TRTDoc-Your specialists for testosterone replacement therapy throughout Switzerland

Dr.med. Andreas Gutwein

Specialist in angiology and internal medicine

Dr.med.univ. Gabor Csiky-Strauss

General practitioner

TRTDoc-Your specialists for testosterone replacement therapy throughout Switzerland

Dr.med. Andreas Gutwein

Specialist in angiology and internal medicine

Dr.med.univ. Gabor Csiky-Strauss

General practitioner

More men suffer from testosterone deficiency than you might think

Studies show that about 25% of men over 30 have low testosterone levels. Many men with testosterone deficiency today are misdiagnosed with depression or not recognized at all.

Your specialist doctors

Dr. med. Andreas Gutwein

The challenges of men's health, such as testosterone deficiency and erectile dysfunction, are often taboo topics in clinical practice, both for patients and physicians. Symptomatic patients often endure a long journey of suffering before the underlying issues are correctly identified and treated, which can have serious consequences for the individuals, their partners, and families.

My aim is to address the taboo surrounding men's health issues. In addition to establishing and managing a men's health clinic at a central hospital, I am dedicated to advancing research in this field. Through our expertise and collaboration in this area, we hope to provide our patients with access to a wide network of specialists and offer symptomatic patients prompt and targeted therapy.

Dr. med. Andreas Gutwein

The challenges of men's health, such as testosterone deficiency and erectile dysfunction, are often taboo topics in clinical practice, both for patients and physicians. Symptomatic patients often endure a long journey of suffering before the underlying issues are correctly identified and treated, which can have serious consequences for the individuals, their partners, and families.

My aim is to address the taboo surrounding men's health issues. In addition to establishing and managing a men's health clinic at a central hospital, I am dedicated to advancing research in this field. Through our expertise and collaboration in this area, we hope to provide our patients with access to a wide network of specialists and offer symptomatic patients prompt and targeted therapy.

Dr. med. univ. Gabor Csiky-Strauss

I practice medicine as a GP in Lenzburg (AG) and Obergösgen (SO). I have always been interested in hormone replacement therapy for men.

Unfortunately, this important discipline has not been part of the curriculum either at university or during specialist training. Doctors have mainly been trained to treat diseases. The prevention of diseases and, above all, the optimization of quality of life, on the other hand, have clearly been pushed into the background.

In my two medical practices, I have successfully treated over 500 men with testosterone replacement therapy to date. Many of these men would otherwise not have received appropriate therapy due to their multiple symptoms, or even worse, a wrong therapy might have been initiated(e.g. prescription of antidepressants)

Dr. med. univ. Gabor Csiky-Strauss

I practice medicine as a GP in Lenzburg (AG) and Obergösgen (SO). I have always been interested in hormone replacement therapy for men.

Unfortunately, this important discipline has not been part of the curriculum either at university or during specialist training. Doctors have mainly been trained to treat diseases. The prevention of diseases and, above all, the optimization of quality of life, on the other hand, have clearly been pushed into the background.

In my two medical practices, I have successfully treated over 500 men with testosterone replacement therapy to date. Many of these men would otherwise not have received appropriate therapy due to their multiple symptoms, or even worse, a wrong therapy might have been initiated(e.g. prescription of antidepressants)

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Patients treated

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Years of experience with TRT

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Analyzed laboratory findings

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discontinued therapies

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Years of experience with TRT

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Patients treated

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Analyzed laboratory findings

0

discontinued therapies

What is the procedure like?

All consultations take place online via Zoom. 

Sensitive data is processed via encrypted (HIN) email.

You can book the initial consultation online on this website for a fee. 

1. Preparation phase

Immediately after booking, you will receive a questionnaire and a list of the required blood tests by e-mail. This information is mandatory before the initial consultation begins.

1. Preparation phase

2. Initial consultation

We will discuss your medical history, symptoms and laboratory findings and decide whether you could be a suitable candidate for TRT.

2. Initial consultation

3. Verification of the testosterone deficiency

One measurement alone is not a reliable measurement. For this reason, a second analysis might be arranged after the first blood sample to confirm the deficiency.

3. Verification of the testosterone deficiency

4. Discussion of TRT

In case of a verified testosterone deficiency we will discuss the treatment options and dosage, and will provide you with detailed information.

4. Discussion of TRT

5. Initiating TRT

The first prescription will be sent via encrypted Email to your pharmacy. You will also receive a tutorial video showing you how to administer the injections confidently by yourself.

5. Initiating TRT

6. First follow-up after start TRT

4 weeks after the start of TRT, a blood sample is taken and then a follow-up check is carried out. We discuss the progress to date, your impressions and check the testosterone level under TRT. If necessary, adjustments will be made to the therapy.

