Testosterone Therapy with Balance My Hormones
At Balance My Hormones, we understand that testosterone is far more than just a sex hormone. Stable testosterone levels are essential for men’s overall health and wellbeing — influencing everything from mood, motivation, and cognitive performance to heart health, muscle strength, and body composition.
When testosterone levels drop, it can leave you feeling like a shadow of your former self. Common symptoms of low testosterone (Low T) include:
- Reduced libido and sexual performance
- Constant tiredness or lack of energy
- Low mood or depression
- Erectile dysfunction
- Increased anxiety or irritability
- Difficulty building muscle or losing body fat
- Struggling to concentrate and focus (brain fog)
If these symptoms sound familiar, you may be suffering from testosterone deficiency syndrome.
Safe and Effective TRT
Testosterone Replacement Therapy (TRT) offers a safe and effective solution for men who have low testosterone or are unable to produce adequate levels naturally. By restoring your hormones to optimal balance, TRT can help improve your energy, focus, strength, and overall quality of life.
Before starting treatment, you’ll undergo a comprehensive consultation with one of our experienced hormone specialists. We’ll assess your symptoms, medical history, and blood test results to determine the most suitable TRT programme and dosage for your individual needs — helping you take control of the so-called male menopause (also known as andropause).
Learn more about how to start your TRT journey by clicking the button below
How your body regulates testosterone
To understand how testosterone works, it helps to think of your body like a central heating system. The thermostat represents your hypothalamus and pituitary gland, while the boiler represents your testes.
When your body senses that testosterone levels are too low, the hypothalamus releases a signal called gonadotrophin-releasing hormone (GnRH). This signal tells the pituitary gland — the control centre — to release two important hormones: LH (luteinising hormone) and FSH (follicle-stimulating hormone).
These hormones travel to the testes, stimulating testosterone and sperm production. This natural process keeps your testes active, healthy, and functioning properly. The Leydig cells inside the testes are responsible for producing testosterone and are highly sensitive to the LH signal from the pituitary gland.
However, when external testosterone is introduced — for example, through testosterone replacement therapy (TRT) or anabolic steroid use — this natural signalling process can slow down or even shut off completely. Without stimulation from LH, the Leydig cells may stop producing testosterone on their own, which can lead to testicular shrinkage (atrophy) and reduced fertility.
To counter this effect, HCG (human chorionic gonadotrophin) or recombinant LH and FSH can be used alongside TRT. This type of adjunctive therapy helps maintain testicular function and sperm production, allowing men to protect fertility while undergoing testosterone replacement therapy.
Age-Related Testosterone Deficiency
As men get older, testosterone levels naturally decline — a condition known by several names, including:
- Andropause
- Manopause
- Adult-onset hypogonadism
- Male menopause
- Low T (low testosterone)
Clinically, testosterone deficiency can be classified as:
- Primary hypogonadism – when the testes themselves are not functioning properly
- Secondary hypogonadism – when the hypothalamus or pituitary gland fails to send the right signals
- Idiopathic hypogonadism – when the cause is unknown
The Impact of Anabolic Steroid Use on Testosterone Production
Men who have used anabolic steroids (AAS) — whether for bodybuilding or performance enhancement — often experience a long-term suppression of natural testosterone production. Even after stopping steroid use, the hypothalamus and pituitary glands may not recover their normal signalling ability for years, and in some cases, may not recover at all.
This can leave men with chronically low testosterone levels, leading to symptoms such as fatigue, depression, erectile dysfunction, and loss of muscle mass. In these situations, medically supervised testosterone replacement therapy can help restore balance, support recovery, and improve quality of life.
At Balance My Hormones, we work with men across the UK who are experiencing post-anabolic steroid hypogonadism or struggling to recover naturally after years of AAS use. Through comprehensive blood testing and individualised treatment plans, we can help you safely restore your hormone health.
Diagnosing Low Testosterone
When diagnosing low testosterone (low T), doctors look at LH (Luteinising Hormone) and FSH (Follicle-Stimulating Hormone) levels to identify whether the issue is in the testes or the brain.
Secondary hypogonadism occurs when the hypothalamus or pituitary gland fails to send the right signals, leading to low LH, low FSH, and reduced testosterone production.
