The 4 warning signs of testosterone deficiency
Who is testosterone replacement therapy suitable for?
Men from around age 40 with typical signs of testosterone deficiency
As part of a longevity and performance concept to fully unlock your biological potential
For fatigue following periods of stress or chronic overload
After medical evaluation, also suitable for women with a specialized hormone protocol
This is how testosterone replacement therapy works at Clinic X
1
Initial consultation & health screening
You describe your symptoms and goals. Our doctor reviews your medical history (including heart, prostate, and sleep apnea), and checks your blood pressure and BMI. This allows us to immediately identify any contraindications.
2
Precise diagnostics
We take two morning blood samples (on different days) – this is the only way to obtain reliable total and free testosterone levels. Additionally, we measure LH, FSH, SHBG, prolactin, blood lipids, liver/kidney function, and PSA.
3
Results review & therapy decision
If a confirmed deficiency is present, we discuss all treatment options:
- Testosterone gel (applied daily to shoulders/chest, barely noticeable)
- Depot injection (intramuscular, every 10–14 weeks)
- Long-term implant (small pellets, effective for 4–6 months)
Together, we choose the method that best fits your lifestyle. You receive a clear plan with dosage, application, and monitoring schedule.
4
Monitoring phase (3–6 months)
After 6 weeks, we perform blood tests (testosterone, hematocrit, liver values, PSA). We adjust the dose if you still have symptoms or your lab values are too high or low.
5
Long-term support
Once your levels are stable, we schedule check-ups every 6 months. We continue to monitor testosterone, blood count, PSA, and your subjective progress. You’ll also receive coaching tips on nutrition, strength training, and sleep – helping you get the most out of your therapy.
FAQ
Frequently asked questions about testosterone replacement therapy (TRT)
How do I know if I have a testosterone deficiency?
Typical signs include chronic fatigue, reduced libido, decreased muscle strength, mood swings, and abdominal fat. A morning blood test on two separate days is the only way to confirm it.
When will I notice improvements?
Libido and energy often improve within 4–8 weeks. Muscle and fat composition changes usually appear after 3–6 months; bone density increases within 12 months.
What side effects can occur?
Occasionally, skin irritation (with gel) or a feeling of tension at the injection site. Some men experience acne or mild fluid retention. That’s why we regularly monitor hematocrit, blood pressure, and PSA.
Can testosterone therapy increase my risk of prostate cancer?
According to current guidelines, there’s no added risk with normal PSA monitoring. We check your PSA before starting therapy and then every six months for safety.
What about fertility?
External testosterone can suppress your own sperm production. If you’re planning to have children, we’ll discuss alternatives like hCG therapy.
Do I have to continue therapy for life?
As long as your body doesn’t produce enough testosterone on its own, yes. You can pause at any time – but symptoms usually return.
Will my health insurance cover the costs?
In cases of confirmed hypogonadism, many Swiss insurance providers cover part of the medication. Lab tests and medical consultations are usually billed privately. We’ll provide a cost plan in advance.
Gel, injection, or implant – which is better?
Gel allows precise dose adjustments but must be applied daily. Depot injections require less attention but can cause mild “over” or “under” phases. Implants are long-lasting and convenient but require a minor procedure. We’ll decide together what fits best into your lifestyle.
Can I continue strength training?
Absolutely! Training amplifies the positive effects of TRT. We’ll provide you with a training and nutrition protocol tailored to hormone replacement.
Is the therapy safe with heart conditions or high blood pressure?
Ready for more energy, drive, and performance?
Book your hormone check now at Clinic X and let’s find out together if personalized testosterone replacement therapy is right for you.

