Supporting Men Through Every Stage of Life As men age, testosterone levels naturally decline – but for some, this drop becomes significant enough to affect physical, emotional, and sexual wellbeing. At Hessington Health, we offer comprehensive assessment and treatment for low testosterone, also known as testosterone deficiency syndrome (TDS), using evidence-based guidance from the British Society for Sexual Medicine (BSSM). What Is Testosterone Deficiency? Testosterone is the primary male sex hormone, playing a key role in: Sex drive and erectile function Energy levels and stamina Mood, confidence, and motivation Muscle mass and strength Bone density Cognitive function and memory The figure below shows how testosterone levels decline over the decades: When testosterone levels fall below optimal levels, men may begin to experience a range of symptoms that impact quality of life and overall health. Common Symptoms of Low Testosterone You may be experiencing testosterone deficiency if you notice: Reduced libido (sex drive) Fatigue or low energy Erectile dysfunction Low mood, irritability, or brain fog Decreased muscle mass or strength Increased abdominal fat Poor sleep or waking unrefreshed Loss of motivation or enjoyment in life How Do We Assess Testosterone Deficiency? At Hessington Health, our assessment is thorough and tailored to you. We follow the BSSM 2023 Guidelines, which recommend a combination of symptom review and blood tests to diagnose testosterone deficiency. Step 1: Symptom Assessment We use tools like the ADAM questionnaire and a detailed health consultation to understand your symptoms, medical history, lifestyle, and any contributing factors such as stress, sleep quality, or existing health conditions. Step 2: Blood Testing Blood samples are taken in the morning before 11am, when testosterone levels are highest. We test for: Total testosterone Free testosterone (calculated using SHBG and albumin) Sex hormone-binding globulin (SHBG) Luteinising hormone (LH) Follicle-stimulating hormone (FSH) Prolactin Full blood count PSA (Prostate-Specific Antigen) if over age 40 HbA1c, lipid profile and liver function tests (to assess metabolic health) When Is Treatment Recommended? According to BSSM guidance, TRT may be considered if: Total testosterone is < 8 nmol/L: Strongly indicative of deficiency – treatment usually advised. Total testosterone is 8–12 nmol/L: Treatment may be considered if symptoms are significant and/or free testosterone is low. Free testosterone < 0.225 nmol/L: Supports diagnosis and strengthens the case for treatment. Testosterone deficiency should always be confirmed on at least two morning blood samples, and other potential causes of symptoms (like thyroid or pituitary issues) should be ruled out. What Are the Treatment Options for TRT in the UK? TRT aims to restore testosterone levels to a healthy range and relieve symptoms. At Hessington Health, treatment is always individualised. Options include: Testosterone Gel (Topical) Applied daily to the skin (usually shoulders or upper arms) Quick and steady absorption Useful for dose flexibility Testosterone Injections Short-acting (every 2–3 weeks) or Long-acting (Nebido): Given every 10–14 weeks Suitable for those who prefer less frequent dosing Testosterone Patches or Implants (less commonly used in the UK) Before starting TRT, we always check prostate health (especially in men over 40), and we monitor testosterone levels, blood count, PSA, and symptoms regularly. What Results Can You Expect? Many men notice improvements in: Energy and motivation Libido and sexual performance Mood and cognitive function Muscle tone and body composition Sleep and general wellbeing Results vary between individuals, and benefits typically become noticeable after 3–6 months of treatment. Why Choose Hessington Health? Bespoke care aligned with BSSM best practice Private, confidential consultations with experienced clinicians On-site blood testing and monitoring Ongoing support throughout your TRT journey Book Your Assessment Today If you suspect low testosterone may be affecting your quality of life, we’re here to help. Book a consultation with our men’s health team and take the first step towards feeling like yourself again. Please use the form below to make contact.
