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Testosterone Replacement Therapy (TRT) Montreal

As testosterone levels begin to decline naturally, typically starting between the ages of 30 and 40, many men notice gradual changes in energy, libido, strength, focus and motivation. This gradual decrease is commonly associated with andropause, the hormonal shift that occurs in men with age, and can have a meaningful impact over time. In some cases, low testosterone is not just age-related but caused by hypogonadism, a medical condition where the body cannot produce adequate hormone levels due to issues with the testicles or hormone-regulating glands. Unlike natural decline, hypogonadism requires a medical diagnosis and may call for targeted treatment.

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Testosterone Replacement Therapy (TRT), a specific form of Bioidentical Hormone Replacement Therapy (BHRT), provides a medically supervised approach for men experiencing the effects of low testosterone, whether age-related or due to hypogonadism. Once a hormonal imbalance is confirmed through blood testing and clinical evaluation, a personalized treatment plan is created to help bring testosterone levels back into a healthy range.

By reintroducing bioidentical testosterone in a controlled and individualized way, TRT can support improvements in energy, sexual health, muscle tone, mental clarity and emotional stability.

What TRT May Help With

When prescribed for clinically low testosterone and closely monitored by our medical team, Testosterone Replacement Therapy (TRT) may help with symptoms such as:

Low energy and fatigue
Reduced libido and sexual function
Changes in mood, motivation and emotional stability
Difficulty with mental clarity, focus and concentration
Loss of lean muscle mass and physical strength
Reduced bone density

Results may vary from person to person, and TRT works best when paired with healthy lifestyle habits and ongoing medical follow-up.

What to Expect During Your Session

Every TRT plan starts with a hormonal health assessment and blood testing, supervised by our medical team.

Step 1

Personalized Assessment

Your TRT journey begins with a comprehensive health evaluation. Blood tests are typically required before your first consultation to assess baseline hormone levels. During your appointment, our medical team will review your medical history, health concerns and lab results to determine if TRT is appropriate for you. Based on this assessment, a personalized treatment plan will be created to support your hormonal health.

Step 2

Proceed with Treatment

Once your customized TRT plan is in place, our medical team will walk you through the expected benefits, the possible risks and side effects, and answer any questions. Prescriptions are tailored to your specific needs and filled at a licensed pharmacy.

Follow-Up & Maintenance

Ongoing monitoring is essential to TRT. Regular follow-up appointments, typically every 3 to 6 months, include blood work to reassess hormone levels and markers such as red blood cell count and PSA, and to adjust treatment as needed. This helps keep your plan aligned with your evolving health goals.

Side Effects and Risks

As with any prescription treatment, TRT may cause side effects in some individuals. They are closely monitored by our medical team throughout treatment.

Common side effects

Acne or oily skin
Skin irritation at the site of application (for gels or patches)
Fluid retention, which may cause mild ankle swelling
Breast tenderness or enlargement (gynecomastia)

Less common risks, monitored during follow-up

Reduced sperm production, which can impact fertility
Shrinkage of the testicles due to decreased natural testosterone production
Elevated red blood cell count, increasing the risk of blood clots
Stimulation of the prostate, potentially leading to urinary symptoms, and increased PSA levels requiring regular prostate screening
Worsening of untreated sleep apnea
Changes in cholesterol or liver function markers, monitored through lab testing

Contraindications

Before beginning TRT, a full medical evaluation is required. Our medical team will assess your health status, review your medical history and identify any potential risks to confirm that treatment is appropriate for your individual profile. TRT may not be suitable for men who:

Have prostate or breast cancer, or a suspected prostate cancer
Have an elevated red blood cell count
Have severe untreated sleep apnea
Have uncontrolled heart failure
Plan to conceive in the near future, since TRT can reduce fertility