{"id":10339,"date":"2026-05-18T07:48:19","date_gmt":"2026-05-18T00:48:19","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?page_id=10339"},"modified":"2026-08-15T00:21:55","modified_gmt":"2026-08-14T17:21:55","slug":"testosteronersatztherapie","status":"publish","type":"page","link":"https:\/\/drsoaraweeurology.com\/de\/services\/testosterone-replacement-therapy\/","title":{"rendered":"Testosteronersatztherapie in Bangkok"},"content":{"rendered":"<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:42px;font-weight:600\">Testosterone Replacement Therapy in Bangkok<\/h2>\n<p class=\"has-text-align-center\" style=\"font-size:18px\">Evidence-based testosterone replacement therapy (TRT) for men with clinically confirmed hypogonadism \u2014 designed to restore energy, mood, muscle function, sexual health, and metabolic balance under careful medical supervision.<\/p>\n<p class=\"has-text-align-center\"><em>Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &amp; Clinical Observer, Scott Department of Urology, Baylor College of Medicine<\/em><\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" style=\"background-color:#c8102e\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a TRT Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">What Is Hypogonadism?<\/h2>\n<p>Hypogonadism (low testosterone) is a clinical condition where the body produces insufficient testosterone. It is considerably more common with age, and more common again in men with type 2 diabetes or obesity. Diagnosis requires both characteristic symptoms <em>and<\/em> confirmed low testosterone on morning blood tests \u2014 not just one or the other. <a href=\"https:\/\/drsoaraweeurology.com\/2026\/04\/28\/low-testosterone-2024-guide\/\">Read the complete low testosterone guide \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:24px;font-weight:600\">Symptoms of Low Testosterone<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Sexual symptoms<\/strong> \u2014 reduced libido, <a href=\"https:\/\/drsoaraweeurology.com\/services\/erectile-dysfunction-bangkok\/\">erectile dysfunction<\/a>, decreased morning erections<\/li>\n<li><strong>Physical symptoms<\/strong> \u2014 fatigue, reduced muscle mass, increased body fat, decreased strength<\/li>\n<li><strong>Psychological symptoms<\/strong> \u2014 depression, irritability, poor concentration, reduced motivation<\/li>\n<li><strong>Metabolic symptoms<\/strong> \u2014 insulin resistance, weight gain, reduced bone density<\/li>\n<li><strong>Other<\/strong> \u2014 hot flushes, sleep disturbance, anemia<\/li>\n<\/ul>\n<p>These symptoms are not specific to low testosterone, which is exactly why a diagnosis should never rest on a symptom checklist alone. Because testosterone influences so many systems, it is often described as a barometer of overall male health. <a href=\"https:\/\/drsoaraweeurology.com\/2026\/04\/21\/testosterone-barometer-mens-health\/\">Why testosterone is the ultimate barometer of men&#8217;s health \u2192<\/a><\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#1a2e5a;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Diagnostic Workup Before TRT<\/h2>\n<p class=\"has-text-align-center has-white-color has-text-color\">Following AUA and Endocrine Society guidelines \u2014 TRT should never start without proper evaluation.<\/p>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83e\uddea Hormonal Panel<\/h3>\n<p class=\"has-white-color has-text-color\">Two morning total testosterone tests, free testosterone, SHBG, LH\/FSH, prolactin, estradiol \u2014 distinguishing primary vs. secondary hypogonadism.<\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83e\ude78 Safety Screening<\/h3>\n<p class=\"has-white-color has-text-color\">PSA, hematocrit, lipid profile, HbA1c, liver function \u2014 baseline established before initiating therapy. <a href=\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/\" style=\"color:#c9a84c\"><strong>About PSA &amp; prostate screening \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\u2764\ufe0f Cardiovascular Risk<\/h3>\n<p class=\"has-white-color has-text-color\">Comprehensive cardiac assessment for men over 50 or with cardiovascular risk factors \u2014 TRT is contraindicated in untreated severe heart disease.