Testosterone Replacement Therapy (TRT) has been shown to be dramatically
effective in relieving symptoms and restoring drive, health, potency,
and a sense of renewed vitality and virility when given to the right
patients in the right doses at the right time.
To ensure its safety and effectiveness however it is essential that
a full assessment of each patient is carried out before testosterone
replacement is started, and that the results of treatment are carefully
monitored. For this purpose careful history-taking and a detailed
clinical examination need to be carried out, initially, and at 3 -
6 monthly intervals while treatment continues.
Both to establish the diagnosis and to monitor the treatment carefully,
biochemical measurements of the sex hormones and the complex range
of factors regulating their action, together with tests of blood fats,
liver, kidney, and prostate function, and changes in red and white
blood cells, all need to be checked before treatment and at each follow-up
visit
TRT treatment is usually given by testosterone gel, cream or long-acting
injections.
TRT treatment has been in use 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), followed by ultrasound examination
if needed.