Low testosterone.
Medically assessed.
Online across Switzerland.

What matters is the overall assessment of symptoms and repeatedly measured laboratory values, not a single cut-off. A markedly reduced value is not a prerequisite — low-normal values can also justify therapy in combination with typical symptoms. Measurement is based on two blood samples taken in the morning while fasting; where values are borderline we take further parameters such as SHBG and calculated free testosterone into account.

We treat adults aged 18 and over only. There is no upper age limit — what matters are symptoms, laboratory values and concomitant conditions. Markedly reduced values also occur in younger men; the assessment is equally thorough in every case.

We generally work with injectable preparations. Oral testosterone preparations are not licensed in Switzerland. Which form of administration is suitable for you is discussed during the consultation.

We generally work with injectable testosterone enantate. Which preparation is suitable in an individual case is decided on medical assessment and discussed during the consultation.

That depends on the preparation chosen. We determine the injection interval individually and discuss it when therapy begins.

Most patients find self-injection well tolerable. We show you the technique and the material when therapy begins.

Of course. We provide a video tutorial for this.

When the indication is correct and monitoring regular, testosterone replacement therapy is generally well tolerated. Side effects are possible nonetheless — these include a rise in red blood cells and indications of an increased risk of thromboembolism. We therefore monitor laboratory values and progress regularly. This is to be distinguished from anabolic steroid misuse, where a multiple of the therapeutic dose is often used together with further substances.

Yes. These include untreated prostate or breast cancer, a current wish to have children, a markedly elevated red blood cell count and severe, uncontrolled heart failure. Whether therapy is an option is clarified individually before starting.

Testosterone replacement therapy can affect fertility. Under therapy, the body's own testosterone production is reduced, which can lower sperm production. In some cases this is temporary, in others permanent.

If you wish to have children, it is important to consult a fertility clinic before starting therapy — for individual advice and possible measures to preserve fertility, such as sperm freezing.

hCG is not part of the standard therapy. In selected cases it may be considered following medical assessment, for instance in pronounced testicular atrophy under TRT.

Testosterone replacement therapy is generally a lifelong decision. A confirmed deficiency does not resolve on its own, and the therapy itself further lowers the body's own production. Stopping is possible — which is precisely why we assess the indication carefully before starting.

The medication costs roughly CHF 30–50 a month, depending on the preparation and the dosage. Disposable material such as syringes, needles and skin disinfectant is added to this. Health insurers do not cover these costs.

Our fees for reaching a stable setting are made up as follows:

• Initial consultation: CHF 200
• Setup package: CHF 500
• Follow-up checks in the first year: three checks at CHF 100 each

Medical fees in the first year: CHF 1000. From the second year onwards checks take place every three months — that comes to CHF 400 a year. Only where values have remained particularly stable for two years are half-yearly checks sufficient. Questions outside a consultation are billed at CHF 40.

These amounts are payable to us. In addition there are laboratory costs and the medication, which you pay directly to the laboratory and the pharmacy. In the first year this comes to around CHF 2200 in total, from the second year around CHF 1300. The cost calculator above breaks everything down. Medical fees are covered neither by basic nor by supplementary insurance.

You pay for the consultations and the testosterone yourself; these are not insured services. Blood draws can be carried out at your family doctor's practice, where health insurance usually covers the cost. Walk-in laboratories are not covered without a medical referral. Alternatively, we carry out blood draws at our own practices.

A standard consultation lasts 15 minutes.

Primarily at your family doctor's practice, where basic insurance usually covers the cost. Alternatively at a walk-in laboratory near you — though without a medical referral these costs are not covered. We do not issue referrals to third-party providers for blood draws.

Blood draws can also be carried out at our general practices. We have two locations, in Lenzburg and Olten. Health insurers usually cover these costs, depending on your insurance model.

No, consultations take place exclusively by telemedicine via Zoom.

Prescriptions go directly to your pharmacy by encrypted e-mail. Testosterone preparations are available on prescription only.

We generally require the following analyses, no more than three months old:

Complete blood count, CRP, ferritin, TSH, total and calculated free testosterone, SHBG, albumin, FSH, LH, oestradiol, prolactin, liver values (AST, ALT, GGT, ALP) and creatinine.

Yes. To date there has not been a single incident where patients had difficulties. On request we issue a medical certificate in English.

Yes, that is entirely possible — including a change of preparation. Please book an initial consultation.

Although consultations are a pure self-pay service, we can only treat patients with valid Swiss health insurance.