<\/p>\n<\/div>\n<\/div>\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-group has-border-color is-layout-constrained wp-container-core-group-is-layout-95339512 wp-block-group-is-layout-constrained\" style=\"border-color:#c9a84c;border-width:2px;border-radius:10px;padding-top:24px;padding-right:24px;padding-bottom:24px;padding-left:24px\">\n<h3 class=\"wp-block-heading has-white-color has-text-color\" style=\"font-family:Playfair Display;font-size:20px;font-weight:600\">\ud83d\udc76 Fertility Counseling<\/h3>\n<p class=\"has-white-color has-text-color\">TRT suppresses sperm production. Men considering future fatherhood need this discussed before starting, not afterwards \u2014 alternatives and sperm cryopreservation are covered below. <a href=\"https:\/\/drsoaraweeurology.com\/2023\/03\/22\/hcg-male-hypogonadism\/\" style=\"color:#c9a84c\"><strong>About hCG therapy \u2192<\/strong><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">TRT Treatment Options<\/h2>\n<p class=\"has-text-align-center\">Every option is weighed for its benefits and trade-offs. <a href=\"https:\/\/drsoaraweeurology.com\/2021\/11\/26\/testosterone-replacement-therapy\/\">Read the pros and cons of TRT \u2192<\/a><\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<p><strong>The testosterone therapy provided at Bangkok Hospital Headquarters is given as injections or as a transdermal gel.<\/strong> Those are the two delivery methods described below. Other formulations exist internationally and are covered afterwards for completeness, since patients frequently read about them.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Injectable Testosterone<\/h3>\n<p><strong>Testosterone undecanoate<\/strong> \u2014 a long-acting injection given every 10\u201314 weeks; <strong>testosterone enanthate or cypionate<\/strong> \u2014 shorter-acting injections every 1\u20132 weeks. Injections are the most economical route but produce peaks and troughs rather than steady levels. They can be given <a href=\"https:\/\/drsoaraweeurology.com\/2021\/12\/24\/testosterone-injection-how-to-do\/\">intramuscularly<\/a> or, more gently, <a href=\"https:\/\/drsoaraweeurology.com\/2026\/06\/09\/subcutaneous-testosterone-injection-how-to-do-it-yourself\/\">subcutaneously at home<\/a>.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Transdermal Gel<\/h3>\n<p>Applied daily, a gel gives steadier levels closer to normal physiology with far less fluctuation than injections. The trade-off is the daily routine and the real risk of transferring testosterone to a partner or child through skin contact, which means covering the application site and washing hands carefully.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Formulations Available Elsewhere<\/h3>\n<p>Newer <strong>oral testosterone undecanoate<\/strong> capsules and <strong>subcutaneous testosterone pellets<\/strong> are used in some countries, particularly the United States. Registration and availability differ from country to country, and neither is part of the testosterone therapy provided here. They are mentioned so that you can recognise them if you come across them in overseas reading or online advertising.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Fertility-Sparing Alternatives<\/h3>\n<p>For a man who wants children in the foreseeable future, standard testosterone therapy is the wrong starting point, because it suppresses the body&#8217;s own sperm production. The alternatives that preserve fertility work by stimulating the testes rather than replacing the hormone from outside:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Clomiphene citrate<\/strong> \u2014 stimulates the body&#8217;s own testosterone production and preserves fertility<\/li>\n<li><strong>hCG (human chorionic gonadotropin)<\/strong> \u2014 maintains testicular function, used alone or alongside testosterone<\/li>\n<li><strong>Aromatase inhibitor<\/strong> \u2014 considered where estradiol rises significantly during treatment<\/li>\n<\/ul>\n<p>Which of these is appropriate, if any, depends on your hormone profile and your fertility plans, and is decided at an in-person consultation. Sperm cryopreservation before starting treatment is a further option, and is worth considering whenever future fatherhood is a possibility rather than a certainty. Where azoospermia has already been found, <a href=\"https:\/\/drsoaraweeurology.com\/services\/male-fertility-microsurgery-bangkok\/\">surgical sperm retrieval<\/a> is a separate discussion.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">What Testosterone Therapy Does to the Body \u2014 and What Is Monitored<\/h2>\n<p class=\"has-text-align-center\">Replacement is not a supplement. The monitoring schedule exists because these effects are real and mostly manageable when caught early.<\/p>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<ul class=\"wp-block-list\">\n<li><strong>Thickening of the blood (erythrocytosis)<\/strong> \u2014 the commonest effect requiring action. Testosterone stimulates red cell production, and if the hematocrit climbs too high the blood becomes more viscous, raising clot risk. This is why hematocrit is checked at baseline and at every review, and it is managed by lowering the dose, changing preparation, or donating blood.<\/li>\n<li><strong>Suppression of your own production<\/strong> \u2014 the testes reduce their output while you are on treatment, with shrinkage in some men and, importantly, suppression of sperm production.