Testosterone FAQs

What is Testosterone Replacement Therapy (TRT)?

TRT consists of replacing or optimizing your body's testosterone through an outside mechanism ie once or twice per week injection or cream.

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What is the cost for this TrT program?

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Do you accept insurance or HSA?

We do not take insurance or HSA at this time.

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How is low testosterone diagnosed?

If you have 3 of the following:

• Fatigue

• Low sex drive

• Erectile dysfunction (ED)

• Loss of muscle mass

• Loss of stamina

• Loss of motivation

• Irritability

• Osteoporosis

• Insomnia

• Migraines

• Short-term memory loss

In addition to Free testosterone <129 and total testosterone <500

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Does testosterone cause prostate cancer?

Prostate enlargement is caused by the metabolites of testosterone, dihydrotestosterone and estrone. Researchers at Harvard University has proven that low testosterone levels contribute to prostate cancer.

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Will my testicles shrink while I am on testosterone therapy?

Yes, to some extent. Normal aging causes testicles to shrivel, resulting in decreasing testosterone production. As the testosterone injection form takes control, the testicles will make less testosterone. This is not a permanent condition; it is usually merely a cosmetic issue.

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Will I still need my Erectile Dysfunction (ED) medicine after I get my TRT injections?

Maybe. The majority of males discover that they do not. There may be an underlying explanation for a patient's ED visit, such as vascular disease. The reason might be Leriche Syndrome, also known as aortoiliac occlusive syndrome, which affects the blood arteries that supply the penis, or diabetes. If you have a history of vascular disease, you should consult a vascular expert. A patient's blood pressure medication might frequently contribute to the condition. If this is the case, switching to a drug that is less prone to trigger ED might be advantageous.

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Does testosterone improve depression and anxiety?

Yes, Actually, a lot of men end up weaning off anti-depressant medications which are actually the cause of low libido.

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Will testosterone help improve my diabetes?

Yes, in a lot of cases. Testosterone improves insulin sensitivity, lowering triglycerides and stabilizing blood glucose levels. However, when it comes to erections in men with long-term uncontrolled diabetes. They may already have considerable damage to the tiny arteries that feed the penis, thus testosterone will not help their erections. In addition to testosterone, other treatments may be required.

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Does testosterone increase my risk for clots?

We check your blood counts before beginning treatment. Testosterone can cause an increase in blood counts known as "secondary erythrocytosis," which is not dangerous. This is similar to increased blood counts in those who live at high elevations. In situations like these, phlebotomy is not usually advised. If you have an increased hemoglobin or hematocrit at baseline, you should be referred to hematology for a diagnosis such as hemochromatosis or polycythemia vera. We would not prescribe testosterone treatment in those cases unless hematology cleared them.

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