Overview
From around age 30, testosterone naturally declines by 1–2% every year, a slow slide often called andropause, or male menopause. Left unaddressed, low testosterone shows up as fatigue, low libido, mental fog, lost muscle, rising body fat, mood changes and softer erections. It's not "just getting older": it's a measurable, treatable hormone deficiency.
MENHANCE testosterone replacement therapy (TRT) begins with the numbers, not guesswork. At our men’s health clinic in Bangkok, we screen your free testosterone, the most accurate measure, and build a low-testosterone treatment plan that restores you to a healthy, monitored range. The result is renewed vitality you can feel: more energy, sharper focus, better recovery and stronger drive.
What TRT restores
- Higher energy and less daily fatigue
- Restored libido and sexual function
- Easier muscle gain and faster recovery
- Reduced body fat
- Sharper focus and steadier mood
- Overall vitality and well-being
Why testosterone matters
From around 30, testosterone falls 1–2% a year. As it drops below the optimal range, low-T symptoms appear. TRT restores you to a healthy, monitored level — so you feel like yourself again.
- Testosterone screeningA simple blood test measures free testosterone — results back within 48 hours. Already tested in the last 6 months? Share it.
- Medical assessmentOur team reviews your results and symptoms to confirm whether TRT is right for you.
- The shotTreatment is a quick 20-minute injection appointment — same day, no downtime.
- MonitoringWe track your response and fine-tune the plan to keep levels safe and effective.
Total vs Free testosterone
Picture 100 testosterone molecules in your blood. Each dot below is one. Almost all are bound to proteins and inactive — only the two glowing ones can actually enter your cells and work.
Your total T counts all 100 dots. But you can feel low even when total looks normal — because what your body uses is those two free dots. That’s why we measure free T too.
Total T
All 100 dots — everything in your blood. About 98% is bound to proteins (SHBG and albumin) and inactive, so the total on its own doesn’t always reflect how you feel.
Free T
The two glowing dots — only around 2% — unbound and active in your tissues, driving energy, libido, mood and muscle. The number that tracks how you actually feel.
Step 1 — Choose your testosterone test
Every TRT plan starts with bloodwork — results back in about 48 hours, and a test from the last 6 months can be shared instead. Pick the panel that fits:
- Free Testosterone PackageFree & total testosterone · CBC · PSA · liver function (2 tests) — the truest picture of the active hormone฿5,500
- Testosterone ScreeningTotal testosterone · CBC · PSA · liver function (2 tests)฿3,000
- Free Testosterone (only)Total & free testosterone · albumin · SHBG฿3,500
Want a fuller hormone picture? Our hormone & longevity panels add SHBG, albumin, bioavailable testosterone and more.
Step 2 — Your testosterone options
Once your results are in, choose the option that matches your goals — from quick in-clinic injections to a daily gel, all with no downtime.
- Testosterone Cypionate · 200 mgA classic testosterone ester — a steady, reliable shot lasting ~2 weeks฿2,500
- Testosterone Enanthate · 250 mgOne injection lasting ~2 weeks — fast relief and a way to feel the difference฿2,500
- Testosterone Undecanoate · 1000 mgOne injection lasting ~3 months — consistent, convenient hormone regulation (Germany)฿12,000
- Androgel · daily gelTopical testosterone gel — a needle-free daily option฿3,500
Who it's for
- Persistent fatigue or low motivation
- Decreased libido or erectile difficulty
- Mental fog or low mood
- Muscle loss, weight gain or hair thinning
Medically supervised, start to finish
TRT is powerful, which is exactly why it should be monitored. Our medical team screens, doses and reviews your therapy closely — managing potential effects such as acne, fluid retention or raised red-cell count — so you get the benefits safely. Private, confidential and GDPR-compliant.
Frequently asked questions
What are the signs of low testosterone?
Common signs of low testosterone include fatigue, low libido, difficulty building or keeping muscle, rising body fat, poor concentration or "brain fog", low mood and weaker erections. A simple blood test confirms whether your levels are genuinely low before any treatment begins.
Where can I get TRT in Bangkok?
MENHANCE provides blood-test-led testosterone replacement therapy at its men’s health clinics in Bangkok, Phuket and Pattaya, with short-acting, long-acting and gel options from THB 2,500. Your doctor tailors the plan to your results and monitors you throughout.
Do I need a blood test first?
Yes — testosterone therapy is led by your numbers. We measure free testosterone, the most accurate marker. If you've had a test within the past 6 months, you can share those results instead.
How soon will I feel results?
Some men notice a lift in energy and mood within the first 2–3 days; for others it builds over about 2 weeks.
What's the difference between the two shots?
The short-term shot lasts about 2 weeks for fast relief; the long-term shot lasts about 3 months for steady, convenient regulation. We'll recommend the right fit for your goals.
Are there side effects?
Possible effects include acne, fluid retention, breast tenderness, hair thinning, raised blood pressure or an increased red-blood-cell count. We monitor closely and adjust your plan to manage them.
Related treatments
Take the first step
Fill in the form and we’ll confirm within one business day. Private and confidential, at all three clinics.