Testosterone Treatment Singapore | Shim Clinic

• If < 8 nmol/L – start TRT
• If 8-12 nmol/L – do SHBG, Testosterone calculator
  • If < 225 pmol/L – start TRT

Essential:

• Prostate Specific Antigen (PSA)
  • If > 4ng/ml, check for prostate Ca
• Haematocrit (Hct)
  • If > 55%, stop TRT till Hct drops to safe level.

Recommended:

• Liver Function Test (LFT)
• Fasting lipids

Optional:

• FSH
• LH

• Prostate Specific Antigen (PSA)
• Haematocrit (Hct)

• If 10-15 nmol/L – maintain interval at 12 weeks
• If < 10 nmol/L – decrease interval to 10 weeks
• If > 15 nmol/L – increase interval to 14 weeks

• Prostate Specific Antigen (PSA)
• Haematocrit (Hct)

• Prostate Specific Antigen (PSA)
• Haematocrit (Hct)

Recommended:

• Liver Function Test (LFT)
• Fasting lipids