Men's Hormone Health (TRT)
Doctor-led assessment for fatigue, low libido, sexual-function changes, mood concerns and altered body composition. Symptoms are reviewed alongside appropriate laboratory investigations, with treatment recommended only when clinically appropriate for your individual health needs.
What to expect
Low testosterone can affect energy, libido, sexual function, mood and body composition. These symptoms are common, but they can also have many other causes. The first step is a thorough assessment to determine whether hormones are contributing to how you feel.
At PVT, every consultation is tailored to you. Your doctor will assess your symptoms alongside appropriate laboratory investigations to understand the cause of your symptoms and discuss the treatment options that are right for you. Treatment is only recommended where clinically appropriate.
What’s included
Validated symptom questionnaire (ADAM / AMS scoring)
Blood tests, timed for accuracy
Safety baseline: prostate, red cell and cardiovascular markers
A clear diagnosis conversation, whatever the numbers show
Monitored testosterone therapy where indicated
Scheduled follow-up bloods and dose reviews
Where and what it costs
milnerton | table-view
From
R700
Initiation uses the follow-up package, billed separately at each visit. Routine reviews R700. laboratory bills bloods separately.
What happens at a hormone consult
1
Symptom review
A structured conversation plus a validated questionnaire, so symptoms are scored rather than guessed at.
2
Baseline examination
A focused examination establishing your baseline before any treatment decision.
3
Blood Test
Targeted blood tests selected for your assessment.
4
Eligibility and safety check
Your doctor reviews results against clinical criteria and your health history to confirm therapy is appropriate and safe for you.
5
Treatment plan and monitoring
If therapy is started, it comes with a written plan and scheduled monitoring bloods, so dosing is adjusted on evidence rather than feel.
Frequently asked
Is testosterone therapy safe?
For men with confirmed low testosterone and a normal safety baseline, therapy prescribed and monitored by a doctor has a well-established safety profile. The key is the monitoring: prostate markers, red blood cell counts and hormone levels are rechecked on a schedule, and dosing is adjusted or paused if anything moves out of range.
Will TRT affect my fertility?
It can. Testosterone therapy suppresses the signals that drive sperm production, so it is not recommended for men actively trying to conceive. If fertility matters to you now or later, tell your doctor. There are alternative approaches that support your own production instead, and this is discussed before anything is prescribed.
How is treatment monitored?
With scheduled blood tests. The first recheck happens about a month after starting, then at regular intervals once stable. Monitoring covers testosterone levels, red blood cell counts and prostate markers, alongside a symptom review, so the dose is always matched to evidence.
How soon will I notice a difference?
It varies, and no specific outcome can be promised. In published studies, changes in libido and mood tend to be reported earlier, over weeks, while changes in body composition and energy tend to take months. Your one-month follow-up is where early progress is reviewed.
Should I bring previous blood results?
Yes, please. Old results, even from years back, give your doctor a baseline to compare against and can save you a repeat test. Bring printouts, PDFs or the lab SMS, whatever you have.
What if my testosterone comes back normal?
Then testosterone is not the explanation, and that is genuinely useful to know. Your doctor looks at the other measurable causes of your symptoms, such as thyroid function, sleep, iron status, mood and medication effects, and either treats what is found or refers you appropriately.
Conditions this service covers
Low Testosterone
Low testosterone is a hormone deficiency in men causing fatigue, low libido and reduced drive, confirmed with blood tests and treatable with monitored testosterone therapy.
Erectile Dysfunction
Erectile dysfunction is persistent difficulty getting or keeping an erection firm enough for sex, and in most men it has an identifiable, treatable cause.
Low Libido / Low Desire
Low libido is a persistent drop in sexual desire, in men or women, with many possible causes ranging from hormones to medication to life circumstances, most of them addressable.