Primary hypogonadism happens when those signals are normal, but the testes don’t respond properly, resulting in high LH and FSH but still low testosterone.
As testosterone levels rise, some is converted to oestrogen through the aromatase enzyme. Higher oestrogen tells the brain to reduce testosterone and sperm production, which over time can lead to testicular shrinkage (atrophy).
Using testosterone replacement therapy (TRT) without managing oestrogen or supporting the testes with HCG can worsen atrophy and lower natural testosterone production. A well-balanced TRT plan includes oestrogen control, HCG support, and regular blood monitoring to maintain hormonal balance and wellbeing.
Our Testosterone Balancing Treatments
Our doctors begin by arranging a comprehensive blood test to identify the specific type of low testosterone you may have. From there, we create a bespoke treatment plan tailored to your individual hormone profile and health goals.
We believe the gold standard for effective Testosterone Replacement Therapy (TRT) is a carefully balanced combination of HCG + Testosterone + Oestrogen Control, helping you maintain natural testosterone production while supplementing what your body may be missing.
There have never been more treatment options available for men in the UK suffering from low testosterone. The aim of therapy is to restore hormonal balance, support natural endogenous testosterone production, and reduce symptoms such as fatigue, low mood, and decreased libido.
Once diagnosed, your doctor will discuss the most suitable TRT option for you. You can begin by booking a blood test and consultation with our team.
Injectable Testosterone Preparations in the UK
- Sustanon® (Aspen) – A blend of four testosterone esters: propionate 30 mg, phenylpropionate 60 mg, isocaproate 60 mg, and decanoate 100 mg.
- Nebido® (Bayer) – Testosterone undecanoate 250 mg/mL in a 4 mL ampoule (1 g total dose), typically injected every 10–14 weeks.
- Testosterone Enanthate – A long-acting testosterone ester (250 mg/mL), usually administered two to three times per week.
- Testosterone Cypionate – Another long-acting ester popular in TRT, typically dosed two to three times per week for stable blood levels.
- Virormone® (Nordic) – Short-acting testosterone propionate (50 mg/mL), generallyadministered multiple times per week.
Our experienced doctors will help determine the most appropriate preparation, dosing schedule, and support therapy such as HCG and oestrogen management to ensure your TRT remains balanced, effective, and sustainable.
Topical Testosterone Gels and Creams in the UK
Topical testosterone is an effective alternative for men who prefer not to use injections. These treatments are absorbed through the skin and help maintain steady testosterone levels throughout the day.
Common alcohol-based gels available in the UK include:
- TESTIM® (Ferring) – Gel containing testosterone 50 mg/5 g, supplied in 30-tube packs.
- TESTOGEL® (Besins) – Gel containing testosterone 50 mg/5 g, supplied in 30-sachet packs.
- TOSTRAN® (ProStrakan) – 2% testosterone gel (10 mg per metered application), supplied in a 60 g multidose dispenser.
As we have our own pharmacy, The Hormonist, we are able to compound customised testosterone creams in a range of strengths using either an HRT cream base or Versapro. This provides greater flexibility and can be especially beneficial for men who prefer to avoid injections.
Our doctors base all treatment recommendations on comprehensive blood testing, the latest international research, and your individual symptoms. This ensures a fully bespoke and data-driven approach to hormone optimisation.
We don’t believe in a one-size-fits-all method. Your plan will be personalised to your body’s needs and may include a suitable testosterone ester or a combination of esters dosed precisely to reduce the need for oestrogen control.
Optional Extra Medication Taken Alongside Testosterone Therapy
HCG – Human Chorionic Gonadotrophin
HCG (Human Chorionic Gonadotrophin) is used to treat delayed puberty, undescended testes, or low sperm count. It can be used alone or alongside testosterone therapy to help maintain natural testosterone production and testicular function during TRT.
Tadalafil
Tadalafil is commonly used to support erectile function and improve blood flow in men undergoing testosterone replacement therapy. It can also enhance energy, confidence, and overall quality of life. Your doctor may include tadalafil as part of your personalised TRT plan to help maintain optimal sexual health and performance.
Balance My Hormones helps men and women restore their hormones to optimal levels through bespoke TRT and HRT treatment plans. We aim to offer cutting-edge international treatment methods with over 25 years of experience in hormonal health, all backed by science and British safe practices.
