TRT Consultation
Hormone replacement therapy with testosterone (HRT / TRT) is a pharmacological treatment intended for men with clinically confirmed testosterone deficiency. It may be considered in patients with symptoms of hypogonadism after laboratory diagnostics and exclusion of contraindications. We provide treatment in person in Gdańsk and through an online care model, allowing eligibility consultations, follow-up appointments and discussion of test results without leaving home.
Reception: Mon–Fri, 9:00 a.m.–5:00 p.m. Teleconsultations are available both for patients already undergoing treatment and for new eligibility consultations.
| Type of treatment | pharmacological (hormonal) |
| Indication | laboratory-confirmed hypogonadism |
| Care model | in person or online |
| Monitoring | every 3–6 months (blood tests, PSA) |
| Doctors | Dr Krukowski · Dr Kłącz |
| Consultation | from PLN 300 |
eligibility, monitoring, teleconsultations
testosterone, LH, FSH, PSA, full blood count
urology, andrology, Gdańsk
Gdańsk, 15 Toruńska Street
What is HRT / TRT for men?
Testosterone replacement therapy (HRT, or TRT — Testosterone Replacement Therapy) is a pharmacological treatment used in men with laboratory-confirmed testosterone deficiency, known as hypogonadism. The aim of therapy is to restore testosterone to values appropriate for the patient’s sex and age, not to raise it above the normal range.
TRT is a medical treatment with defined indications, contraindications and risks. It is not supplementation or a rejuvenation treatment. It is not intended for men with normal testosterone levels who want to improve sports performance or increase muscle mass.
HRT / TRT versus testosterone use in sport — these are two different issues. Treating hypogonadism is medically justified when a deficiency has been confirmed. The use of testosterone by healthy men to improve athletic performance or appearance is a separate matter and is not covered by this page.
Symptoms of testosterone deficiency — when should you get tested?
Hypogonadism may present in different ways, and not every symptom listed below necessarily indicates a hormonal problem. It is worth consulting a doctor if the following symptoms persist:
- a clear reduction in libido or erectile dysfunction,
- chronic fatigue and low energy without another identified cause,
- low mood, difficulty concentrating or irritability,
- reduced muscle mass and physical strength,
- increased body fat, particularly around the abdomen,
- reduced body hair,
- hot flushes or night sweats,
- reduced bone density, including osteopenia or osteoporosis in men.
The diagnosis is made by a doctor on the basis of clinical symptoms and laboratory test results. Symptoms alone are not an indication for TRT without biochemical confirmation.
Diagnostics before starting treatment
A complete diagnostic assessment is required before TRT can be considered. It usually includes:
- total testosterone measurement, with at least two morning tests performed on different days,
- free or bioavailable testosterone,
- LH and FSH to assess the hypothalamic–pituitary–testicular axis,
- prolactin, oestradiol and SHBG,
- a full blood count including haematocrit,
- PSA — prostate-specific antigen,
- liver function tests and a lipid profile,
- in selected cases, imaging tests or an endocrinology consultation.
You can have the tests performed at the clinic or bring results from another laboratory. The doctor will discuss them during the consultation and decide on further management.
Online care — remote follow-up for TRT patients
We provide online follow-up for patients undergoing testosterone therapy. After the first in-person eligibility assessment, which is required for clinical and physical examination, subsequent appointments can be conducted remotely. These may include discussing results, adjusting the dose, renewing prescriptions and answering questions.
Online care is available to:
- patients currently undergoing TRT under our supervision,
- men who want to review an existing treatment plan and test results,
- patients from Poland and abroad seeking an initial online hormonal consultation.
Forms of testosterone administration
Testosterone used in TRT can be administered in several forms. The choice depends on the patient’s preferences, lifestyle, coexisting conditions and the doctor’s recommendation. The most commonly used forms include:
- Intramuscular or subcutaneous injections — administered every few days to several weeks, depending on the preparation,
- Transdermal gels — applied to the skin every day; caution is required to prevent transfer to women and children,
- Transdermal patches — applied daily,
- Sublingual or buccal preparations — used less often.
The doctor selects the form and dose individually. There is no single method that is optimal for everyone. The dose may be adjusted during treatment based on follow-up test results.
Monitoring during TRT
TRT requires regular follow-up appointments and laboratory tests. A typical monitoring schedule includes:
- total and free testosterone levels,
- a full blood count including haematocrit,
- PSA,
- a lipid profile and liver function tests,
- assessment of clinical symptoms.
Follow-up tests are usually performed approximately three months after starting treatment and then every 6–12 months once the course is stable. The doctor determines the intervals and scope of testing individually. Follow-up appointments may be conducted online.
