Safe and Effective Testosterone Therapy (TRT) — Professional TRT Clinic in Bangkok, Thailand

At H.U.M. Clinic Bangkok, we specialize in testosterone replacement therapy (TRT) designed to safely restore your hormone balance, performance, and vitality.
Our treatment programs are led by doctors experienced in men’s hormone optimization and follow an integrated, evidence-based approach aligned with international medical guidelines.

At H.U.M. Clinic, we deliver safe, seamless, and effective testosterone therapy under professional medical supervision — restoring your energy, strength, and confidence through personalized, evidence-based hormone optimization at an affordable cost.

Self-Assessment for Low Testosterone — The ADAM Questionnaire

Many men live with undiagnosed low testosterone for years because symptoms appear gradually.
The ADAM (Androgen Deficiency in Aging Males) questionnaire is a quick way to check if your symptoms may relate to hormonal imbalance.

Answer “Yes” or “No” to these common signs:

1. Has your sex drive decreased?
2. Do you often feel tired or low in energy?
3. Have you noticed a loss of strength or endurance?
4. Are you more irritable or moody lately?
5. Have you experienced difficulty concentrating or remembering things?
6. Have you gained belly fat or lost muscle definition?
7. Do you have fewer or weaker erections, including morning erections?
8. Do you feel a drop in motivation or enjoyment of life?

✅ If you answered “Yes” to question 1 or 7, or to three or more in total,
you may be experiencing symptoms of testosterone deficiency.
A hormone evaluation at H.U.M. Clinic can confirm whether TRT may help.

How We Diagnose Low Testosterone — Lab Evaluation at H.U.M. Clinic

Diagnosing low testosterone requires more than a single number.
Our clinic uses a comprehensive hormone panel to assess your full hormonal picture before starting any treatment.

1. Total Testosterone

Measures all testosterone circulating in your blood — both active and inactive forms.

• Normal range: 300–1,000 ng/dL
• Two low results (taken in the morning) plus symptoms suggest testosterone deficiency.

2. Free Testosterone

This is the active form your body can use for energy, libido, and muscle function.
Even if total testosterone is within range, low free testosterone can still cause symptoms.

3. SHBG (Sex Hormone–Binding Globulin)

A protein that binds testosterone and controls how much is available for use.
When SHBG is high — common with aging, liver issues, or certain medications — your free testosterone may drop, even if total levels look “normal.”

4. Additional Hormone Tests

We may also check LH, FSH, estradiol (E2), prolactin, DHEA-S, thyroid function, Growth hormone, and micronutrients to identify the root cause before starting therapy.

When Testosterone Appears Normal but You Still Have Symptoms

Some men have all the signs of low testosterone even when their total testosterone is within range.
This happens when too much testosterone is bound to SHBG and not available for the body to use.

1. Evaluate Free Testosterone:
   Total testosterone can appear normal while active (free) levels remain low.
2. Check SHBG Levels:
   High SHBG can “lock away” testosterone, lowering its biological effect.
3. Rule Out Other Causes:
   Fatigue and mood changes may also result from thyroid imbalance, sleep disorders, depression, or nutritional deficiencies, which we screen for at H.U.M. Clinic.

Our goal is to understand your complete metabolic and hormonal profile — not just a single lab value.

Can I take TRT – What are the indication?

You may be a candidate for TRT if both your lab results and clinical symptoms confirm testosterone deficiency.

Laboratory Findings

• Total testosterone < 300-350 ng/dL on two separate morning tests
• or Low free testosterone with elevated SHBG and persistent symptoms

Common Clinical Indicators

• Reduced libido or erectile performance
• Chronic fatigue or loss of motivation
• Loss of muscle strength or mass
• Mood instability or depressive feelings
• Increased fat around the abdomen
• Declining bone density or joint pain

TRT can help correct these issues safely when managed by an experienced physician.

Conditions which not recommend TRT

TRT is safe for most men, but certain medical conditions require caution or avoidance.

Absolute Contraindications

• Active or suspected prostate or breast cancer
• High red blood cell count (hematocrit >54%)
• Severe untreated sleep apnea
• Severe heart failure
• Known allergy to testosterone formulations

Relative Contraindications (Require Specialist Monitoring)

• Elevated PSA or enlarged prostate
• Hormone related tumor/cancer
• Fertility concerns (TRT can suppress sperm production)
• History of cardiovascular disease or clotting disorders
• Poorly controlled diabetes or obesity

Before starting TRT, H.U.M. Clinic performs full medical and laboratory screening to ensure treatment safety.

Medical Monitoring During Testosterone Therapy

To maintain safety and effectiveness, all TRT patients are followed closely through a structured monitoring plan.

1. Testosterone Levels – checked baseline before treatment, 4–6 weeks after initiation, and every 3–6 months thereafter.
2. Hematocrit and Hemoglobin – ensure red blood cell counts remain in safe range.
3. Prostate Screening (PSA) – baseline and regular follow-up to track prostate health.
4. Liver, Kidney, and Lipid Profile – assess metabolic and cardiovascular safety.
5. Symptom Review – monitor progress, energy, libido, and side effects at each visit.

Our team adjusts dosage and frequency to maintain a healthy, physiologic hormone balance.

Does Testosterone Therapy Increase Cancer Risk?

Extensive research confirms that TRT does not increase the risk of prostate or other cancers in men with normal baseline PSA.

• Large-scale reviews (European Urology, JAMA) found no link between TRT and prostate cancer.
• Most prostate cancers occur in older men with low, not high, testosterone levels.
• TRT may cause mild prostate tissue growth (like normal aging), but this is not cancer.
• We monitor PSA and prostate health throughout treatment to ensure continued safety.

Men with active prostate or breast cancer should not undergo TRT until cleared by their specialist.

How to Maintain and Optimize Testosterone Levels During TRT

TRT works best when combined with a healthy lifestyle and nutritional support.
At H.U.M. Clinic, we guide each patient through practical, sustainable changes that enhance results and reduce side effects.

Key Optimization Tips

• Nutrition: Prioritize lean proteins, healthy fats, zinc, and vitamin D.
• Exercise: Resistance and strength training enhance testosterone utilization.
• Sleep: 7–8 hours per night supports hormone recovery.
• Stress Reduction: High cortisol suppresses testosterone production.
• Supplements: Omega-3, CoQ10, and antioxidants may support metabolic health.

Our integrated approach helps maintain balanced hormone levels and overall wellness long term.

Book Your Private TRT Consultation in Bangkok

📍 Location: H.U.M. Clinic Bangkok – LG Floor, Exchange Tower, BTS Asok & MRT Sukhumvit, Sukhumvit Road, Khlong Toei
🕒 Open: 9:30 AM – 1:00 PM, 2:00 PM – 6:30 PM
📞 LINE / Call: LINE / tel:+66989832949
🌐 www.hum-clinic.com

💬 Schedule your private consultation today with an experienced TRT doctor in Bangkok and discover safe, evidence-based testosterone replacement therapy in Thailand tailored to your body and goals.

Wichakorn Jitphaphun, M.D.

Wichakorn Jitphaphun, M.D. (Dr.Kamin) is the fulltime physician and also the co-founder of H.U.M. Clinic.