6. First follow-up after start TRT

7. Follow-ups

The therapy is initially monitored and optimized every 3 months, then every 6 months if the values are stable, and long-term prescriptions are issued

7. Follow-ups

1. Preparation phase

 

Immediately after booking, you will receive a questionnaire and a list of the required blood tests by e-mail. This information is mandatory before the initial consultation begins.

1. Preparation phase

2. Initial consultation

 

We will discuss your complaints, symptoms and laboratory findings and decide whether you could be a suitable candidate for TRT.

2. Initial consultation

3. Verification of the testosterone deficiency

 

One measurement alone is not a reliable measurement. For this reason, a second analysis might be arranged after the first blood sample to confirm the deficiency.

3. Verification of the testosterone deficiency

4. Discussion of TRT

 

Ist der Testosteronmangel verifiziert worden? Wir besprechen die Behandlungsmöglichkeiten, Dosierung, Sie werden gründlich aufgeklärt.

4. Discussion of TRT

5. Initiating TRT

 

The first prescription is sent electronically to your pharmacy. You will receive a tutorial video on how to perform the injections confidently and correctly.

5. Initiating TRT

6. First follow-up after start TRT

 

Four weeks after the start of TRT, a blood sample is taken and a follow-up check is carried out. We discuss the progress to date, your impressions and we look at the testosterone level under TRT. The therapy will be adjusted if necessary.

6. First follow-up after start TRT

7. Follow-ups

 

The therapy is initially monitored and optimized every 3 months, then every 6 months if the values are stable, and long-term prescriptions are issued

7. Follow-ups

Let's start optimizing your hormonal health as soon as possible

If a deficiency is indeed proven by double verification and the clinical symptoms are consistent with the laboratory findings, testosterone replacement therapy with a target value slightly below the normal upper limit is a game changer for most men. Don't wait any longer.

The most frequently asked questions about TRT

There is no clear cut-off value at which TRT is recommended; each patient and their medical history are assessed individually and the indication evaluated. In principle, the testosterone level does not have to be significantly lowered in the laboratory; a low-normal value is sufficient.

There is no minimum age, each case is considered individually. Unfortunately, nowadays we tend to see extremely low levels among young men, which clearly require testosterone replacement therapy. If you have the typical symptoms, it is better to get tested.

The prescribed testosterone preparation (Testoviron) costs around CHF 30-50, depending on the dosage. Disposable materials (syringes, needles, skin disinfectant, etc.) are also included. Health insurance companies do not cover these costs, they are self-pay services.

You must pay the consultation costs and the testosterone injections yourself; these are not covered by health insurance. The blood samples can be taken by your family doctor, the costs are usually covered by your health insurance. The walk-in laboratories are not covered by health insurance. Alternatively, you can also have the blood samples taken in our practices, please see FAQ point 4.

Yes, we are happy to take blood samples at our practices. Costs will be covered by your insurance. Our locations are in Lenzburg and Obergösgen.Costs will be covered by your insurance. 

The prescriptions (Testoviron requires a prescription) are sent directly to your pharmacy by encrypted e-mail.

The self-injections are administered superficially subcutaneously (below the skin level, directly into the fatty tissue). The insulin needles are practically imperceptible.

To achieve optimum results, testosterone should be injected at least twice a week.

Of course, we will provide you with a video tutorial.

With certain measures, yes in principle. We can discuss this topic in detail during the setup consultation.

Yes, this is easily possible. However, we would like to emphasize that a noticeable shrinkage of the testicles rarely occurs with therapeutic dosing.

It is perfectly possible to discontinue therapy at any time, but there are a few things to bear in mind.

Yes, the most important are: 1. prostate cancer 2. a known elevation of red blood cells (the latter can be remedied by blood donation/bloodletting)

With conventional dosing, side effects are rare. It is important to emphasize that we are treating a deficiency or low testosterone level here, in contrast to anabolic abuse, where ten times the TRT dose is often administered together with various other preparations.

Yes, so far there has not been a single incident where patients have had problems. A medical certificate can be issued in English on request.

Even if the consultations are purely a self-pay service, we can only treat patients with valid Swiss health insurance.

Yes, this is possible without further ado. Please book an initial consultation. 

About the doctor's fee

The consultation costs are not covered by Swiss health insurance.

If the values are stable, follow-ups are are sufficient every 6 months

 

Initial consultation: CHF 200

Discussion of the medical history, laboratory findings, indication, further tips.

TRT Setup: CHF 500

Informative discussion, all consultations in the first month and two prescription issues

Follow-up-s: CHF 100

Discussion of laboratory values, possible therapy adjustments and issuing prescriptions.

Book your initial consultation

You can confirm your booking with a deposit of CHF 50 (non-refundable).

A QR invoice for the remaining amount (CHF 150) will be sent to you by email after the initial consultation.

The consultation costs are not covered by Swiss health insurance.

We can only treat patients who are resident in Switzerland.

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