<\/li>\n<li><strong>PSA changes<\/strong> \u2014 testosterone does not appear to cause prostate cancer in men with a normal baseline PSA, but it can accelerate one that is already present and undiagnosed, which is why PSA is checked before starting and during treatment.<\/li>\n<li><strong>Worsening of sleep apnea<\/strong> in men who already have it, and sometimes acne, oily skin, fluid retention, or breast tenderness and enlargement where estradiol rises.<\/li>\n<li><strong>Mood effects<\/strong> \u2014 usually improvement, but irritability at excessive doses. Higher is not better, and a level pushed above the normal range brings side effects without extra benefit.<\/li>\n<\/ul>\n<p><strong>Some symptoms during treatment should not wait for the next appointment.<\/strong> Chest pain, breathlessness, swelling or pain in one calf, or a sudden severe headache with weakness or difficulty speaking all need emergency assessment \u2014 these are the clot-related events that matter, and they were part of the reason TRAVERSE tracked them. Persistent painful erections, rapidly worsening breathlessness at night, or significant breast enlargement should also be reported promptly rather than tolerated.<\/p>\n<p>Monitoring is at <strong>3, 6 and 12 months, then annually<\/strong>: testosterone level, hematocrit, PSA and lipids, alongside a review of whether the symptoms that justified treatment have actually improved.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group has-background is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#f5f7fa;padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center has-text-color\" style=\"color:#1a2e5a;font-family:Playfair Display;font-size:32px;font-weight:600\">Why Choose Dr. Soarawee for TRT<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<ul class=\"wp-block-list\">\n<li><strong>\ud83c\udf93 Research Scholar &amp; Clinical Observer<\/strong> at the Scott Department of Urology, Baylor College of Medicine, under Professor Mohit Khera \u2014 a globally recognized authority on TRT and former SMSNA President<\/li>\n<li><strong>\ud83d\udcda Harvard Medical School CME (2026)<\/strong> \u2014 course in testosterone therapy and sexual dysfunction<\/li>\n<li><strong>\ud83d\udcca Active researcher<\/strong> in testosterone physiology and aging male health \u2014 AUA South Central 2026 accepted abstracts<\/li>\n<li><strong>\u26a0\ufe0f Evidence-based, not commercial<\/strong> \u2014 TRT is prescribed only when clinically indicated, never as a lifestyle enhancement product, and a man whose tests are normal will be told so rather than started on treatment anyway<\/li>\n<li><strong>\ud83d\udd2c Comprehensive monitoring<\/strong> \u2014 PSA, hematocrit, lipids tracked at 3, 6, 12 months and annually thereafter<\/li>\n<li><strong>\ud83c\udfe5 Bangkok Hospital Headquarters<\/strong> \u2014 full endocrinology and cardiology backup for complex cases<\/li>\n<\/ul>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:32px;font-weight:600\">Frequently Asked Questions<\/h2>\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q1: Is TRT safe long-term?<\/h3>\n<p>When prescribed for clinically confirmed hypogonadism and properly monitored, TRT has a strong safety profile. The TRAVERSE trial (2023) found no increased cardiovascular risk in middle-aged and older men with low testosterone. That said, the trial studied men with genuine hypogonadism, and it did report more cases of atrial fibrillation, pulmonary embolism and acute kidney injury in the testosterone group \u2014 reasons why TRT needs ongoing monitoring of hematocrit, PSA and cardiovascular health rather than being a set-and-forget therapy.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q2: Does TRT cause prostate cancer?<\/h3>\n<p>Current evidence does not show that TRT causes prostate cancer in men with normal baseline PSA. However, TRT may accelerate growth of an existing undiagnosed prostate cancer, which is why <a href=\"https:\/\/drsoaraweeurology.com\/services\/prostate-cancer-screening-bangkok\/\">PSA screening<\/a> is mandatory before initiation and during therapy. <a href=\"https:\/\/drsoaraweeurology.com\/2026\/05\/19\/testosterone-prostate-cancer-saturation-model\/\">Understand the testosterone\u2013prostate cancer saturation model \u2192<\/a><\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q3: Will I become dependent on TRT for life?<\/h3>\n<p>For most men with primary hypogonadism (testicular failure), TRT is typically lifelong. For secondary hypogonadism, treating the underlying cause \u2014 obesity, sleep apnea, pituitary issues \u2014 may restore natural production, and that is worth pursuing before committing to replacement. Discontinuation is possible but should always be supervised, as abrupt cessation can cause significant symptoms.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q4: How quickly will I notice results from TRT?