Testosterone Replacement Therapy
How it Works
We make the process quick and easy
Appointment
You will start by selecting an appointment date. We are open Monday through Friday for your convenience. For expediency, pre-registration forms will be emailed to you. After that there will be a quick and easy check-in process and you will be seen by one of our qualified practitioners properly, in a private room.
Evaluation
After a brief physical exam, bloodwork will be obtained in house with results typically available the same day. This will be entered electronically into our system, allowing patients immediate access to the records and test results. Although rare, the bloodwork results may demonstrate a dysfunction of the pituitary gland. Thankfully, we can typically obtain full insurance approval for a prompt brain MRI to be completed and reported within three days of your visit. In such cases we have an excellent, prompt Endocrinology referral process.
Prescription
You will follow up with us after we obtain your bloodwork. We will discuss treatment options. We offer virtually all forms of testosterone treatment. This includes intramuscular injections given at our office every 7-10 days for optimum effect. For many insurance plans most costs are covered based on your deductible, copay and medical necessity.
Learn About Our Team
Oceanside Testosterone is run by a board certified emergency medicine physician who has over 20 years of experience. Our team is composed of motivated practitioners who are eager to help you revitalize your life.
We aim to provide prompt and courteous treatment, with confidentiality in mind. In the highly unlikely event that your testosterone deficiency is related to a serious underlying condition, we are able to refer you to local endocrinology and urology groups for further treatment and care. You may call us any time to speak directly with a medical professional, and never to an answering service.
We are dedicated to providing evidence based care. We adhere to the American Urological Association (AUA) guidelines, outlined here. View PDF. These guidelines are considered the most accurate and complete information on Testosterone Replacement Therapy.
We Welcome All Rhode Island Insurances, Including State-Specific Plans
Benefits Testosterone Replacement Therapy (TRT)
Testosterone Replacement Therapy locally comes with a host of great health benefits:
● Recipients will receive a long term enhancement in their libido. This will result in an improved sex drive and sexual performance overall.
● This therapy can also help to increase a person’s strength and muscle mass while simultaneously decreasing their body fat.
● Patients will also experience lower levels of bad cholesterol, also known as LDL.
● A natural increase in testosterone can help raise a persona’s confidence and create a more positive mood overall.
● These energy levels will remain throughout the entire day. By the time night arrives, recipients of TRT will be able to sleep through until morning.
● TRT works to enhance cognitive function and other brain processes.
● TRT can also improve the manner in which people handle stress.
● TRT also results in enhanced blood sugar regulation and the lower risk of developing diabetes.
Testosterone Therapy FAQs
What is testosterone deficiency?
Although multiple recent studies have proven that there is no true low testosterone level, it is generally accepted that low total testosterone is considered less than 300ng/dL and low free testosterone as less than 48 ng/dL.
What are the symptoms of testosterone deficiency?
Symptoms of testosterone deficiency fall into three categories.
- Physical symptoms: reduced energy, reduced endurance, loss of body hair, reduced lean muscle mass, obesity.
- Cognitive symptoms: depression, poor concentration, poor memory, irritability.
- Sexual symptoms: reduced libido, reduced erectile function.
Is there a prostate cancer risk?
There has been some controversy regarding potential links between testosterone replacement and prostate cancer. To date there appears to be no evidence linking testosterone replacement and prostate cancer. In fact, androgen replacement appears to be beneficial in decreasing fatal cardiovascular events, body fat mass, and insulin resistance. (review by Ramasamy, et al. 2012)
Will I be at higher risk for blot clots?
Venous thrombotic events (VTEs), including deep vein thrombosis (DVT) and pulmonary embolism (PE) are blood clots which can be life threatening. Several large observational studies (e.g., Maggi et al.) have been performed, none of which have shown a definitive link between testosterone therapy and VTEs.
Testosterone and Fertility.
While it is not recommended for men who are attempting to conceive to begin testosterone replacement therapy, there are still some options which may help maintain fertility while on treatment. Clinicians may opt to use hCG, SERMs, and/or estrogen blockers to help maintain fertility. You may discuss this in detail with your clinician.
How can testosterone help me?
If you suffer from any of the typical symptoms of testosterone deficiency then testosterone will significantly improve your quality of life. You will experience increased strength and lean body mass, weight loss, increased sex drive, and a better overall mood and sense of well-being. Consult with one of our practitioners to find out more.
Will I need blood work?
With a thorough blood analysis obtained at our office we evaluate not only for total and free testosterone levels, we also evaluate for the cause of the low testosterone and for other possible preexisting conditions that would preclude the use of testosterone therapy. Although uncommon, there are some causes of low testosterone which may require additional medical attention. Blood test result are typically available within 24 hours and we will contact you directly to discuss the results as soon as they are available.
What medications are available?
We aim to provide the most options when it comes to testosterone therapy. While we recommend intramuscular injections for optimal efficacy, other options exist, such as: topical gels, buccal applications, intranasal applications. Discuss with one of our clinicians to find out which is right for you. In addition to testosterone, we offer other medications such as Cialis and Viagra. Inquire about this with your provider.
Do I need to self-inject?
While the most popular form of testosterone therapy includes self-injection intramuscularly (which will be taught to you), this can also be done for you at our office. Other alternatives include topical testosterone treatment which do not require injection.
Are there age restrictions?
While according to the literature, testosterone deficiency begins in males over the age of 35, exceptions may exist. Adult men of all ages may experience symptoms of testosterone deficiency. If you feel you are experiencing symptoms of low testosterone, make an appointment and consult with one of our clinicians.
Do you accept insurance?
Insurance may cover testosterone therapy in individuals with testosterone deficiency based on your deductible, copay and medical necessity. We are credentialed with many insurance companies (see below).
How do I get started?
Sign up for an appointment on our website. During the first appointment we will conduct a health assessment. This evaluation helps us understand your medical history, any symptoms you are experiencing, and how you are feeling. The health assessment also includes blood work and other vitals.