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Testosterone Deficiency and Testosterone Replacement Therapy in Bangkok

In this article, we discuss the importance of testosterone, its effects on both genders, symptoms of imbalances, and how our clinic can assist you in achieving hormonal health.

Testosterone, often referred to as the “male sex hormone,” is vital for both men and women. It influences a wide range of bodily functions, from reproductive health and muscle mass to mood and cognitive abilities.

At WellMed Bangkok Clinic, we offer comprehensive testosterone testing and personalized Testosterone Replacement Therapy (TRT) treatment plans to help you maintain optimal hormone balance and overall well-being. 

In this article, we discuss the importance of testosterone, its effects on both genders, symptoms of imbalances, and how our clinic can assist you in achieving hormonal health.

What is Testosterone?

Testosterone is a steroid hormone belonging to the androgen group, produced primarily in the testes in men and the ovaries in women, with small amounts also produced by the adrenal glands.

While it is often labeled as the male sex hormone, testosterone plays essential roles in both genders.

What is Testosterone Replacement Therapy?

Testosterone Replacement Therapy (TRT) is a hormone therapy aimed at addressing declining testosterone levels in men. The therapy involves a blood test to measure testosterone levels, followed by injections or other forms of testosterone treatment to raise levels back to normal.

Testosterone Replacement Therapy in Bangkok

WellMed Bangkok Clinic, a wellness center in Bangkok specializes in TRT and other men’s health related services.

The clinic targets the upper normal range of testosterone to ensure libido levels remain high. Those experiencing a dip in sex drive, energy levels, or overall wellness may benefit from testosterone therapy.

Functions of Testosterone:

1.    Development of Male Reproductive Tissues: Testosterone is vital for the development of male reproductive organs, including the testes and prostate.

2.     Secondary Sexual Characteristics: It promotes characteristics such as increased muscle and bone mass, and the growth of body hair.

3.      Health and Well-being: Testosterone influences mood, energy levels, and overall vitality. It also plays a role in the production of red blood cells and the maintenance of bone density.

4.      Cognitive Function: Emerging research suggests that testosterone may influence cognitive abilities.

Testosterone and Women

While men produce significantly higher levels of testosterone, women also require this hormone for various bodily functions. In women, testosterone is essential for:

1.      Bone Strength: It helps maintain bone density and prevent osteoporosis.

2.     Sexual Appitite: Testosterone contributes to sexual desire and function.

3.      Mood and Energy Levels: Adequate levels are necessary for mental health and energy.

Women naturally have lower testosterone levels than men, but these levels can vary significantly depending on age, health, and individual physiology.

Can You Have Too Much Testosterone?

Yes, excessive testosterone can lead to a condition known as hyperandrogenism. Symptoms of high testosterone levels vary between genders.

In Men

  1. Aggression and Irritability: Excess testosterone can cause mood swings and increased aggression.
  2. Acne and Oily Skin: High levels can stimulate excessive oil production, leading to skin issues.
  3. Sleep Apnea: Testosterone can contribute to sleep-disordered breathing.
  4. Heart Issues: There may be an increased risk of cardiovascular problems.

In Women

  1. Hirsutism: Excessive hair growth on the face and body.
  2. Menstrual Irregularities: Disruptions in menstrual cycles or even amenorrhea (absence of menstruation).
  3. Voice Deepening: A more masculine voice can develop.
  4. Muscle Mass Increase: Women may experience a noticeable increase in muscle size and strength.
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Testosterone Deficiency

Hypogonadism, or low testosterone, affects both men and women, presenting a range of symptoms that can significantly impact quality of life.

In Men

  1. Reduced sexual appetite: Lowered interest in sexual activity.
  2. Erectile Dysfunction: Difficulty in achieving or maintaining an erection.
  3. Fatigue and Depression: Persistent tiredness and depressive symptoms.
  4. Decreased Muscle Mass: Loss of muscle bulk and strength.
  5. Increased Body Fat: Especially around the abdomen.

In Women

  1. Fatigue: General sense of tiredness and lack of energy.
  2. Mood Changes: Depression, anxiety, and irritability.
  3. Low sexual appetite: Decreased sexual desire.
  4. Osteoporosis: Increased risk of bone fractures due to lower bone density.

Diseases and Conditions That Affect Testosterone

Testosterone levels can be significantly influenced by a variety of diseases and conditions. Understanding these influences is crucial for both diagnosing and treating hormonal imbalances.