Possible risks and adverse effects of TRT
Like any pharmacological treatment, TRT carries a risk of adverse effects. The most important include:
- Erythrocytosis, meaning excessive thickening of the blood, which requires haematocrit monitoring and may require a treatment pause or dose adjustment if thresholds are exceeded,
- Effects on fertility — TRT may reduce or suppress sperm production; men planning fatherhood should tell the doctor before treatment begins,
- Cardiovascular risk — particularly in patients with cardiovascular disease, requiring assessment before treatment,
- Effects on PSA and the prostate — PSA monitoring is mandatory; TRT is contraindicated in active prostate cancer,
- Acne and other skin changes,
- Worsening of sleep apnoea,
- Gynaecomastia caused by conversion of testosterone to oestradiol.
The complete list of adverse effects and the individual risk of their occurrence are discussed with the doctor before treatment begins.
Contraindications to TRT
TRT is absolutely contraindicated in conditions including active or suspected prostate or breast cancer, severe uncontrolled heart failure and uncontrolled erythrocytosis. Relative contraindications include sleep apnoea, symptomatic prostate enlargement, a desire to preserve fertility and haematological disorders. The doctor is responsible for assessing individual risks and contraindications.
Doctors providing testosterone therapy
A urologist and andrology specialist. Andrology consultations, diagnosis and treatment of testosterone deficiency, and TRT care both in person and online.
A urologist and andrology specialist. Andrology consultations, diagnosis and treatment of testosterone deficiency, and TRT care both in person and online.
TRT / HRT for men — consultation from PLN 300 · online and in Gdańsk
Initial eligibility appointment, discussion of results and ongoing treatment supervision. Online care is available.
Frequently asked questions — HRT / TRT for men
Can TRT be managed entirely online?
The first eligibility appointment requires a physical examination, so we recommend that it takes place in person in Gdańsk or with a doctor near the patient’s place of residence. Follow-up appointments, discussion of test results, dose adjustments and prescription renewals can be provided online. After the initial assessment, we provide remote care for patients from across Poland.
What risks are associated with testosterone therapy?
The main risks include erythrocytosis, effects on fertility because TRT may suppress sperm production, worsening of sleep apnoea, increased PSA, cardiovascular risk in patients with coexisting disease, acne and gynaecomastia. This is why regular laboratory monitoring and medical supervision are required.
Does low testosterone always require TRT?
No. The decision depends on testosterone levels confirmed by at least two tests, clinical symptoms, coexisting conditions and contraindications. Some men may benefit from lifestyle changes, treatment of the underlying cause or other pharmacological methods. TRT is started only after a complete eligibility assessment.
How much do a consultation and TRT care cost?
An andrology or urology consultation starts from PLN 300. The price includes the medical history and discussion of results. Laboratory tests are charged separately. Follow-up appointments may be priced differently from the initial eligibility consultation. A detailed price list is available by phone or WhatsApp.
Does TRT affect fertility?
Yes. TRT may significantly reduce or suppress sperm production by inhibiting the hypothalamic–pituitary–testicular axis. Men planning fatherhood in the near future should tell the doctor before treatment begins. Alternative methods may be available to stimulate endogenous testosterone production without suppressing fertility.
How long does testosterone therapy last?
TRT is usually a long-term treatment. In men with primary hypogonadism, it may be continued indefinitely. In men with secondary hypogonadism, for example related to obesity or other factors, improvement may occur after treating the underlying cause. The decision to continue, pause or stop treatment is made at regular intervals based on test results and symptoms.
Where should I start if I suspect testosterone deficiency?
The first step is an andrology consultation, during which the doctor takes a medical history, performs an examination and orders the appropriate hormonal tests. You can attend without a referral and without previous test results, as the diagnostic process can be started from the beginning. Alternatively, you may first complete the recommended blood tests and then attend in person or arrange an online consultation with the results.
Men’s hormonal health — related pages
The first step: medical history, physical examination, hormonal panel and diagnosis.
Details →Urinary system, prostate, testicular ultrasound and eligibility for procedures.
Details →Prostate enlargement, PSA and urinary symptoms.
Details →Aesthetic procedures in the intimate area — HA, PLLA and SCROTOX.
Procedures →Book an online or in-person consultation — Mon–Fri, 9:00 a.m.–5:00 p.m.
Contact →Testosterone therapy online and in Gdańsk — HRT / TRT for men
Jakub Krukowski, MD, PhD · Jakub Kłącz, MD, PhD · consultation from PLN 300 · teleconsultations available
The information on this page is intended for general educational purposes and does not replace a medical consultation. Testosterone replacement therapy is a pharmacological treatment with defined indications, contraindications and risks; it is not supplementation. The decision to start treatment is made exclusively by a doctor based on laboratory results and clinical assessment. Treatment requires regular monitoring. Wyspa Medycyny Przyjaznej, 15 Toruńska Street, unit AU1, Gdańsk. Tel.: 600 006 913.