Testosterone Replacement Therapy (TRT)

Feel Like Yourself Again: Understanding Testosterone Replacement Therapy (TRT) in the UK

Are you experiencing low energy, decreased libido, low mood, or other symptoms of low testosterone?  You’re not alone.  Many UK men struggle with these issues, often linked to factors unique to our environment and lifestyle. 

Book a consultation at Functional- Aesthetics Lincoln, our expert team can help you get tested, diagnosed, and treated so you can reclaim your strength and vitality.

Why Might UK Men Have Low Testosterone?

The UK Weather and Vitamin D

The UK’s notoriously limited sunshine impacts vitamin D production, crucial for testosterone levels.  The NHS even recommends vitamin D supplements during autumn and winter.  Even in summer, sunscreen use can hinder vitamin D synthesis.  This deficiency contributes to lower testosterone in many UK men.

The Stress Factor

Chronic stress, exacerbated by economic uncertainty, political instability, and long working hours, significantly impacts testosterone production.  High cortisol levels—a stress hormone—compete with testosterone for the same precursor, leading to a “pregnenolone steal”. This ongoing stress contributes to low testosterone in a significant portion of the UK population.

Long Working Hours and Sleep Deprivation

UK workers often log long hours, leading to sleep deprivation.  Insufficient sleep directly impacts testosterone production and regulation.  The combination of long hours and poor sleep significantly contributes to low testosterone levels amongst UK men.

Recognizing the Signs of Low Testosterone

If you or someone you know are experiencing several of the following, low testosterone may be a contributing factor:

• Fatigue and lack of energy
• Weight gain (particularly around the abdomen)
• Mood swings and emotional instability
• Decreased libido and sexual performance issues
• Difficulty concentrating or remembering things
• Poor sleep quality or insomnia
• Loss of muscle mass and strength
• Hair loss on the body and face

Diagnosing Low Testosterone

A comprehensive diagnosis involves:

1. Medical History & Physical Exam: Our practitioners will review your medical history and conduct a thorough physical examination.
2. Blood Tests: These tests measure your total testosterone levels, free testosterone, bioavailable testosterone, LH, FSH, and prolactin to provide a complete picture of your hormone profile.  Remember, testosterone levels fluctuate naturally, so multiple tests may be necessary.
3. Treatment Recommendations: If a testosterone deficiency is confirmed, our doctors will discuss whether TRT is appropriate and recommend a personalised treatment plan.  Untreated low testosterone can lead to serious health problems, including osteoporosis, high cholesterol, and mental health issues.

TRT Options in the UK

Functional Aesthetics offers various TRT options tailored to individual needs and preferences:

• Injections: A common method offering rapid absorption and longer intervals between treatments. However, injections may be painful and require professional administration.
• Gels/Creams: Convenient daily application, but they may cause skin irritation and carry a risk of accidental transfer to others.
• Patches: Deliver consistent hormone levels through transdermal absorption, but skin irritation is a possibility.
• Oral Medications: Offer convenience but have lower bioavailability due to liver metabolism and often require multiple daily doses.
• Implantable Pellets: A long-term solution requiring minor surgery, but it’s an invasive procedure.
• Nasal Sprays: A relatively new option offering fast absorption, but nasal irritation can occur.