Genetic Disorders

Klinefelter Syndrome: Klinefelter Syndrome is a genetic condition in men where they have an extra X chromosome (XXY instead of the typical XY). This additional chromosome can impair testicular function, leading to low testosterone levels.

Endocrine Disorders

Hypogonadism: Hypogonadism is a condition where the body doesn’t produce enough testosterone. It can be primary (originating from a problem in the testes) or secondary (caused by issues in the hypothalamus or pituitary gland).

Primary hypogonadism can result from genetic conditions, infections, or trauma to the testes. Secondary hypogonadism may be due to pituitary disorders, hypothalamic disorders, or systemic illnesses.

Polycystic Ovary Syndrome (PCOS): PCOS is a common endocrine disorder in women of reproductive age. It is characterized by elevated levels of androgens, including testosterone.

Metabolic Conditions

Obesity: Obesity is strongly linked to lower testosterone levels in men. Excess adipose tissue, particularly visceral fat, can convert testosterone to estrogen which leads to a decrease in available testosterone.

Obesity is also associated with increased levels of insulin resistance and inflammation, both of which can negatively impact testosterone production.

Type 2 Diabetes: Men with type 2 diabetes often have lower testosterone levels. The exact mechanism is not fully understood, but it is believed that insulin resistance and associated metabolic dysfunction play a role.

Low testosterone can exacerbate the symptoms of diabetes, creating a cycle of worsening health.

Chronic Illnesses

Chronic Kidney Disease (CKD): CKD can lead to low testosterone levels due to the body’s impaired ability to remove waste and regulate electrolytes.

The kidneys also play a role in hormone production and metabolism, so their dysfunction can impact testosterone levels. Symptoms of CKD include fatigue, weakness, and decreased sexual appetite, which can overlap with symptoms of low testosterone.

Liver Disease: The liver is crucial for hormone metabolism. Liver diseases, such as cirrhosis or hepatitis, can disrupt the balance of sex hormones, leading to decreased testosterone levels.

Men with liver disease may experience reduced libido and sexual dysfunction.

HIV/AIDS: HIV/AIDS can affect testosterone levels in multiple ways. The virus itself, along with opportunistic infections and the side effects of antiretroviral therapy, can lead to hypogonadism.

Men with HIV/AIDS may experience symptoms of low testosterone, such as fatigue, weight loss, and reduced muscle mass.

Testing Your Testosterone Levels

At WellMed Bangkok Clinic, we offer a range of tests to accurately measure and diagnose testosterone levels.

Our approach ensures that our patients receive comprehensive and precise evaluations to tailor effective treatment plans. Here’s a detailed look at the various tests we provide and what each one entails.

Testosterone Replacement Therapy in Bangkok | WellMed Best Bangkok Clinic

Testosterone Total

Overview: Total testosterone measures the overall amount of testosterone in the blood, including both free and bound testosterone (testosterone bound to SHBG and albumin).

Why It’s Important: Total testosterone gives a broad picture of testosterone levels in the body. It helps in diagnosing conditions like hypogonadism, polycystic ovary syndrome (PCOS), and androgen-secreting tumors.

Normal Range:

·        Men: 300-1,000 ng/dL

·        Women: 15-70 ng/dL

When It’s Ordered: Total testosterone testing is a standard initial test when symptoms of low or high testosterone are present, such as fatigue, erectile dysfunction, irregular menstrual cycles, or unexplained hair growth.

Testosterone Free

Overview: Free testosterone refers to the testosterone that is not bound to proteins in the blood. This form of testosterone is biologically active and readily available to the body’s tissues.

Why It’s Important: Measuring free testosterone is crucial because it provides insight into the amount of hormone that is directly available to the body’s cells. Total testosterone levels can sometimes appear normal, even when free testosterone levels are low, particularly in conditions where binding proteins are elevated.

When It’s Ordered: Free testosterone tests are often ordered when symptoms of hormonal imbalance are present but total testosterone levels are normal, or when conditions such as obesity, diabetes, or thyroid dysfunction might alter binding protein levels.

SHBG (Sex Hormone-Binding Globulin)

Overview: SHBG is a protein produced by the liver that binds to three sex hormones: estrogen, dihydrotestosterone (DHT), and testosterone. Most testosterone in the blood is bound to SHBG, and only a small portion is free and bioavailable.