<\/h3>\n<p>Sexual symptoms such as libido and erections typically improve within 3\u20136 weeks. Mood and energy improvements emerge by 3\u20134 weeks. Body composition changes \u2014 muscle gain, fat loss \u2014 require 3\u20136 months. Bone density and metabolic improvements take 6\u201312 months or longer. If nothing has changed after several months on adequate levels, that is a reason to re-examine the diagnosis rather than to increase the dose.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q5: What side effects should I actually watch for?<\/h3>\n<p>The commonest one requiring action is thickening of the blood, which is why hematocrit is checked at every review and managed by adjusting the dose or donating blood. Others include suppression of your own testosterone and sperm production, worsening of existing sleep apnea, acne or oily skin, fluid retention, and breast tenderness or enlargement. Seek emergency care for chest pain, breathlessness, swelling or pain in one calf, or a sudden severe headache with weakness or slurred speech.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q6: Can I do TRT if I want children in the future?<\/h3>\n<p>Standard TRT suppresses sperm production and is not recommended for men actively planning fatherhood. Fertility-preserving alternatives include clomiphene citrate, hCG, or combination protocols, and sperm cryopreservation before starting treatment is another option. This needs to be raised before the first dose, since recovery of sperm production after stopping testosterone can take many months and is not guaranteed.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q7: Is online TRT legitimate?<\/h3>\n<p>Be cautious. Many online TRT services prescribe testosterone without proper diagnostic workup or ongoing safety monitoring. Legitimate TRT requires baseline blood tests, an in-person physical examination, and structured follow-up. Bangkok Hospital does operate a Telemedicine service and Dr. Soarawee sees patients through it, which is useful for discussing symptoms, reviewing existing results and planning what to test \u2014 but starting and managing testosterone therapy still requires in-person blood tests and examination, and he will not begin treatment on the strength of a video call alone.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q8: What does TRT cost in Thailand?<\/h3>\n<p>Prices are quoted by the hospital rather than by Dr. Soarawee. For the cost of consultation, blood tests or any testosterone preparation at Bangkok Hospital Headquarters, email the Urology department at bhquro@bdms.co.th; for Samitivej Sriracha, call the department line 088-022-1445. It is worth asking about the whole first year rather than a single item, since monitoring blood tests are part of the real cost of treatment.<\/p>\n<h3 class=\"wp-block-heading\" style=\"color:#1a2e5a\">Q9: I have symptoms but my testosterone came back normal. What now?<\/h3>\n<p>This is common, and it does not mean the symptoms are imaginary. Fatigue, low mood, poor concentration and reduced libido have many causes other than testosterone \u2014 sleep apnea, thyroid disease, depression, anemia, iron deficiency, medication side effects and simple chronic sleep loss among them. The right response is to look for the actual cause rather than to start testosterone in the hope that it helps, which is what a commercial service is most likely to offer you.<\/p>\n<\/div>\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:60px;padding-bottom:60px\">\n<h2 class=\"wp-block-heading has-text-align-center\" style=\"font-family:Playfair Display;font-size:34px;font-weight:600\">Book Your TRT Consultation<\/h2>\n<p class=\"has-text-align-center\">Restore your hormonal balance with evidence-based care \u2014 not commercial shortcuts.<br \/>All consultations conducted with complete discretion.<\/p>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital \u2014 Online Booking<\/a><\/div>\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"tel:0880221445\">Samitivej Sriracha \u2014 Call 088-022-1445<\/a><\/div>\n<\/div>\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<p class=\"has-text-align-center\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Testosterone therapy itself is started and monitored in person, since it depends on blood tests. Samitivej Sriracha is in-person only.<\/p>\n<p class=\"has-text-align-center\" style=\"font-size:14px\"><em>Medical disclaimer: The information on this page is provided for general educational purposes only. It is not medical advice, does not address any individual case, and is not a substitute for consultation with a qualified physician. Chest pain, breathlessness or calf swelling during testosterone therapy needs emergency assessment. Medical advice, diagnosis and prescriptions are not provided through personal messaging channels or social media. Reading this page does not create a doctor\u2013patient relationship. Please seek in-person medical evaluation for any personal health concern.