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Testosterone Replacement Therapy (TRT)

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Menness, Menness Clinic, Men's Clinic, Men Health

TRT programs are designed to restore healthy testosterone levels, improve physical and mental well-being, and reduce the risk of complications associated with low testosterone. These therapy plans are tailored to each individual’s health profile, promoting overall vitality, confidence, and peace of mind while ensuring patient safety and proper medical guidance.

Testosterone Replacement Therapy (TRT) for Men

Testosterone is a key hormone produced by the testes in men. It plays a crucial role in regulating physical characteristics, such as muscle development and bone mass, as well as supporting cognitive function and maintaining the balanced function of various organs.
 

When testosterone levels decline, it can affect not only sexual performance but also daily life, leading to symptoms such as mood swings, fatigue, muscle loss, and reduced concentration.
 

The age-related decline in testosterone, commonly referred to as andropause, typically occurs around the age of 40 and above. However, some men may start noticing symptoms as early as their 30s.

What Are the Signs of Andropause?

  • Feeling more easily fatigued and less energetic than usual

  • Mood changes, including increased stress or irritability

  • Reduced sexual interest or issues with sexual performance

  • Loss of muscle mass and physical strength

  • Weight gain, particularly with fat accumulation around the abdomen

  • Some individuals may experience insomnia or poor-quality sleep

Pre-Therapy Assessment for Testosterone Replacement Therapy (TRT)

  • Symptom Evaluation
    Physicians will ask about symptoms that may indicate low testosterone, such as mood swings, irritability, reduced sexual performance, or muscle loss.

     

  • Blood Tests
    Measurement of testosterone levels and general health assessments, including blood pressure, diabetes, cholesterol, liver and kidney function, and PSA for prostate cancer screening.

     

  • Treatment Planning
    If low testosterone is confirmed, the physician will consider the appropriate TRT delivery method, such as:

    • Injectable testosterone

    • Topical gel

Post-Therapy Care for Testosterone Replacement Therapy (TRT)

  • Physicians will adjust the dosage based on follow-up blood tests every 3–6 months during the initial phase.

  • Regular health check-ups and monitoring are conducted to prevent potential side effects.

  • Lifestyle modifications are recommended, including regular exercise, a balanced diet, adequate rest, stress reduction, and avoiding alcohol and smoking.

Precautions

  • Testosterone replacement therapy should always be administered under medical supervision, as it carries certain limitations and risks. Physicians will assess readiness and develop an appropriate treatment plan.

  • Contraindications include: Prostate cancer, Male breast cance and Cardiac abnormalities

Swelling or Soreness After Injection

Sometimes, after testosterone injections into the gluteal muscle, mild swelling, soreness, or tenderness may occur during the first 1–3 days. This is generally considered normal.
 

Common Symptoms:

  • Mild pain, tightness, or swelling at the injection site

  • Tenderness or warmth when pressing the area

  • Feeling a firm lump in the muscle

  • Tightness when walking or moving

Common Causes:

  • High-concentration injections, such as testosterone oil-based formulations

  • Excessive muscle activity after injection

  • Repeated injections in the same site

Initial Care:

  • Apply gentle warm compresses after 24 hours to help disperse the medication and pooled blood

  • Avoid vigorous massage

  • Alternate injection sites each time

  • Take pain relief medication as needed

    If swelling, redness, or pain persists for more than 3 days, schedule a follow-up appointment with your physician.

Summary

Testosterone Replacement Therapy (TRT) can help improve overall quality of life. However, regular monitoring and lifestyle adjustments are essential. If you have any concerns or experience unusual symptoms, do not hesitate to consult your physician directly.

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Nuttaphon Luchaichana, M.D. ว.52558  Urology surgeon

Phongsathorn M.D. ว.45552  Orthopedics surgeon

Siwat Serirodom, M.D ว.45628  Plastic surgeon

Napat Jirattitikarntavorn, M.D ว.57946  Anti-aging & Sexual health doctor

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Menness Wellness (เมนเนส คลินิก)
The Vue Mall, Room G6, G Flt, Charoennakhon,
Khlong San, Khlong Ton Sai, Bangkok 10600
Open Everyday 11.00 AM - 08.00 PM

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