Q. What do I get for my monthly patient support fee?
A. Good question. Access to a renowned specialist Testosterone Doctor who has worked in this field for 30 years, who regularly attends British, European and World meetings ensuring you get the best medical advice, with up to the minute information and care from someone who can immediately implement new treatments, thinking and medication.
Q. What about blood tests are they included in the monthly patient support fee?
A. This is a slightly more complex area. As a part of this fee, I will write to your GP and ask them if they will support you in doing the appropriate blood tests and even ask them if they will consider prescribing. Most GP’s will support these blood test. However, you need to be aware that if they will not assist you will need to get blood tests done privately with a company such as Medichecks.
Q.What does my first Consultation cost?
A. Your initial consultation will always be face to face at a charge of £190 or £210 depending on which of the specialist Doctors you see.
Q. What does my first Consultation involve?
A. You will be seen by one of the specialist Doctors at the Clinic which is based within St. Vincents Medical Centre, Doncaster and is within a GP Medical Practice. When you arrive at Reception, tell them you have an appointment to see me and they will direct you to the waiting area. The Consultation generally lasts about an hour and includes a detailed history, taking an AMS questionnaire, a physical examination and blood tests if required. Many patients bring blood results with them which is very useful. There will be plenty of time for you to ask questions at this Consultation. We will also explain and discuss the various treatment options. For this reason we do not require detailed emails prior to your consultation. Equally in the first year you will be reviewed either by email or phone at 3 months, 6 months and 12 months minimum this will give you plenty of opportunity to discuss any issues and concerns with me, we find that patients do not really need to be in touch with us apart from at these review periods.
Additionally, many patients chose to have a face to face Consultation around 12 months into their treatment
Q. Do you just offer Gels?
A. No, the Leger Clinic offers a full range of appropriate treatments including: Chlomiphene, Gels and injections including the use of HCG when appropriate. These will all be discussed in detail at your Consultation.
Q. Do you offer Aromatase Inhibitors?
A.Yes, as and when appropriate.
Q. How do I get my prescriptions?
A. Uniquely for Testosterone Clinics, Dr. Savage, or one of his team will issue you with a private prescription. This means you can shop round for the pharmacy which will offer the best price. SAVING YOU A GREAT DEAL OF MONEY!
Q. I have heard that testosterone treatment can cause cancer of the Prostate, is this true?
A. NO, this is a myth and indeed has been a medical myth for some years. Bizarrely, the very latest evidence suggests that men with very low levels of testosterone are more likely to get a more aggressive form of Prostate Cancer if untreated for their testosterone deficiency.
Q. Are there any fringe benefits to taking TRT apart from the sexual ones?
A. Yes, apart from improving you sexually there are a number of benefits which are now beginning to emerge from men who have been taking TRT long term. Among these are:
- Improvements to your cardiovascular system
- Improvements to your cognitive function and memory
- Increased mineral bone density to help prevent fractures.
- Increased muscle mass and decreased body fat
All that said it is a mistake to expect miracles. The benefits from TRT are often subtle and mild and TAKE TIME!
Not necessarily life transforming but rather life enhancing.
Q. What is a “normal” level of testosterone?
A. Surprisingly, this is where there is such disagreement which leads generally to the diagnosis of TDS being missed. Traditionally, and, the level given out by many NHS laboratories, gives a level of under 8 as being abnormal.
There are now several guidelines European Society of Sexual Medicine, the International Society of Sexual Medicine, The European Society of Urologists and even our own British Society of Sexual Medicine which state that levels of testosterone under 12 warrant a trial of testosterone therapy if the Doctor seeing the patient has a high suspicion that the patient has the condition.
In 2015 a group of leading world Andrologists produced the following statement:
“1. Symptomatic men with total testosterone levels lower than 12 nmol/l should be treated with Testosterone therapy.
2. A trial of testosterone therapy in symptomatic men with total testosterone levels of higher than 12 nmol/l can be considered based upon clinical presentation”
i.e. if a Testosterone specialist such as myself feels that the clinical picture fits with testosterone deficiency, then a trial is justified
Most experts agree that a patient should also have a calculated free testosterone which is done by measuring the SHBG in addition to testosterone.