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​​Testosterone Replacement Therapy (TRT)

TRT is designed to restore healthy testosterone levels in individuals with insufficient natural production. This therapy typically involves a once-weekly subcutaneous injection of testosterone. By bringing your testosterone levels back into the normal range, TRT can help alleviate symptoms of low testosterone and support your overall health and well-being.​

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Common Symptoms of Low Testosterone: 

  • Low sex drive or reduced libido

  • Erectile dysfunction or difficulty maintaining erections

  • Fatigue or decreased energy levels

  • Loss of muscle mass or strength

  • Increased body fat (especially around the belly)

  • Reduced testicle size

  • Hot flashes or night sweats

  • Hair loss, especially body and facial hair

  • Decreased bone density (can lead to fractures)

  • Sleep disturbances (like insomnia or poor-quality sleep)

  • Anemia (low red blood cell count)

  • Infertility or reduced sperm count

  • Mood swings or irritability

  • Depression or feelings of sadness

  • Difficulty concentrating or memory issues ("brain fog")

  • Lower motivation or drive

What are the benefits of Testosterone Replacement Therapy?

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Testosterone Replacement Therapy (TRT) offers significant benefits for individuals with clinically diagnosed low testosterone levels (hypogonadism). Here are some of the key benefits of TRT:

 

  1. Increased Muscle Mass and Strength: TRT can enhance muscle protein synthesis, leading to gains in muscle mass and strength, particularly when combined with resistance training.

  2. Improved Bone Density: Testosterone plays a crucial role in maintaining bone mineral density. TRT can help prevent osteoporosis and reduce the risk of fractures.

  3. Enhanced Libido and Sexual Function: Testosterone is vital for sexual health, including libido, erectile function, and overall sexual satisfaction. TRT can restore these functions in men with low testosterone levels.

  4. Mood and Cognitive Function: Low testosterone levels are associated with irritability, fatigue, and cognitive decline. TRT may improve mood, energy levels, and cognitive function in some individuals.

  5. Cardiovascular Health: There is evidence suggesting that TRT may have a positive impact on cardiovascular health, including improved lipid profiles and reduced risk of heart disease in some cases.

Improved Quality of Life: Many men report an overall improvement in their sense of well-being, energy levels, and vitality with TRT.

Who is NOT eligible for Testosterone Replacement Therapy?

At this time we are treating biological males with clinical proof of low testosterone levels. While we certainly advocate for biological females obtaining testosterone for certain conditions and fully support gender-affirming hormone therapy, we currently do not have the highly trained and specialized staff to do that at this time.  If you are a biological female looking for safe testosterone treatment, or a patient seeking gender-affirming hormone therapy, please call us and we can share the clinics we’d recommend. Finally, men with the following conditions are not currently eligible for TRT as the safety risks may outweigh the benefits:

 

  1. Men planning on fathering children in the future: While TRT is possible to perform in those hoping to father children in the future, it takes specialized testing and providers to monitor the risks for this. 

  2. Prostate Cancer: Active or suspected prostate cancer is a contraindication, as TRT could stimulate cancer growth.

  3. Breast Cancer: Men with active breast cancer should avoid TRT due to the potential exacerbation of the disease.

  4. Severe Untreated Sleep Apnea: TRT may worsen sleep apnea, a condition characterized by blocked breathing during sleep.

  5. Uncontrolled Heart Disease: Individuals with severe heart conditions, such as uncontrolled hypertension or congestive heart failure, might be at increased risk for cardiovascular events with TRT.

  6. Liver Disease: Severe liver disease or liver dysfunction can interfere with the metabolism and effects of testosterone.

  7. Severe Renal (Kidney) Disease: Advanced kidney disease may affect the safety and effectiveness of TRT.

  8. Polycythemia: Elevated red blood cell count can be worsened by TRT, increasing the risk of blood clots and other complications.

  9. Prior History of Blood Clots: A history of deep vein thrombosis (DVT) or pulmonary embolism (PE) could be exacerbated by TRT.

  10. Mental Health Issues: Severe psychiatric conditions or unstable mental health issues may require careful consideration and monitoring.​​​

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