Testosterone Replacement Therapy (TRT) How can it help?
Testosterone replacement therapy is a safe and effective treatment to combat symptoms of testosterone deficiency and restorea mans hormonal health. The Centre for Mens Health has been the leading UK clinic in testosterone replacement therapy for 30 years.
The Centre has been pioneering the use of testosterone replacement therapy (TRT) at our clinics in London and Manchester. In this time our specialist doctors have helped thousands regain their health, vitality, and return to a fulfilling sex lifewith hormone replacement therapy for men.
Many structures in your body require the hormone testosterone to function. When testosterone is not available to them, either by low levels or lack of free molecules, then the effects of testosterone deficiency syndrome may be felt. Testosterone Deficiency Syndrome (also known as TDS, Andropause, or male menopause) results in symptomsincluding decreased sex drive (libido), erection problems, fatigue, depression, weight gain, poor concentration, short term memory loss and irritability (Carruthers, 2016).
Alongside having a revived sex drive, renewed energy, and stamina, after receiving testosterone replacement therapyour patients often reportfeeling younger, stronger, happier, and less irritable.Treatment has helped muscle aches disappear, memory improve, and many report increased energy and assertiveness.
The treatment made such a difference to me it was like turning the clock back 20 years or being re-born. I got my life back. Dan
I have a greater desire for living, my circulation has improved, I sleep better and consequently I am less irritable at home. I have also lost a lot of midriff fat and I have more muscle. I dont get as many colds and when I do they arent as severe. I feel so much healthier. David (Read Davids testicular atrophy story in full)
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Testosterone is a key hormone in men. It is vital to the development and maintenance of male sexual characteristics and function. Normal active testosterone levels help to maintain sex drive and fertility in healthy men. Research is showing it even helps maintain psychological health.
The testosterone hormone is increasingly being recognised as important to a wide range of health related areas. This includes contributing to maintaining healthy and active energy levels and preventing bone breakdown.
Research at our testosterone replacement therapy clinics indicates that 20% of men (2 million) across the UK over the age of 50 suffer from testosterone deficiency syndrome. However, only 1% have been diagnosed and are being treated.
At the Centre, our team of doctors make use of the full range of information available to them from a review of symptoms, medical history, physical examination and blood test results to reach a conclusion on whether the patient is likely to be suffering from testosterone deficiency syndrome or whether some or all of the symptoms may be due to other causes. Some of the key symptoms reported by patients suffering from testosterone deficiency syndrome, such as fatigue, can also be the result of diseases such as diabetes. It is important to exclude these before any diagnosis of testosterone deficiency syndrome is made and patients can proceed with testosterone replacement therapy or other forms of treatment.
Patients attending the Centre for Mens Health have a very thorough blood test before their first visit. This enables the medical specialist seeing them to review not only the status of the patients sex hormones, such as testosterone but also the complex range of factors regulating their action, together with tests of blood fat, liver, kidney, and prostate function, and red and white blood cell counts.
At the appointment, a full assessment or work-up of each patient is carried out. During the hour-long appointment, as well as discussing in detail the blood test results, the doctor also reviews the patients symptoms, medical history and current health status and concerns. He also carries out a physical examination, including a check on the prostate.
A key part of this information gathering process is a review of the results of a detailed questionnaire completed by the patient. The Ageing Males Symptoms (AMS) questionnaire covers three areas physical and somatic, psychological and sexual function. The information from this internationally validated questionnaire is used by the doctor in establishing a measure of the severity of symptoms, as an element in the assessment of whether the patient has testosterone deficiency syndrome and to see whether he might benefit from male hormone treatment including testosterone replacement therapy.The questionnaire is availablehereif you would like to assess your symptoms. Do remember, however, that the questionnaire results require careful medical assessment alongside other key information before any diagnosis can be made.
Please Note: During the Coronavirus lockdown, special arrangements are in place for both initial blood tests and consultations for new patients. These are detailed below.
If, following a blood test, other investigations and information gathering the doctor considers that the patient may be suffering from testosterone deficiency syndrome he will discuss the benefits and potential risks of testosterone replacement therapy (TRT) or other testosterone treatment with him. If treatment is indicated and the patient wishes to proceed, a trial period of TRT or testosterone stimulation therapy will be initiated.
TRT is usually given by testosterone gel, cream or long acting injections for the first two to six months. Testosterone replacement therapy (TRT) has been shown to be highly effective in relieving the symptoms of testosterone deficiency in particular in restoring energy, health and sex drive.
TRT is often needed long-term and can safely be continued in these forms if good symptom relief is maintained or changed to other types if needed.
Testosterone treatment including testosterone replacement therapy has been in use in the UK and other countries for over half a century and has a remarkably good safety record over that time, as confirmed by the detailed studies at this centre. However, every effort is made to exclude pre-existing prostatic cancer, by clinical examination, and a sensitive blood test, the Prostate Specific Antigen (PSA) in advance of any course of testosterone replacement therapy.
To ensure the safety and effectiveness of treatment, it is essential that the results of treatment are carefully monitored. Both to establish the diagnosis and to monitor the treatment carefully, blood tests and laboratory measurements are required at regular intervals. Following the initial consultation and diagnosis, detailed clinical examinations need to be carried out at 3-6 month intervals.
Testosterone replacement therapy at the Centre comes in many forms. Usually its given by testosterone gel orinjections. However, we provide a range of medications and treatment modalities to suit all lifestyles.
For the first two to six months wenormally recommend a testosterone gel which is easy to apply. This method can safely be continued for as long as you are happy with the daily applications. In the longterm, some patients prefer the ease of long acting injections which are given six to 10 weeks apart.
