Testosterone Replacement Therapy (TRT)

Testosterone plays a foundational role in male health, and testosterone replacement therapy (TRT) restores healthy testosterone levels and relieves symptoms of deficiency. Certified physician assistant Jerome Siegel, PA-C, provides TRT through Pacific Coastal Men’s Clinic LLC, a concierge men’s health practice based in Portland, Oregon. If you’re struggling with hair loss, weight gain, reduced strength, or lingering fatigue, schedule a telehealth evaluation with Pacific Coastal Men’s Clinic LLC. You can book an appointment online today. 

What is testosterone replacement therapy (TRT)?

TRT uses prescribed testosterone to treat confirmed low testosterone levels and the symptoms that accompany them. It’s not a shortcut or performance enhancement strategy but rather a medical treatment when your body isn’t producing sufficient testosterone.

Jerome aims to restore your testosterone levels to a healthy range while carefully monitoring your safety.

What conditions does TRT treat?

TRT can treat several medically recognized causes of testosterone deficiency, such as:

Primary hypogonadism

Primary hypogonadism occurs when the testes are unable to produce adequate testosterone despite normal signaling from the brain. Causes may include genetic conditions, prior injury, infection, or certain medical treatments. TRT directly replaces the testosterone that the body cannot produce.

Secondary hypogonadism

Secondary hypogonadism results from inadequate signaling from the hypothalamus or pituitary gland, meaning the testes can produce testosterone but aren’t getting the memo. This can be related to stress, obesity, chronic illness, medications, or pituitary dysfunction.

Age-related testosterone deficiency

As men age, testosterone levels naturally decline. Some men experience symptomatic deficiency (sometimes referred to as late-onset hypogonadism), characterized by fatigue, low libido, reduced muscle mass, and increased body fat. When symptoms are significant and levels are consistently low, TRT may be appropriate.

Symptomatic low testosterone

Even outside classic categories, some men present with persistently low lab values accompanied by clinical symptoms such as:

• Low libido
• Erectile dysfunction
• Fatigue
• Brain fog
• Depressed mood
• Decreased strength or endurance
• Poor recovery from exercise

Jerome bases treatment decisions on both laboratory confirmation and symptom burden.

What can I expect from a personalized TRT plan?

Jerome begins with a comprehensive evaluation and a detailed assessment of your energy, sexual health, mood, sleep, strength, body composition, and overall performance. He’ll order baseline labs, which typically include:

• Total and free testosterone
• Estradiol
• Complete blood count
• Metabolic and cardiometabolic markers

He also schedules follow-up labs to ensure appropriate levels and monitor safety. With this vital data in hand, your plan incorporates:

• Injectable or topical testosterone
• Dose titration and ongoing monitoring
• Estradiol management (when clinically indicated)
• Hematocrit and cardiometabolic monitoring

With Jerome’s consistent follow-up, careful monitoring, and ongoing communication, you can enjoy better energy, libido, strength, confidence, and quality of life. Schedule your telehealth TRT evaluation online today.