<\/em><\/p>\n<\/div>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/testosterone-replacement-therapy\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/services\/testosterone-replacement-therapy\/\",\n      \"name\": \"Testosterone Replacement Therapy in Bangkok\",\n      \"headline\": \"Testosterone Replacement Therapy in Bangkok\",\n      \"description\": \"Evidence-based testosterone replacement therapy for men with clinically confirmed hypogonadism at Bangkok Hospital Headquarters, given as injections or transdermal gel, with structured safety monitoring and fertility-sparing alternatives where appropriate.\",\n      \"inLanguage\": \"en\",\n      \"lastReviewed\": \"2026-08-14\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"medicalAudience\": \"https:\/\/schema.org\/Patient\",\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"disambiguatingDescription\": \"Diagnosis requires characteristic symptoms AND confirmed low testosterone on two morning blood tests; symptoms alone are not enough, and a man whose tests are normal is told so rather than started on treatment. Testosterone therapy at Bangkok Hospital Headquarters is given as injections or transdermal gel only \u2014 oral undecanoate capsules and subcutaneous pellets are not part of the service. Treatment is started and monitored in person because it depends on blood tests, and it suppresses sperm production, so fertility must be discussed before the first dose.\",\n      \"significantLink\": [\n        \"https:\/\/drsoaraweeurology.com\/2026\/04\/28\/low-testosterone-2024-guide\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/04\/21\/testosterone-barometer-mens-health\/\",\n        \"https:\/\/drsoaraweeurology.com\/2021\/11\/26\/testosterone-replacement-therapy\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/05\/19\/testosterone-prostate-cancer-saturation-model\/\",\n        \"https:\/\/drsoaraweeurology.com\/2023\/03\/22\/hcg-male-hypogonadism\/\",\n        \"https:\/\/drsoaraweeurology.com\/2026\/06\/09\/subcutaneous-testosterone-injection-how-to-do-it-yourself\/\"\n      ],\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/testosterone-replacement-therapy\/#trt\" }\n    },\n    {\n      \"@type\": \"MedicalTherapy\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/testosterone-replacement-therapy\/#trt\",\n      \"name\": \"Testosterone Replacement Therapy\",\n      \"alternateName\": [\"TRT\", \"Androgen Replacement Therapy\"],\n      \"description\": \"Evidence-based testosterone replacement therapy for men with clinically confirmed hypogonadism, delivered as intramuscular or subcutaneous injection or as a transdermal gel, with monitoring of testosterone level, hematocrit, PSA and lipids at 3, 6 and 12 months and annually thereafter.\",\n      \"indication\": {\n        \"@type\": \"MedicalIndication\",\n        \"name\": \"Male hypogonadism confirmed by characteristic symptoms together with low testosterone on two morning blood tests\"\n      },\n      \"contraindication\": [\n        { \"@type\": \"MedicalContraindication\", \"name\": \"Untreated prostate cancer\" },\n        { \"@type\": \"MedicalContraindication\", \"name\": \"Untreated severe cardiovascular disease\" },\n        { \"@type\": \"MedicalContraindication\", \"name\": \"Active fertility planning (relative) \u2014 standard testosterone suppresses sperm production, so clomiphene, hCG or sperm cryopreservation should be considered instead\" }\n      ],\n      \"adverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Erythrocytosis \u2014 testosterone stimulates red cell production and a rising hematocrit thickens the blood, raising clot risk. 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Chest pain, breathlessness, swelling or pain in one calf, or sudden severe headache with weakness or slurred speech require emergency assessment. The TRAVERSE trial found no increased overall cardiovascular risk but did report more atrial fibrillation, pulmonary embolism and acute kidney injury in the testosterone group.\" },\n      \"recognizingAuthority\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/services\/testosterone-replacement-therapy\/#faq\",\n      \"mainEntity\": [\n        { \"@type\": \"Question\", \"name\": \"Is TRT safe long-term?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"When prescribed for clinically confirmed hypogonadism and properly monitored, TRT has a strong safety profile. The TRAVERSE trial (2023) found no increased cardiovascular risk in middle-aged and older men with low testosterone. It did report more cases of atrial fibrillation, pulmonary embolism and acute kidney injury in the testosterone group, which is why ongoing monitoring of hematocrit, PSA and cardiovascular health is required.\" } },\n        { \"@type\": \"Question\", \"name\": \"Does TRT cause prostate cancer?