Testosterone therapy for men and women · online, anywhere in the UK
For men and for women, each with their own protocol. A 45-minute consultation, the right blood tests, and a plan we decide together.
Online, by video or voice call, anywhere in the UK. For men · For women
Tired before the day has started. Strength going, belly growing, drive gone.
You put it down to work, to age, to sleep. Somebody told you your levels were "normal". You still don't feel like yourself.
Testosterone isn't only a male hormone, and it isn't only about sex. In men and in women it plays a part in energy, muscle, joints, mood, focus and libido. When it's low, many people feel it.
Nod at a few of these and it's worth a conversation.
Tired all the time, even after a night's sleep.
Desire has dropped, or gone.
Focus and memory aren't what they were.
Flat, irritable or unmotivated, without a clear reason.
Harder to build, quicker to lose, even when you train.
Joints and muscles ache more than they used to.
Diagnosis needs your symptoms and your blood results together, never a number alone.
The TRT Consultation, 45 minutes online. Your symptoms, history, medicines, sleep, and whether you want children now or later.
Testosterone on 2 mornings, between 7 and 11am, about 4 weeks apart, plus safety bloods: full blood count, PSA, liver, cholesterol and blood sugar.
A 25-minute TRT Review to go through your results and decide together. If testosterone is right, it starts from there.
Checks at 6 weeks, 3, 6 and 12 months, then yearly: how you feel, your level, your blood count and your PSA.
A daily gel is the usual start. It gives steady levels, can be stopped quickly if a blood result needs it, and works fully online.
A long-acting injection every few months is another option. We talk through which suits you.
Testosterone lowers sperm production. If you want children now or soon, there are options that raise your own testosterone instead, and we go through them first.
Weight, sleep, sleep apnoea, alcohol and some medicines all lower testosterone. We work on those alongside treatment, not instead of it when your level is clearly low.
For perimenopause and menopause, natural or after surgery. Your level falls with age, and drops sharply if your ovaries are removed.
The Menopause Consultation, or the TRT Consultation if testosterone is your only question, 45 minutes online. We ask about libido, energy, mood, focus, muscles and joints from the first appointment. You don't wait months for testosterone to be discussed.
A testosterone level before you start, to make sure it isn't already high, with SHBG to help read it.
A small daily amount through the skin, at a woman's dose, often alongside body-identical oestrogen and progesterone.
A level a few weeks after starting, then at your reviews. The dose follows how you feel first, and your level stays within the female range.
Libido is where most of the research is. In my practice it can also make a real difference to energy, muscle strength, joint aches, focus, brain fog and low mood.
At a woman's dose they are uncommon: extra hair, spots or a little weight gain. If they happen, the dose comes down. A deeper voice is rare, and if it starts, testosterone stops straight away.
Testosterone is 1 of 4 body-identical hormones. Your plan might use 1, 2, 3 or all 4. See the Menopause Service
For women, we judge it by 3 to 6 months. If it isn't helping, we stop it, and look again at the rest of your plan.
If you already have recent results, bring them. If you don't, these are the ones that help. Men also need a PSA and a full blood count before starting, and we arrange those with you.
Testosterone, and how much of it your body can actually use. For men and women. About this test
Testosterone and the hormones around it, for men. About this test
A yearly check for men: testosterone, thyroid, iron and general health. About this test
Your cycle hormones, testosterone, prolactin and full thyroid, for women. About this test
HbA1c and fasting glucose. In men, low testosterone and blood sugar problems often travel together. About this test
More than 30 markers: hormones, thyroid, blood sugar, cholesterol, liver, kidneys, iron and vitamins. About this test
Start here · 45 minutes · online
For men and women, wherever you're starting from.
Results and follow-up · 25 minutes · online
For results, starting treatment, and every check after that.
Medicines and tests are extra; if you need them, the costs are explained before anything goes ahead.
Already started at the clinic? Men can request a repeat prescription online. Women on testosterone as part of their HRT use the HRT repeat request.
If we agree on a treatment, your medicine can be posted to your home through Healistic, our home delivery partner. Supplements we recommend can come the same way.
Debora Tentis, Women's Health Pharmacist Prescriber. Seeing men and women online, anywhere in the UK.
I spent over a decade in community pharmacy listening to people describe their energy, their sleep, their mood and their bodies, and watching each of those get sent somewhere different. Debora Tentis Clinic exists to join it up. Registration and qualifications
Both. Men and women each have their own protocol: different tests, a different dose and a different target level.
Book the Menopause Consultation. Testosterone is part of it, alongside oestrogen and progesterone. If testosterone is your only question, for example you already take HRT elsewhere, the TRT Consultation is for you too.
Either. You choose video or voice call, from anywhere in the UK.
No. You book online yourself.
If your GP needs to know about your treatment, I write to them, so your records match.
No. Book the consultation first, and we'll decide which tests you need. If you already have results, bring them, normal ones too.
Testosterone is highest in the morning and varies from day to day. 2 samples between 7 and 11am, about 4 weeks apart, show whether it is really low.
Possibly. For men, a level near the lower end is read with SHBG and your symptoms, not on its own. For women, the decision rests on your symptoms, and the blood test makes sure your level starts and stays in the female range.
No. In men, the research covers sexual function, mood, energy, muscle and bone. In women, libido is where most of the research is, and in my practice testosterone can also help with energy, muscle strength, joint aches, focus, brain fog and low mood.
For women, we judge it at 3 to 6 months, and if it isn't helping, we stop and look again. For men, we give it at least 6 months, and the full benefit often takes up to a year.
For men, a daily gel is the usual start because levels stay steady and it can be stopped quickly. A long-acting injection is another option. For women, it's always through the skin, never by mouth.
For men, yes: testosterone lowers sperm production. If you want children now or soon, tell us, and we go through the options that raise your own testosterone instead.
At a woman's dose, with your level kept in the female range, this is rare. The usual side effects are extra hair, spots or a little weight gain, and the dose comes down if they happen. A deeper voice can be permanent, so if it starts, testosterone stops straight away.
For men with low testosterone, a large trial found no rise in heart attacks or strokes on treatment, but an irregular heartbeat (atrial fibrillation) and blood clots in the lung were more common. That is why your history is checked first, and your blood count and PSA are monitored throughout. For women, short-term heart data at a woman's dose are reassuring.
Yes, by skin contact. Let it dry, cover the area, wash your hands, and wash the area before close skin contact. If a child develops body hair, a growth spurt or genital changes, or a woman develops new hair growth or a deeper voice, get them checked the same day through your GP or 111, and tell the clinic.
If we agree on a treatment, it can be posted to your home through Healistic, our home delivery partner.
Men on testosterone from the clinic request a repeat online. Women use the HRT repeat request. Reviews stay on their schedule either way.
A lump in a testicle or breast needs an urgent referral through your GP, within 2 weeks: ask for it by name. Blood in your urine or semen needs checking urgently. If you're under the clinic's care, the clinic writes to your GP the same day. Chest pain, sudden breathlessness or signs of a stroke: call 999.
Bring your questions, and any results you already have. We'll go through all of it.
Book your TRT ConsultationBook a TRT Review
Online, by video or voice call, anywhere in the UK.
Debora Tentis, Women's Health Pharmacist Prescriber, Debora Tentis Clinic. Registration and qualifications are on the About page.
Individual results vary and no outcome is guaranteed.
