Healthy testosterone levels are essential for men’s physical, sexual, and psychological health. Low testosterone can lead to various health issues affecting a man’s quality of life. With studies showing that nearly 4 in 10 men aged 45 or older have low testosterone, and yet almost 90% of them not receiving treatment, men and the medical profession are increasingly recognising the importance of TRT UK. So, what is testosterone replacement therapy (TRT) UK, and how do you go about seeing an expert?
Why is testosterone important?
Testosterone plays a vital role during puberty and is the hormone that drives the development of male physical and sexual characteristics. For an adult man, adequate levels are crucial for maintaining muscle and bone strength. It is essential for men’s sexual health, driving libido and the ability to get and maintain erections. But it’s not just about sexual health. Testosterone is also essential in sustaining energy levels and vitality, supporting mental health, and maintaining cognitive function. Finally, it supports the production of red blood cells necessary for oxygen transport in the body.
How do you know you have low testosterone?
Low testosterone in men causes various symptoms, including:
- Persistent fatigue
- Increased belly fat that is resistant to diet and exercise
- Decreased Libido
- Erectile Dysfunction
- Decreased Muscle Mass and Strength
- Increased irritability, depression, or anxiety
- Lower vitality, stamina and exercise performance
- Feeling less enjoyment or interest in life
- Difficulty with focus, memory and concentration
- Trouble falling asleep or staying asleep.
If you think you may have some of these symptoms, this simple questionnaire will tell you how likely they are due to low testosterone.
How common is low testosterone?
Research shows that by the age of age 40, up to 1 in 10 men (10%) experience symptoms of low testosterone; by 50, that figure rises to 1 in 5 (20%). For men older than 60, low levels become even more common.
And levels are dropping: Compared to 20 years ago, men’s testosterone levels are, on average, 20% LESS.
What is the cause?
Whilst levels naturally decrease by about 1-2% per year after the age of 30, it is a lifestyle that significantly impacts testosterone levels. Obesity, poor diets, sedentary lifestyles, chronic stress, and poor sleep are all known to lower testosterone levels.
For many men, low levels are thought to be a combination of natural ageing and these lifestyle factors. But for some men, the cause can be genetic or from an injury or infection of their testicles.
Understanding Testosterone Replacement Therapy UK
Testosterone can be administered by various methods, but the most common is by an injection of testosterone into the belly fat or the muscle of the thigh or buttock. It can also be administered by applying testosterone creams or gels that are absorbed through the skin.
What are the Benefits of TRT UK?
There is now good evidence that TRT therapy has many health benefits for men with low testosterone. Some improvements are noted soon after starting treatment, while others take longer. A few more commonly reported benefits include:
- Improved energy levels and physical stamina
- Improved motivation
- Increased libido and erection quality
- Improved mood, brain function and quality of sleep
- Increased muscle mass and bone density
- Reduced body fat
Risks of TRT UK
Like all medical treatments, Testosterone Replacement Therapy (TRT) has some risks. It can negatively impact fertility by reducing sperm production. TRT can make blood thicker, increasing the chance of blood clots. It can also speed the growth of cancer of the prostate. Other possible side effects include hair loss, oily skin, and raised blood pressure. However, TRT experts carefully monitor the dose to reduce the risk of these side effects.
How to get TRT UK
While TRT is available through the NHS for men with proven low levels, accessing care can be challenging.
Some men feel embarrassed when talking about their health, thus preventing them from seeking help. When they do, they may also be met with some resistance from the medical community, who may be less knowledgeable about the increasing evidence of the benefit of TRT.
So many men seek care in private clinics, which are often more accessible and convenient. Private clinics are also becoming leaders in developing more effective treatment protocols.
What do TRT experts do at the first consultation?
In a first consultation, a TRT doctor will take a detailed medical history, focusing on symptoms that could be caused by low testosterone. You will also be asked about your lifestyle, medications, and past medical conditions.
A morning blood test is needed to measure testosterone levels. If the result is low, a second, more comprehensive test will be performed to confirm this.
As testosterone can negatively impact fertility, a TRT doctor would ask about the desire to maintain fertility, inquire about any current or future family planning goals, and discuss alternative treatments or strategies to preserve sperm production while managing low testosterone symptoms.
If TRT is appropriate, the TRT doctor would explain the potential benefits and risks of TRT and outline a personalised treatment plan and the necessary follow-up appointments to monitor progress and side effects.
Is there a Natural Remedy for Low Testosterone?
If you don’t want to take testosterone replacement therapy UK, there are several things you can do to boost your natural production of testosterone.
Nutrition:
Proper nutrients support hormone production, while poor diets can reduce testosterone levels. Foods that increase natural testosterone include lean proteins, healthy fats, and fibre-rich carbohydrates. Also, health supplements can boost testosterone levels. TRT experts recommend the following supplements:
- Vitamin D at 2000-5000 IU daily, depending on levels.
- Zinc at 15-30 mg daily.
- Magnesium at 200-400 mg daily.
- Herbal supplement Ashwagandha
Exercise:
Generally, studies show that regular physical activity can help boost testosterone production. For example, exercise stimulates the release of LH hormone from the pituitary gland, which signals the testes to make more testosterone. It also helps you lose body fat, which is known to cause higher oestrogen and lower testosterone levels.
TRT experts suggest a regular exercise routine 3-4 times a week, combining weight training with aerobic exercise such as cycling, walking, and running.
Sleep:
Testosterone production is closely linked to sleep, with the highest levels produced in the early morning. Poor sleep quality or quantity can lead to a decrease in testosterone production.
You should aim for 7-8 hours of sleep per night and establish a regular sleep schedule.
Stress Management:
Chronic stress causes an increase in cortisol, which can reduce testosterone production. Cortisol inhibits the release of hormones in the brain, such as LH, which is critical for stimulating testosterone in the testes.
TRT experts suggest stress-relieving exercises such as mindfulness, meditation, yoga, or deep breathing. Counselling to help relieve stress might also be needed. The herbal supplement Ashwagandha supports the adrenal gland and can reduce stress.
Other frequently asked questions about TRT UK:
How much is TRT UK?
In the UK, Testosterone Replacement Therapy (TRT) costs around £50 to £150 per month when obtained privately, with annual costs including consultations and tests ranging from £500 to £1,500. Depending on individual circumstances and prescriptions, TRT may be available at a reduced cost or even free through the NHS.
A blood test to check your levels is free of charge through your GP. Private testosterone blood tests, often done on a finger-pick sample, can be bought for under £50.
Is TRT legal in the UK?
TRT is a recognised medical treatment that is legal in the UK when prescribed by a registered doctor.
TRT and muscle gain: does it help?
Yes, TRT helps increase muscle mass and strength by promoting protein synthesis and muscle growth, leading to improved physical performance and body composition.
Does TRT increase libido?
Yes, TRT can significantly increase libido by restoring testosterone levels to the normal range. Testosterone plays a crucial role in sexual desire and erectile function.
Does TRT cause hair loss?
TRT can cause hair loss, particularly in men genetically predisposed to male pattern baldness. Increased testosterone levels can accelerate the process of hair follicle miniaturisation. However, treatments can be used alongside TRT to help prevent hair loss and promote growth.
Final word from Dr Alex Vass on TRT UK
Low testosterone can significantly impact a man’s quality of life, affecting energy, mood, and sexual health. Evidence shows that Testosterone Replacement Therapy (TRT) effectively alleviates these symptoms and is a treatment that can pose minimal health risks. If you feel that you have symptoms of low testosterone, get your levels checked and seek appropriate treatment.
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