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Current evidence does not show that TRT causes prostate cancer in men with normal baseline PSA. However, TRT may accelerate growth of an existing undiagnosed prostate cancer, which is why PSA screening is mandatory before initiation and during therapy.\" } },\n        { \"@type\": \"Question\", \"name\": \"Will I become dependent on TRT for life?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"For most men with primary hypogonadism, TRT is typically lifelong. For secondary hypogonadism, treating the underlying cause such as obesity, sleep apnea or pituitary disease may restore natural production and is worth pursuing first. Discontinuation is possible but should always be supervised.\" } },\n        { \"@type\": \"Question\", \"name\": \"How quickly will I notice results from TRT?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Sexual symptoms improve within 3 to 6 weeks. Mood and energy improvements emerge by 3 to 4 weeks. Body composition changes require 3 to 6 months. Bone density and metabolic improvements take 6 to 12 months or longer. If nothing has changed after several months on adequate levels, the diagnosis should be re-examined rather than the dose increased.\" } },\n        { \"@type\": \"Question\", \"name\": \"What side effects should I actually watch for?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"The commonest one requiring action is thickening of the blood, which is why hematocrit is checked at every review and managed by adjusting the dose or donating blood. Others include suppression of your own testosterone and sperm production, worsening of existing sleep apnea, acne or oily skin, fluid retention, and breast tenderness or enlargement. Seek emergency care for chest pain, breathlessness, swelling or pain in one calf, or a sudden severe headache with weakness or slurred speech.\" } },\n        { \"@type\": \"Question\", \"name\": \"Can I do TRT if I want children in the future?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Standard TRT suppresses sperm production and is not recommended for men actively planning fatherhood. Fertility-preserving alternatives include clomiphene citrate, hCG, or combination protocols, and sperm cryopreservation before starting is another option. This must be raised before the first dose, since recovery of sperm production after stopping testosterone can take many months and is not guaranteed.\" } },\n        { \"@type\": \"Question\", \"name\": \"Is online TRT legitimate?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Be cautious. Many online services prescribe testosterone without proper diagnostic workup or ongoing safety monitoring. Legitimate TRT requires baseline blood tests, an in-person physical examination and structured follow-up. Bangkok Hospital operates a Telemedicine service and Dr. Soarawee sees patients through it for discussion and planning, but testosterone therapy is started and managed in person, not on the strength of a video call alone.\" } },\n        { \"@type\": \"Question\", \"name\": \"What does TRT cost in Thailand?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"Prices are quoted by the hospital rather than by Dr. Soarawee. For the cost of consultation, blood tests or any testosterone preparation at Bangkok Hospital Headquarters, email the Urology department at bhquro@bdms.co.th; for Samitivej Sriracha, call the department line 088-022-1445. Ask about the first year as a whole, since monitoring blood tests are part of the real cost.\" } },\n        { \"@type\": \"Question\", \"name\": \"I have symptoms but my testosterone came back normal. What now?\", \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"This is common and does not mean the symptoms are imaginary. Fatigue, low mood, poor concentration and reduced libido have many causes other than testosterone, including sleep apnea, thyroid disease, depression, anemia, iron deficiency, medication side effects and chronic sleep loss. The right response is to look for the actual cause rather than to start testosterone in the hope that it helps.\" } }\n      ]\n    }\n  ]\n}\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Testosterone Replacement Therapy in Bangkok Evidence-based testosterone replacement therapy (TRT) for men with clinically confirmed hypogonadism \u2014 designed to restore energy, mood, muscle function, sexual health, and metabolic balance under careful medical supervision. Medically reviewed by Dr. Soarawee Weerasopone, MD \u2014 Board-Certified Urologist \u00b7 Research Scholar &amp; Clinical Observer, Scott Department of Urology, Baylor College [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10879,"parent":10357,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"advanced_seo_description":"Safe, monitored TRT in Bangkok for clinically confirmed low testosterone. Board-certified urologist, observership under Prof. Mohit Khera at Baylor. 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