To ensure the safety and effectiveness of the treatment, our specialist doctors monitor our patients carefully on an ongoing basis during their testosterone replacement therapy. Therapy can be carefully tracked via our on-site pathology lab and blood testing services. We discuss alternative treatment methods during regular follow up appointments and changing to alternative treatment types is straightforward.
Testosterone Deficiency Syndrome goes by many other names. These terms are used to describe a medical condition where a low or insufficiently active level of testosterone has led to symptoms or signs. Common terms for this include male menopause, andropause, hypogonadism, low testosterone/Low T, and Testosterone Deficiency Syndrome. All of these refer to the same underlying medical issue.
The Centre generally uses the term Testosterone Deficiency Syndrome (TDS)/Testosterone Deficiency, as we believe this most accurately describes the condition and its cause.
Our male hormone specialists have spent 30 years developing a successful treatment model including testosterone replacement therapy for our patients. Thismakesour clinic one of the longest established UK healthcare providers of testosterone replacementand hormone therapy for men. Our regular clinics in London (Harley Street) and Manchester (Deansgate) provide a swift, confidential solution for men struggling with the symptoms of low testosterone.
We make sure our patients have the time they need to fully discuss the health problems they are facing and to work with our doctors to find the right treatment solution.
Diagnoses are based on a comprehensive blood test, review of symptoms, medical history and physical examination. For those patients who go on to treatment, either with testosterone replacement therapy or other options, careful and regular monitoring is carried out. These tests enable us to optimise treatment and monitor safety parameters.
The clinics founder, Professor Malcolm Carruthers, has been a pioneer in developing hormone treatment for men andTRT in the UK and remains one of the worlds foremost experts in testosterone replacement therapy. Our specialist medical team Mr Mark Feneley,Dr Clive Morrison, and Dr Anand Patel have many years of expertise in helping men overcome the effects of low testosterone.
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During the current Coronavirus lockdown, special arrangements are in place for both blood testing and consultations at the Centre. For prospective new patients there are now two options:
Male Hormone Mini Check Blood Test + Short Initial Remote/Video Consultation (20 minutes) 245
This includes a fingerprick blood test (with the sample being taken by the patient at home using a kit mailed out to them) measuring total testosterone, oestradiol, SHBG, albumin and calculated free testosterone. During this consultation, the doctor will explain the results of this test and discuss on an outline basis whether TRT may be suitable for the patient.
Male Hormone Check Blood Test + Half Hour Remote/Video Consultation 345
This includes a more detailed fingerprick blood test, with additional markers: LH, FSH, prolactin, free androgen index and DHEA sulphate. During the initial consultation, the doctor will discuss the results of the test and have more time to explore the potential suitability and options for TRT with the patient.
This second type of appointment is intended for those patients looking to continue to TRT, where suitable, as soon as government guidelines allow. Patients will need to undertake a full blood test and further half hour consultation including physical examination by a doctor, when lockdown restrictions allow this to take place, before testosterone treatment can be prescribed. Please note: Our doctors can only prescribe for new patients after a physical examination.
The characteristic symptoms of Testosterone Deficiency Syndrome are decreased sex drive, erection problems, loss of energy, depression, weight gain, brain fogs, memory loss, irritability and night sweats. Read more about the symptoms of TRT here
Testosterone deficiency results from failure or disruption of the bodys normal process of production or uptake of the hormone. This can be due to any or a combination of:
You can get testosterone replacement therapy in the UK. The Centre for Mens Health has TRT clinics in London and Manchester and has been operating for over 25 years. During that time the Centre has helped thousands of men regain their health, vitality and wellbeing.
You can get TRT on the NHS, but only on a restricted basis. Eligibility is mainly determined using a relatively low and inflexible blood level cut off for testosterone. Men whose blood results fall above this, even if symptomatic, are unlikely to be given treatment. This means that many men who could benefit from TRT, based on a more detailed review of their testosterone levels and symptoms, are potentially missing out. The Centre for Mens Health can offer treatment for these men.
Testosterone treatment cost in the UK will vary according to the type of prescription, from around 70 a month for Testogel (testosterone in gel form) to 160 for Nebido (testosterone undecanoate), an injection lasting up to three months, or around 53 a month. In addition you will need to have blood tests and appointments with a doctor to ensure your treatment is effective and safe. The Centre for Mens Health has provided TRT for more than 25 years and will be happy to find the treatment that is right for you.
A team of doctors make use of the full range of information available to them from a review of symptoms, medical history, physical examination and blood test results to reach a conclusion on whether the patient is likely to be suffering from testosterone deficiency syndrome. A physical examination is also carried out, including a check on the prostate. Read more about testosterone deficiency diagnosis here
Testosterone Replacement Therapy (TRT) is usually given by testosterone gel, cream or long acting injections. For the first two to six months it is usually given as a gel or injection. It is often needed long-term and can safely be continued in these forms if good symptom relief is maintained. Read more about how testosterone deficiency is treated at the centre here
With a track record of over 50 years, Testosterone replacement therapy has been shown to be a safe treatment. Before treatment, patients must be screened for pre-existing prostate cancer with both a clinical examination and a blood test to check their levels of PSA (prostate-specific antigen). The Centre for Mens Health has provided safe and effective TRT for over 25 years.
Testosterone replacement therapy is totally different from steroid abuse the illegal and uncontrolled use of various forms of testosterone, mainly by men under 30 with already normal hormone levels, to boost muscle growth and strength, often with serious negative health consequences. TRT is carefully monitored treatment, prescribed by doctors, aimed at men almost exclusively over the age of 40 who show severe symptoms of Testosterone Deficiency Syndrome. The Centre for Mens health can help men in this situation.
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Testosterone Replacement Therapy - Centre for Men's Health
