1. Initial Consultation and Evaluation:

 

Medical History and Lifestyle Assessment: A thorough review of your medical history, current health conditions, lifestyle factors to identify potential causes of low testosterone and assess overall suitability for TRT will be performed.

 

Physical Exam: An initial physical examination to assess your general health and identify any physical signs associated with low testosterone will be performed.

 

Blood Testing: Comprehensive blood tests to measure testosterone levels and other relevant hormone levels, as well as assess overall health parameters like lipid levels and prostate-specific antigen (PSA) will be regularly checked.

 

Below are the blood test being monitored:

● Total Testosterone

● Free Testosterone

● Hemoglobin

● Hematocrit

● Estradiol

● Kidney Function test

● Liver Function test

● Luteinizing hormone (LH) / Follicle-stimulating hormone (FSH)*.

● Prolactin*

● Prostate-specific antigen (PSA)

● Thyroid stimulating hormone (TSH)*

● Sex hormone binding globulin (SHBG)*

● Lipid Panel *On initial lab test only

 

2. Treatment Initiation:

 

Selection of Treatment Method: Based on your individual needs and preferences, the doctor will determine the most appropriate form of TRT.

 

Dosage and Administration: The doctor will provide detailed instructions on how to administer the chosen treatment, including dosage and frequency.

 

3. Ongoing Monitoring:

 

Regular Follow-up Appointments: Follow-up appointments are to monitor your progress and adjust the treatment plan as needed. The first follow-up visit will be 3-4 weeks following initial therapy. Then scheduled every 3 months for the first year. Then yearly, if stable.

 

Physical Exams: Regular physical exams, to assess for any unwanted physical / mental changes or other potential side effects.

 

Blood Tests: Regular blood tests to monitor testosterone levels and other relevant markers, such as lipids, hemoglobin, and hematocrit. Symptom Assessment: The doctor will discuss your symptoms to assess the effectiveness of the treatment and make adjustments as needed.

 

Potential Side Effects: The doctor will discuss potential side effects and monitor for any signs of adverse reactions.

 

4. Lifestyle Modifications:

 

Healthy Diet and Exercise: A healthy lifestyle, including a balanced diet and regular exercise, is crucial for optimizing the benefits of TRT and overall health.

 

Weight Management: Managing weight can also positively impact testosterone levels and overall health.

 

Avoiding Alcohol and Drugs: Limiting alcohol and drug use can help reduce potential negative impacts on testosterone levels and overall health.

 

Addressing Sleep Apnea: If sleep apnea is present, addressing this condition can also improve sleep quality and overall health, potentially impacting testosterone levels.

 

5. Continued Care: Long-term Management:

 

TRT is often a long-term commitment, requiring ongoing monitoring and adjustments to maintain optimal testosterone levels and overall health.

 

Open Communication: Maintaining open communication with your doctor is essential for addressing any concerns and ensuring the best possible outcomes from TRT.