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.
TRTDoc-Your specialist 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 specialist for testosterone replacement therapy throughout Switzerland
Dr. med. Andreas Gutwein
Specialist in angiology and internal medicine
Dr.med.univ. Gabor Csiky-Strauss
General practitioner
Your doctor
Dr. med. Andreas Gutwein
The challenges of men's health, such as testosterone deficiency and erectile dysfunctionare often taboo in everyday clinical practice, both for patients and doctors. Symptomatic patients often go through a long period of suffering before the underlying problem is correctly recognized and treated. This often has serious consequences for those affected and their environment.
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. Andreas Gutwein
The challenges of men's health, such as testosterone deficiency and erectile dysfunctionare often taboo in everyday clinical practice, both for patients and doctors. Symptomatic patients often go through a long period of suffering before the underlying problem is correctly recognized and treated. This often has serious consequences for those affected and their environment.
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 as a family doctor 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)
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.
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.
The costs for a stable setting are as follows:
-Initial consultation: CHF 200
-Setup package: CHF 500
Follow-up checks in the first year: 2-3 checks every 3 months, CHF 100 per check (CHF 200-300 in total)
Total costs in the first year: approx. CHF 900- 1000
From the second year:
-Follow-up checks: every 6 months, CHF 100 per check
Total annual costs: approx. CHF 200-300.
Important note: These medical costs are not covered by basic insurance or supplementary insurance.
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.
We only prescribe testosterone as injections, as orally taken testosterone is not approved in Switzerland and gels can cause fluctuations in hormone levels. Injections allow for constant, precise and simple dosing.
Can the blood samples also be taken in your practices and are the costs covered by health insurance?
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.. The costs are covered by health insurance companies. Soon we will also be in Olten reachable.
Consultations take place exclusively via Zoom.
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 optimal results, testosterone should be injected at least twice a week. We recommend the standard schedule of every other day.
Of course, we will provide you with a video tutorial.
Testosterone therapy can affect fertility. During therapy, the body's own testosterone production is reduced, which can lead to reduced sperm production. In some cases, this can be temporary or permanent.
If there is a desire to have children, it is important to contact a fertility clinic before starting testosterone therapy in order to consider individual counseling and possible measures to preserve fertility, such as freezing sperm.
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.
Based on our experience, Testoviron has proven to be more beneficial in many respects than Nebido or Testogel. Therefore, in our practice we primarily recommend Testoviron for testosterone replacement therapy.
The list of analyses that we usually require (not older than 3 months):
Small blood count, CRP, ferritin, TSH, total testosterone, free testosterone (calculated) SHBG, albumin, FSH, LH, estradiol, prolactin, liver values (GOT; GPT; GGT ALP), creatinine
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
All consultations in the first month, as well as two prescription issuances.
Follow-up: 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 with valid Swiss health insurance.
[email protected]
If you have any further questions, please do not hesitate to contact us. Medical questions can only be answered during a consultation
Your specialists for TRT throughout Switzerland
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