Why It’s Important: Measuring SHBG helps interpret total testosterone levels. High SHBG can lower the amount of free testosterone available to the tissues, while low SHBG can increase free testosterone levels.

When It’s Ordered: SHBG testing is particularly useful when there are discrepancies between clinical symptoms and total testosterone levels, or in conditions affecting liver function and protein synthesis.

Testosterone Replacement Therapy (TRT)

Testosterone Replacement Therapy can be an effective treatment for individuals with significantly low testosterone levels. You may be a candidate for TRT if it is interfering with your health and quality of life. 

At WellMed Bangkok Clinic, we offer personalized TRT plans tailored to each patient’s needs.

Can TRT it be costly in Thailand?

Male hormone therapy in Bangkok can be costly, especially when special attention to free testosterone levels is required. Men seeking TRT may need to undergo two types of testosterone tests to determine the appropriate treatment for them.

TRT aims to restore normal testosterone levels in men suffering from low sex drive and low energy. However, the limitations of testosterone therapy in Thailand may make it difficult for some to afford the 90-day shot needed for optimal sexual health.

Benefits of TRT:

  1. Improved Mood and Energy Levels: Alleviates symptoms of depression and fatigue.
  2. Enhanced sexual appetite and Sexual Function: Increases sexual desire and performance.
  3. Increased Muscle Mass and Strength: Helps in building and maintaining muscle.
  4. Better Bone Density: Reduces the risk of fractures and osteoporosis.

Risks of TRT:

  1. Cardiovascular Issues: Potential increased risk of heart disease.
  2. Liver diseases: It could increase liver enzyme levels, which require regular follow up.
  3. Prostate Health: In men, it could affect prostate health, necessitating regular monitoring.
  4. Hormonal Imbalance: Overcorrection can lead to high testosterone levels, with associated symptoms.

limitations of Testosterone

Having TRT Treatment may not be the sole answer to all your problems.  TRT (testosterone replacement therapy) can be an effective treatment for men with low testosterone levels, but it is not a one-size-fits-all solution.

It is important to discuss your symptoms and concerns with a healthcare provider to determine the best course of treatment for you. In some cases, TRT may be combined with other therapies or lifestyle changes to optimize results.

Additionally, it is important to monitor and adjust your treatment plan as needed to ensure the best possible outcome. Remember, TRT is just one part of a comprehensive approach to your overall health and well-being. 

Testosterone Treatment Improves quality of life

Testosterone plays a crucial role in both male and female health, affecting physical, mental, and emotional well-being.

At WellMed Bangkok Clinic, we are committed to helping our patients understand and manage their testosterone levels through comprehensive testing and personalized treatment plans.

Boosts energy, vitality, and Wellness

Whether dealing with too much or too little testosterone, our experts are here to guide you toward optimal health and vitality.

For more information or to schedule a consultation, contact WellMed Bangkok Clinic today and take the first step towards a healthier you.

Q: What is Bangkok Testosterone Replacement Therapy?

A: Bangkok Testosterone Replacement Therapy is a hormone therapy for men that aims to address low testosterone levels and improve overall well-being and vitality.

Q: What are the related services offered at the Bangkok Testosterone Replacement Therapy wellness center?

A: The Bangkok Testosterone Replacement Therapy wellness center offers services such as hormone replacement therapy and wellness consultations to help men revitalize their health.

Q: How can I stay connected with Bangkok Testosterone Replacement Therapy?

A: You can stay connected with Bangkok Testosterone Replacement Therapy by following their social media channels and subscribing to their newsletter for updates on hormone therapy and wellness tips.

Q: What happens when men have low testosterone levels?

A: Men with low testosterone levels may experience a decrease in sexual appetite energy, and vitality. They may also notice changes in body composition and mood.

Q: What are the effects of high testosterone levels in men?

A: Men with high testosterone levels may experience increased energy, vitality, and sexual appetite. Elevated testosterone levels can positively impact overall well-being.

Q: What is hypogonadism?

A: Hypogonadism, also called low testosterone, is a condition where the body does not produce enough testosterone, leading to various symptoms such as fatigue, decreased libido, and muscle loss.


About WellMed

We are medical clinic located near BTS Asok and MRT Sukhumvit. We take care of everyone like family. Our services – Doctor Consultation – illness & injury – health check-up, blood tests – vaccinations – stress, mental health – sexual health, STD care – medical prescription – medical certificate

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