In short
- Diagnosis before treatment. Low testosterone needs symptoms plus two morning blood tests, not one random sample.
- Reversible causes first. Sleep apnoea, alcohol, overtraining and thyroid disease can restore levels without any hormone.
- Monitoring is not optional. Haematocrit, PSA where age appropriate, lipids and blood pressure.
- Fertility is discussed before starting, because testosterone treatment reduces it.
Treatment Overview
What is the Men’s Performance Membership?
It is a continuous physician led programme covering male hormone health, body composition, energy and sexual health as one connected picture. It starts with diagnosis rather than treatment, and where treatment is indicated it runs with the review schedule and blood monitoring that testosterone therapy requires.
Diagnosis comes first
Testosterone is not diagnosed from a single random blood test. A diagnosis of low testosterone requires symptoms together with at least two morning total testosterone measurements, plus assessment of the pituitary axis and of the reversible causes that are commonly missed: poor sleep, obstructive sleep apnoea, excess alcohol, overtraining, thyroid disease and medication effects. Treating some of those instead can restore levels without any hormone at all, and that outcome is a success rather than a wasted appointment.
Who Is a Good Candidate?
- You have symptoms suggesting low testosterone and want a proper diagnosis before any treatment is considered.
- You are already on testosterone and want it monitored correctly, with the right blood tests at the right intervals.
- Your energy, body composition and training response have declined and nobody has looked at the whole picture.
- You have sexual health concerns and want them assessed medically rather than treated with a prescription and no examination.
- You want testosterone for performance enhancement without a diagnosis. That is not what this is.
- You are trying to conceive now or in the near future, because testosterone treatment reduces fertility.
- You have untreated prostate cancer, severe untreated sleep apnoea or a raised haematocrit, each of which needs handling first.
What Happens During the Consultation
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1
Symptoms and history
What has changed and over what period, your sleep, alcohol, training load and stress, your medication, and your fertility plans. Fertility is raised at the first appointment because it changes the options.
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2
Examination and baseline tests
Examination, blood pressure, body composition where available, and morning blood tests taken at the correct time of day. Total testosterone on at least two occasions, plus the pituitary axis, thyroid, haematocrit, lipids and PSA where age appropriate.
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3
Reversible causes and the diagnosis
Sleep apnoea, alcohol, overtraining, obesity, thyroid disease and medication effects are addressed before hormone treatment is considered. Only then does Dr. Felix tell you whether a diagnosis of low testosterone actually stands.
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4
Your plan, with or without hormones
If treatment is indicated you get the route, the dose and the monitoring schedule in writing, along with what it means long term. If it is not indicated, you get the alternative plan rather than a prescription to keep you happy.
Program Structure & Follow-Up
How do the first months usually go?
The first phase is diagnostic. Symptoms are documented, baseline blood tests are taken at the right time of day, and reversible causes are addressed before anything else.
- Early reviews where treatment is started, looking at how you feel, how you sleep, what your blood tests show, and whether the dose or route needs changing.
- Haematocrit checked early, because rising red cell concentration is one of the more common reasons a dose needs reducing.
- Longer rhythm afterwards. Most men reach a stable arrangement within the first several months, at which point the work becomes maintenance and monitoring.
- Training, nutrition and body composition reviewed alongside the medical treatment, since neither works well without the other.
Sexual health is assessed properly throughout, including the vascular and cardiovascular causes that erectile problems can signal.
Benefits, Limits & Safety
Benefits, limits and what to know before starting
Symptoms improve for many men on properly indicated treatment. For some, the symptoms had another cause entirely, which is exactly why the diagnostic work comes first. No specific result is promised.
- Fertility. Testosterone treatment suppresses sperm production. For men who may want children this must be discussed before treatment begins, and alternatives exist.
- Long term. Treatment is generally continued indefinitely once started, so the decision is worth making carefully.
- Monitoring. Haematocrit, PSA where age appropriate, lipids and blood pressure are checked on schedule, and a rising haematocrit usually means a dose change.
- Not used in untreated prostate cancer, and used with caution in severe untreated sleep apnoea or established polycythaemia.
What treatment can change
Where the diagnosis is correct, treatment commonly improves energy, mood, libido, and body composition over months rather than days. Effects vary between men and some symptoms turn out to have a different cause.
How you are followed
Close reviews in the first months, then a settled rhythm. Haematocrit, total testosterone, lipids, blood pressure and PSA where age appropriate, at the intervals treatment requires rather than on request.
When testosterone is not used
Untreated prostate cancer, active attempts to conceive, and untreated severe sleep apnoea or raised haematocrit until those are addressed. A single low reading without symptoms is not a diagnosis.
Cost & Program Investment
The membership covers physician time, monitoring reviews and continuity. Investigations are billed at laboratory cost and medication at pharmacy cost. What determines the range is how much monitoring your case needs, and you get the exact figure after the first consultation.
Frequently Asked Questions
Not usually, and that is deliberate. A diagnosis of low testosterone needs symptoms plus at least two morning blood tests, with reversible causes assessed. Starting hormone treatment on a single reading is how men end up on lifelong therapy they never needed.
Yes. Testosterone treatment suppresses sperm production, in most men substantially. If you may want children, say so at the first appointment. Alternative approaches exist and they need deciding before treatment starts rather than after.
Baseline testing covers testosterone on two morning samples, the pituitary axis, thyroid, haematocrit, lipids and PSA where age appropriate. On treatment, monitoring is close in the first months and then settles into a longer interval, with haematocrit checked early because it is the most common reason to reduce a dose.
Then you get a plan for the symptoms you actually have. Poor sleep, sleep apnoea, alcohol, overtraining, thyroid disease and depression all produce the same picture, and treating the real cause works better than treating a number that was never the problem.
Evidence
Where this information comes from
Every figure on this page is taken from the sources below. All of them are free to read, so you can check them yourself.
This page is general medical information and does not replace a personal consultation. Trial results are averages across large groups, not a prediction for any one person.