Men’s Hormone Therapy


The Consultation

How long does the first appointment take?
Your first appointment will probably take 20 to 30 minutes or less.

What happens at that initial appointment?
You will start the appointment by filling out a medical questionnaire and some standard forms for your file. Next, a clinician will review your medical history to get a picture of your health in the past, lifestyle, and your family health history. The practitioner asks you about your symptoms and performs a brief physical exam to be sure testosterone therapy / Men’s Hormone Therapy is the most effective treatment to relieve those symptoms. The doctor will order laboratory blood work including Total and Free Testosterone level and Prostate Specific Antigen, or PSA.

All of these services are covered in the initial consultation price of $150.00. If you qualify, you will also receive your first injection at the initial appointment.

How long does it take to get lab results?
You will receive your laboratory test results in 3 – 5 business days. Sometimes you receive the results at the follow-up appointment, usually seven days after the initial appointment.

What happens at the follow-up appointment?
Your clinician will go over your lab results with you and help you understand what the numbers mean. He will answer any questions and address any concerns you may have. Your clinician will prescribe a therapeutic dose of testosterone and tell you how often to take it. He will also recommend nutritional supplements that support the therapeutic action of the hormone replacement and optimize the benefits of treatment.

There is no additional charge for this first follow-up appointment – it is included in the initial consultation fee.

What are your hours?
We keep convenient business hours:

  • Monday: 9 am to 5 pm
  • Tuesday: 9 am to 7 pm
  • Wednesday: 9 am to 5 pm
  • Thursday: 9 am to 6 pm

 

Wouldn’t I already know it if my testosterone were low?
Maybe not. Unlike menopause in women, which results in a relatively rapid decline in hormone levels and obvious symptoms, andropause in men comes about rather slowly. Men start to gradually lose sex hormones starting at about age 30. By the age of 45, testosterone levels have fallen to sub-optimal levels in half of all men. This condition, known as “Low T,” leaves a man feeling old and tired. Because low T comes on so slowly, most men do not associate their symptoms with low hormone levels.

What are the symptoms of low testosterone?

  • Erectile dysfunction, which is a decrease in erection strength or time of erection
  • Increased refractory time, which is the time needed between erections
  • Diminished libido and sex drive
  • Loss of bone density, potentially resulting in fractures
  • Loss of muscle mass and increase fat mass, especially around the waist and under the chin
  • Reduced strength and aerobic capacity, increased fatigue and breathlessness
  • Decreased metabolism resulting in weight gain and poor nutrition
  • Looking older than you really are
  • Hair loss and thinning hair
  • Wrinkled, dry skin
  • Memory loss, poor concentration
  • Reduced motivation
  • Mood changes including depression, irritability, and decreased sense of well-being
  • Insomnia and poor sleep quality
  • Unhealthy changes in Cholesterol and red blood cell production
  • Increased risk of heart attack
  • Increased resistance to insulin resulting in higher blood sugar levels

 

What are the risk factors for low testosterone?
You are at greater risk for developing low testosterone if you are a man and:

  • Are over the age of 30
  • Experience stress
  • Have had chemotherapy or radiation for any type of cancer, injury or infection of the testicles
  • Your family has certain genetic diseases, especially hemochromatosis and Klinefelters
  • Have taken medications that cause lowered testosterone levels as a side effect
  • You suffer from certain types of chronic illnesses, such as kidney disease, cirrhosis, or inflammatory disease
  • You have a history of alcoholism

 

What are the potential benefits of testosterone therapy?

  • Improved muscle mass and strength
  • Decreased fat and improved body fat-to-lean mass ratio
  • Increase bone mineral density for stronger, fracture-resistant bones
  • Thicker body hair
  • Younger looking skin with fewer wrinkles
  • Improved libido, erection quality, and shorter refractory time
  • Supercharged energy levels and better sleep
  • Better moods, less depression and irritability
  • Improvement in cognitive function and memory

 

Clinical Questions

What type of testosterone do you use?
Our clinicians use injectable testosterone cypionate, the most popular hormone replacement therapy testosterone among professionals in the United States because it works.

Where is the injection given?
The clinician injects the hormone replacement into the gluteal muscle located in your buttocks. She will alternate the injection site between the left and right buttocks with each injection.

What dosing schedule do you use?
You will come in for injections every 7 to 10 days, as recommended by your clinician.

How can I qualify for Testosterone Replacement Therapy?
We will perform a simple blood test in our office to measure your testosterone level while a clinician reviews your history and performs a physical to determine if you qualify for Testosterone Replacement Therapy, or TRT.

Do TRT injections stimulate my body’s own production of testosterone?
No. Your body can no longer produce enough testosterone to keep you at peak performance. TRT simply brings your testosterone to therapeutic levels.

How long will testosterone treatments continue?
You might continue TRT indefinitely to maintain good health. Discontinuing testosterone supplements causes you to feel old, tired, and grumpy once again.

What are possible side effects of testosterone replacement therapy?
Most men tolerate TRT well but this therapy may cause some side effects, including:

  • Oily skin or acne
  • Mild fluid retention
  • Frequent urination or decreased urine stream due to stimulation of prostatic tissue
  • Breast tissue enlargement
  • Worsened sleep apnea
  • A decrease in testicular size

These side effects are not common, and most are short-term and treatable.

Who should not take Testosterone Replacement Therapy?
TRT is not appropriate if you have prostate, testicular, breast or some other types of cancer. You should not undergo TRT if you are currently receiving chemo or radiation therapy or have had surgery within the past six weeks. Some medical conditions may prevent you from taking TRT, including swelling, shortness of breath, sleep apnea, heart disease, kidney disease, liver disease or cirrhosis, alcoholism, untreated asthma, untreated COPD or emphysema, untreated diabetes, adrenal gland disorder, prostate enlargement, untreated thyroid disorder. Many professional, high school or college sports prohibit the use of testosterone injections.

Costs & Insurance

Will my insurance cover TRT?
If you have a non-HMO insurance plan, your insurance provider will likely reimburse you for your treatments. Many plans even cover the expense of medications. To keep your costs low, we do not take or file insurance but we do give you all the paperwork you will need, including paid receipts and more to support your claim. You may also submit these documents to your Flexible Health Care Spending Account.

How much does it cost?
The initial cost of $99.99 covers the initial consultation with a physician, lab work and its associated analysis and review, the first injection, and a follow-up visit.

You will then come into the office every 7 days as directed for an office visit and testosterone. Throughout the first year of treatment, you will need 3 to 4 more lab tests to make sure your testosterone levels are at therapeutic levels and stable. So an all inclusive price will be around $120-$150 per month on avg

Genesis Weight and Age Management
2207 Crestmoor Rd. Suite 204
Nashville,TN 37215
615-442-8586

*Results for each program may vary