Understanding the Need for Male Hormone Therapy
Sexual health concerns among men have existed for a long time. However, due to limited understanding of hormone-related mechanisms and a cultural hesitation to openly discuss sexual health in Thailand, it has traditionally been difficult for men to seek information or treatment in this area. Many feel too embarrassed to consult a doctor or get proper care.
Today, however, more men are becoming concerned about their sexual health. This can be attributed to increased work stress, unhealthy diets, and urban lifestyles that are not conducive to natural testosterone production. As a result, modern men often face more health issues—both general and sexual—than previous generations.
Peace Clinic has created this educational article to help raise awareness and understanding around Male Hormone Replacement Therapy (HRT).
What Can Testosterone Injections Help With?
Testosterone doesn’t only affect the reproductive system—it plays a key role in various organs and systems throughout the body. Here’s how:
✅ Brain Function
Testosterone supports mental clarity, sharp decision-making, focus, and memory retention.
✅ Muscle Health
It enhances protein synthesis in muscles, promoting muscle growth, faster recovery after exercise or injury, and increased strength.
✅ Cardiovascular Health
Stronger heart muscles improve blood circulation. Healthier blood vessels help deliver oxygen and nutrients efficiently throughout the body, enhancing overall organ function.
✅ Blood Sugar Regulation
Testosterone helps the body use blood sugar more effectively for energy, which supports stable glucose levels—especially beneficial for men with Type 2 Diabetes.
✅ Fat Accumulation
It helps reduce fat production and storage, especially around the abdomen. This explains why older men with lower testosterone levels often develop belly fat. However, it does not promote weight loss directly.
✅ Sexual Function
Testosterone plays a major role in libido, erections, and the ability to achieve orgasm.
✅ Mood and Emotional Health
Low testosterone levels are linked to depression, anxiety, and mood swings.
What Type of Medication is Used?
At Peace Clinic, we use injectable testosterone, which is one of several available forms:
Form | How to Use | Advantages | Disadvantages |
Oral Testosterone | Take 2–3 times daily with fatty foods | • Easy to take | • Must be taken with fat-containing food |
Transdermal Gel | Apply daily to thin skin areas like upper arms or thighs | • Painless | • Risk of hormone transfer to others |
Transdermal Patch | Apply daily to the skin | • Painless | • May fall off during sweating or showering |
Subdermal Implant | Inserted every 3–6 months | • Long-lasting | • Requires minor surgical procedure for insertion and removal |
Injectable Testosterone | Intramuscular injection every 1–12 weeks (depending on brand) | • Long-lasting | • Mild injection discomfort |
Is the Medication FDA-Approved?
Yes. At Peace Clinic, we use injectable testosterone that is approved by the Thai FDA and verifiable for safety.
Does It Help with Erectile Dysfunction?
Yes—in men with low testosterone levels, replacement therapy can significantly help. Erectile function involves both physical and psychological factors, with testosterone being central to libido, erectile strength, and climax ability.
Does It Increase Penis Size?
No. Testosterone therapy does not increase penis size.
Is the Injection Given Directly into the Penis?
No. The injection is administered into a muscle, not into the penis. Common sites include:
- Upper arm – mild pain, convenient for patients (can be done sitting, no need to undress)
- Buttocks – less painful, but requires lying down and partial undressing
How Soon Does It Start Working?
Injectable testosterone takes about 24–48 hours to become effective.
So, you can think of it as:
“Injected today, ready to go tomorrow.”
How Often Do I Need the Injections?
Typically, injections are given every 1 to 12 weeks, depending on the brand and formulation:
- Short-acting options: require weekly injections, are more affordable
- Long-acting options: last up to a month or more, but are more expensive
Are There Any Side Effects?
Possible side effects include:
- Acne, oily skin, hair loss
- Mood changes, irritability
- Breast enlargement (gynecomastia)
- Swelling or pain at the injection site
- More serious risks: blood clots, heart issues, high blood pressure, liver problems, or stroke
With proper medical supervision, these risks can be managed. Our doctors tailor the dosage, brand, and treatment plan to suit each patient’s individual needs.
Peace Clinic strongly advises patients to receive testosterone therapy only from certified clinics or hospitals. Never self-inject or purchase hormones independently.
Who Should Avoid Testosterone Injections?
Not recommended for individuals with or at risk for:
- Blood clots
- Heart disease
- High blood pressure
- Liver disease
- Stroke
How to Minimize Side Effects
✅ Drink plenty of water
Testosterone increases red blood cell production, which can thicken the blood. Staying hydrated helps maintain healthy blood flow.
✅ Exercise regularly
This helps the body utilize testosterone efficiently and prevents excess from being converted into substances that cause acne or hair loss.
✅ Maintain a healthy weight
Fat cells can convert testosterone into estrogen, reducing masculine traits and causing gynecomastia (breast tissue growth in men).
✅ Avoid alcohol
Alcohol contains high sugar content, promoting weight gain—especially belly fat—and lowering testosterone levels.
✅ Avoid smoking
Smoking damages blood vessels. Combined with testosterone’s effect of increasing blood flow and pressure, this can lead to higher risk of stroke.
Do I Need a Blood Test?
Yes, ideally both before and after treatment.
- Before injection: Confirms low testosterone and ensures you’ll benefit from treatment
- After injection: Measures how well your body is responding and whether hormone levels are within a healthy range
If budget or time is limited
, at the very least a post-injection test is recommended.
Will Stopping the Injections Make My Condition Worse?
Your sexual performance depends on current testosterone levels. The body naturally produces testosterone, but factors like stress, poor diet, and unhealthy lifestyle can suppress its production.
If you stop injections but adopt a healthy lifestyle, your body may resume natural hormone production, and there won’t be any issues.
If you stop and don’t change your habits, hormone levels may drop again, and symptoms can return.
Can Overweight Individuals Get Testosterone Injections?
Yes, but exercise and weight management are crucial for best results.
- Exercise helps your body use testosterone effectively and prevents side effects like acne or hair loss
- Weight control reduces fat that could otherwise convert testosterone into estrogen
Have More Questions?
If you’d like our doctors to answer specific questions about testosterone therapy, feel free to message us on LINE. If the question is informative, we may include it in future educational articles (anonymously).
📱 LINE ID: @peaceclinic
