The First ‘Bespoke’ TRT Clinic in the UK
The Men’s Health Clinic, founded by Dr Robert Stevens MBChB MRCGP Dip.FIPT, is the first clinic of its kind in the UK. From very humble beginnings they now have their very own private medical clinic that attracts people from all over the world. The clinic specialises in the diagnosis and treatment of Testosterone Deficiency. Their clinic offers a uniquely progressive approach to patient care, understanding the need for a personalised approach, not a one-size-fits all model.
Testosterone Deficiency is a medical condition characterised by the negative symptoms associated with low testosterone, along with confirmatory blood test results. The British Society for Sexual Medicine has set out national guidance to support doctors in making the diagnosis. Prominent symptoms of Testosterone Deficiency include an element of low mood, anxiety, and-or depersonalisation. Men often describe a ‘brain fog’, fatigue and low libido. Other symptoms can include erectile dysfunction, weight gain, loss of lean muscle mass and a decrease in bone mineral density. As there can be several possible diagnoses for each symptom, it is important to have a comprehensive assessment by a clinician who specialises in the area, before commencing any treatment. There can also be potential reversible causes for low testosterone and so these should always be addressed before committing to, what should be considered, a lifelong therapy.
From the outside, TRT can appear straightforward; if you have a deficiency you restore the testosterone level using exogenous testosterone. Unfortunately, this is a simplistic perspective. Exogenous testosterone suppresses the release of Lutenising Hormone (LH) and Follicle Stimulating Hormone (FSH) from the pituitary gland. As there are LH receptors in numerous organs, most notably the testes and the brain, traditional testosterone monotherapy often causes azoospermia and male infertility due to the suppression of LH. TRT should therefore be addressed as hormone replacement therapy. The aim of TRT and hormone replacement therapy should be to maintain function, in addition to restoring male androgen levels using exogenous testosterone.
Human Chorionic Gonadotropin (HCG) has been used by the NHS to treat male infertility for many years. HCG mimics LH and so The Men’s Health Clinic utilises HCG alongside testosterone in testosterone therapy to help preserve fertility and testicular size. Dr Stevens reported nineteen pregnancies in his patients so far with the use of concurrent TRT and HCG. In addition to the fertility aspect, men often report a qualitative improvement in their sense of well-being and libido with the use of HCG alongside their testosterone treatment.
In 2019, The Men’s Health Clinic was delighted to be the first clinic in the UK to be granted a licence by the MHRA for the import of Testosterone Cypionate, their gold standard TRT option. Dr Stevens is a proponent of daily injections of Testosterone Cypionate to help mimic the diurnal variation of endogenous testosterone that occurs naturally within the body. He also reports more stable male androgen levels using this methodology. Dr Stevens is also a proponent of subcutaneous injections, over shallow intramuscular ones, as they are less painful and result in less aromatisation of testosterone to oestrogen. Less side effects mean happier, more content patients.
Hormonal balance is fundamental to overall health and well-being. You need a clinician who understands that all hormones are dependent, whether that be direct or indirect. The ratio of testosterone : oestradiol : dihydrotestosterone, is as important as the absolute numbers. The purpose of TRT is normalisation of your male androgen levels to within normal physiological parameters. We aim to reverse the negative symptoms of low testosterone and help you maintain a sustainable improvement in your long-term physical and psychological well-being.