Hormone Therapy for Men

Testosterone & Hormone Therapy for Men

Tired in a way sleep doesn’t fix. Strength that isn’t coming back the way it used to. Less interest in things that used to matter. These can have more than one cause, and testosterone is only worth treating when the picture actually supports it. We look at your symptoms, your bloodwork and your goals — fertility included — before recommending anything.

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Treatment options

Testosterone Replacement Therapy (TRT)

If your symptoms and bloodwork support a diagnosis of low testosterone, TRT replaces what your body isn’t producing. How it’s delivered is a practical decision, and it’s yours to make.

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Injections

Testosterone injections are administered at intervals tailored to the formulation and individual response. We consider symptom control, laboratory results and potential fluctuations in testosterone levels when developing a treatment plan.

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Creams and gels

Creams and gels are applied to the skin daily and can give steadier levels through the day. We’ll talk through which formulation suits your routine, preferences and goals.

Alternatives to TRT

Supporting your body’s own testosterone production

There’s more than one way to treat low testosterone. These options work differently from replacement therapy — rather than adding testosterone, they aim to increase what your body produces.

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hCG (human chorionic gonadotropin)

hCG stimulates the testes to produce testosterone and may be considered when preserving fertility or testicular function is important. It is typically administered by injection, with treatment and monitoring individualized to your clinical circumstances.

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Clomiphene citrate

Clomiphene is an oral medication that works higher up the pathway to encourage natural testosterone production. It’s used off-label for this purpose and isn’t right for everyone — we’ll explain the rationale, the evidence and the limitations before you decide.

Estrogen

Estrogen assessment and management

Estrogen isn’t only a women’s hormone. In men it plays a part in bone density, mood, libido and erectile function, and it’s needed for sperm production. When it’s elevated, the first question is why.

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What estrogen does in men

Men produce estrogen as well as testosterone. It’s involved in bone health, mood, libido and erectile function, and it plays a role in sperm production.

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Why it can rise or fall

Much of the estrogen in a man’s body is made from testosterone. Levels shift when testosterone shifts, when body composition changes, and with certain medications and health conditions.

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When management is appropriate

Not every man with a higher estradiol level needs treatment. We consider symptoms, testosterone levels, medications and contributing health factors before recommending changes. Aromatase inhibitors may be appropriate in selected circumstances but are not routinely required.

The wider picture

Beyond testosterone

Testosterone is one part of the picture. Other hormones and health factors can produce similar symptoms, or change how treatment works for you.

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DHEA

DHEA is produced by the adrenal glands and is a building block for other hormones. Levels fall with age, but the evidence for supplementing it in men is limited, so it isn’t a routine part of care.

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Thyroid function

Thyroid changes can contribute to fatigue, low mood, weight change and reduced libido — symptoms that overlap closely with low testosterone. Thyroid function is commonly assessed as part of the initial workup.

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Fertility

Fertility and long-term monitoring

Whether you want children now or might later is part of the treatment decision, not an afterthought. Testosterone therapy can suppress sperm production, so if fertility matters, that changes the plan — and it’s a conversation we have before you start. Once you’re on treatment, monitoring is ongoing: symptoms, laboratory results, dose and tolerance are reviewed together.

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Non-hormonal approaches

What else makes a difference

Low testosterone isn’t always a medication problem. These factors influence testosterone, energy and how you feel — and most men benefit from addressing them whether or not treatment is part of the plan.

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Sleep and recovery

Sleep duration and quality influence testosterone production, energy and mood. Poor sleep can look a lot like low testosterone on a symptom questionnaire.

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Nutrition

Protein intake, micronutrients and overall eating patterns support muscle, energy and hormone health.

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Physical activity

Resistance and aerobic training support muscle mass, metabolic health and day-to-day energy.

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Weight and metabolic health

Body composition, blood sugar regulation and metabolic health influence hormone levels and how you feel.

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Stress

Ongoing stress affects sleep, mood and energy, and it can influence hormonal responses.

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Medications and other conditions

Some medications and health conditions can affect testosterone and how you feel. We review what you’re taking before attributing symptoms to hormones alone.

Your next step

Not sure where to start?

That’s a reasonable place to be. Start with an assessment and a conversation, and we’ll tell you honestly whether hormone therapy is part of the answer.

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