our blog, The Benefits of HCG with TRT, goes into more detail on this subject.

 

TRT – Use or Abuse?


You should only commit to TRT if you have a true deficiency and you cannot reverse your low levels without the need for testosterone and HCG.  TRT is a lifelong medical therapy, it’s not a supplement to ‘top up’ your levels, it’s an essential medication for health.  TRT is effective if you have TDS, however it is not as effective as your own body if your levels can be improved without disruption of the Hypo-Pituitary Gonadal axis.

The purpose of TRT is to restore your androgen levels so that homeostasis can be achieved, no more, no less.  From a biological perspective, irrespective of whether you are a creationist or evolutionist, we are supposed to pass on our DNA to the next generation and provide a stable environment, nature and nurture.  In order to do that we need healthy, stable androgen levels and with that comes adequate sexual function in order to procreate.

The Broscience brigade and some online private TRT providers still advocate supraphysiological levels in the foolish belief that more is better. Chasing numbers is a fool’s errand.  Supraphysiological levels does not make you more ‘alpha’, it won’t turn you into Arnie and they won’t make you a Stallion in the bedroom.  In fact, it’ll do quite the opposite, it’ll make you anxious, tired, have a paradoxical low sex-drive and give you weaker erections.  Water retention and gynaecomastia await.  The perils of one-size-fits-all protocols and not being personally monitored by a medical doctor.

In the world of sports, testosterone is considered a performance-enhancing drug.  Too much testosterone is actually a performance-diminishing drug as the side effects of supraphysiological levels and the consequent disruption in androgen levels has a negative impact on health.

Optimising your androgen levels is about understanding the role and function of testosterone in male health.  Your optimal androgen levels are particular to you, we will work with you to find those levels.

 

Blast and Cruise?


We do not judge people, that is not our role and nor is it our nature.  We’ve all made mistakes, it’s part of being human and it’s partly how we learn.  My mum says that it’s the ONLY way I learn, a bit rude, but she is my mum!  I only ask that you respect the fact that the ethos of our clinic is prevention and optimised health.  Past indiscretions are not my concern.  Increasing awareness and adding legitimacy to the medical condition that is male hypogonadism needs to be respected.  There must be no association between TRT and androgenic anabolic steroids.

 

Who is not a suitable candidate for TRT at The Men’s Health Clinic?


TRT is contraindicated in males with:-

  • Prostate cancer
  • Prostate-specific antigen (PSA) >4 ng/mL
  • Male breast cancer
  • Untreated severe sleep apnoea
  • Haematocrit >54% (FBC)

Testosterone Deficiency Syndrome is a well-recognised medical condition.  You should only commence TRT if you have a true deficiency.  I cannot over-emphasise the importance of an initial face-to-face consultation prior to starting TRT.  It can be very difficult being objective when you are desperate for help, we tend to have tunnel vision and can often tread the path of least resistance, only to find that it’s a dead-end.

I will happily take over some of that responsibility, I have your best interests at heart and have the capacity to be objective. Trust me, I’m your TRT doctor.

You are not window shopping for TRT.  This is your health, it should be treated with respect and whilst the onus is on you to take responsibility for it, I am here with 20+ years of medical experience to help you with your journey.

 

What are the potential side-effects of TRT?


It stands to reason that if your androgen levels have been ‘optimised’, you shouldn’t have any negative side effects.  The goal of TRT is restoring and optimising your androgen levels so that you feel ‘normal’.  If you have a true deficiency and need TRT, we can hopefully get you pretty close to The Perfect TRT Protocol.

 

“Perfection is not attainable, but if we chase perfection, we can catch excellence.” – Vince Lombardi.

 

Side effects tend to reflect a level of unbalance.  As already discussed, most side effects can be simply managed with alteration of dose and/or frequency of your protocol, looking at possible aggravating factors and the sparing use of ancillary medications.

Potential side effects include –

  • Oestrogenic (E2) – Nipple tenderness, breast tissue swelling, water retention, loss of libido, anxiety.
  • Dihydrotestosterone (DHT) – Acne, oily skin, male pattern baldness, lower urinary tract symptoms.
  • Free Testosterone – mood disturbance, loss of libido, deterioration of lipid profile, raised haematocrit

Injection side effects – Infection, bleeding, nerve damage, possible scar tissue development.

As with any medication, allergic reactions to any of the ingredients of the preparation may also occur.  It is therefore essential that you read the information leaflet that comes with the medication prior to administration.

 

Will TRT affect my fertility?


Six of our patients have conceived on TRT, and I’m also delighted to announce that one of my guys is expecting their second child.  Typically, exogenous testosterone disrupts the Hypo-Pituitary Gonadal axis, meaning that Lutenising Hormone (LH) and Follicle Stimulating Hormone are no longer produced, which can result in infertility.  This is one of the reasons we always recommend using HCG alongside testosterone, as it helps to restore the axis through HCG’s action of mimicking LH.

 

Will TRT raise my haematocrit?


Testosterone is an anabolic hormone.  One of its many functions is to ensure adequate production of red blood cells so that your blood can effectively deliver oxygen to your organs.  This process is called erythropoiesis, ie. production of red blood cells.  A significant rise in haematocrit can result in your blood becoming too viscous, increasing your risk of clots.  People also describe negative subjective symptoms from a moderate rise.  Fortunately, this isn’t very common and normally reflects an aggressive protocol.  Therefore, it is essential to regularly monitor your Full Blood Count whilst on TRT to ensure that it does not rise above normal limits.  Venesection or blood donation is the treatment of choice if this happens.

 

Will TRT increase my risk of prostate cancer?


Testosterone does not increase your risk of developing prostate cancer.  Interestingly the incidence of prostate cancer rises when testosterone levels fall with age and there is a concurrent increase in oestrogen.  I’m positive that having optimal androgen levels for life would actually be protective against prostate cancer.  My patients have all heard ‘Dr. Rob’s philosophy on life, the universe and everything’, without reverberating my entire thought process, simply appreciate that your job is simply to pass on your DNA when you are healthy.  You’re not supposed to be around forever, once you have procreated and your child has grown up, your job is done, time to make way for the next generation.

Whilst testosterone does not increase your risk of prostate cancer, if you develop prostate cancer it’s unbeknown to the exogenous testosterone that you are administering.  Prostate cancer is androgen receptive, meaning that it feeds off of testosterone.  This is why we regularly monitor your Prostate Specific Antigen (PSA) level AND if you’re over 40, you will be subject to the yearly dreaded digital rectal examination, which is used as a screening tool alongside measuring your PSA.

 

The Future of TRT


We are pioneering the future of TRT.  No other clinic has a better understanding or appreciation of Testosterone Deficiency Syndrome and its management.  If you don’t believe me, please familiarise yourself with our blogs, our Facebook page, our website forum and our independent closed Facebook group ‘TRT in the UK ‘.

Alternatively, feel free to follow us on YouTubeTwitter and Instagram to see how we are fully committed to raising awareness of TDS in the UK and setting a new standard in TRT.

Out with the old and in with the new.  The Men’s Health Clinic, working with nature, not against it.

 

“It is not the strongest or the most intelligent who will survive but those who can best manage change.” – Charles Darwin

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