Testosterone Replacement Therapy (TRT)
The Sexual Medicine Society of North America (SMSNA) advises against the use of permanent fillers like silicone and paraffin due to potential long-term complications. And the American Urological Society (AUA) considers penile girth enhancement (PGE) using subcutaneous fat injection to be unsafe and ineffective.
What is TRT?
Testosterone Replacement Therapy is a personalized treatment approach that addresses the symptoms of low testosterone or “low T”. Low testosterone is a common concern among men that leads to a variety of symptoms and health risks, including erectile dysfunction, poor cardiovascular health and decreased lean muscle mass.
BHRT addresses these concerns by introducing extra testosterone into the body, usually in the form of subdermal pellet therapy. Unlike the synthetic hormones used in traditional HRT, the bioidentical compounds found in BHRT are molecularly identical to the hormones naturally produced by your body, leading to more effective and seamless integration.
Ideal Candidates for TRT
TRT is suitable for men experiencing hormone imbalances, specifically low testosterone levels. Ideal candidates often seek relief from:
- Decreased libido and low sex drive
- Fatigue and energy loss
- Muscle weakness and loss of muscle mass
- Unexplained weight gain
- Erectile dysfunction
It's important to note that TRT may not be suitable for everyone, especially individuals with certain health conditions or histories. A thorough consultation and evaluation are essential to determine candidacy.
"After looking into and searching about girth enhancement for over a year and a half, all over Texas and the country, Dr. Wierschem is absolutely the most knowledgeable Dr. to perform this procedure and his technique is hands down better than everyone in the county. Dr. Wierschem is extremely professional, courteous, and personable. His staff is also very easy to work with and happy to answer any questions and they make you feel very comfortable. They made me feel valuable and important and I was more than just another procedure. Dr. Wierschem really does care for his patients and wants the best for them. He truly is a Doctor first. I would recommend him and his staff for anything men's health related, 1000%."
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Expert Care You Can Trust
When you choose Dallas Men’s Health, you’re under the expert care of Michael Wierschem, MD, a board-certified urologist with over 25 years of experience treating male hormonal imbalances. Our Dallas clinic offers individualized treatment plans backed by lab testing, symptom monitoring, and ongoing clinical support to help patients maximize results and achieve life-changing outcomes.
Our comprehensive range of services, including Penile Enhancement with GirthPro, Regenerative Erectile Dysfunction Treatments, Hair Loss Prevention and Regeneration Solutions, Weight Management and Body Sculpting Treatments, Laser Aesthetics and more, are designed to meet your unique needs. At Dallas Men's Health we understand that every man's health journey is unique, and we are dedicated to providing personalized care to help you achieve your sexual health and aesthetic goals.
Dallas Men's Health in an International Destination for men, because of our Innovation, Expertise and Honesty.
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This map illustrates a sample of our patient demographics over the past 12 months.
Testosterone Replacement Therapy Options:
Our clinic provides several delivery methods, and we tailor the approach to your lifestyle, goals, and medical background:
- Gels: Applied daily to the skin (arms, shoulders, or thighs)
- Injections: Intramuscular or subcutaneous injections administered weekly or bi-weekly
- Patches: Applied to the skin nightly for slow, steady hormone release
- Pellets: Inserted under the skin every 3–6 months for long-lasting results
- Buccal Tablets: Placed in the upper gum line for continuous absorption
- Nasal Gel: Pumped into the nostrils (e.g., Natesto) for fast, localized delivery
Each testosterone therapy option has unique benefits and risks. During your consultation, our doctor will determine the most appropriate treatment based on your symptoms, lifestyle, and goals.
Once T replacement has started, regular visits with symptom and laboratory evaluation every 3-4 months will be conducted. Dallas Men’s Health offers excellent T replacement programs for both injections and pellets.
What is Low Testosterone?
Low testosterone, often referred to as hypogonadism or low T, occurs when the body’s natural testosterone production falls below optimal levels. This hormonal imbalance can lead to a wide range of symptoms that affect both physical and emotional health.
Common issues include fatigue, reduced muscle strength, erectile dysfunction, low libido, mood swings, and difficulty with weight loss. Some patients may also experience a drop in bone density or changes in body composition over time.
If you're experiencing these symptoms, a simple blood test can measure your hormone levels and identify whether testosterone replacement therapy may be beneficial. At Dallas Men's Health, we walk patients through every step, from diagnosis to developing a personalized treatment plan, so you understand the risks, benefits, and expectations before beginning care.
Testosterone Replacement Monitoring and Support
Once therapy begins, our clinic schedules regular follow-up visits every 3 to 4 months to evaluate symptoms, monitor blood hormone levels, and adjust dosing if necessary. Ongoing evaluation ensures you get the best possible results while minimizing side effects like acne, weight gain, or changes in mood.
We also screen for potential long-term risks such as elevated red blood cell counts, blood clots, and prostate cancer concerns to help keep treatment safe and effective.
Personalized Wellness Services To Compliment Low Testosterone
At Dallas Men’s Health, testosterone replacement is just one part of a broader commitment to men's wellness. Our clinic also offers:
- Medical weight loss programs
- ED and sexual performance treatments
- PRF and regenerative therapies
- Nutritional support and lifestyle coaching
Every treatment plan is designed to enhance your life and give you the tools to feel stronger, more focused, and fully in control.
Schedule a Men's Health Consultation
If you’re ready to take back your energy, mood, and performance, it’s time to begin a treatment plan that puts your health first. Our staff is here to guide you through every step with personal assistance, medical expertise, and access to industry-leading therapies.
Contact us today to schedule your consultation and experience the Dallas Men’s Health difference.
General Urological Issues Treated by Dr. Wierschem
BPH – Benign Prostatic Hyperplasia
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatments for BPH may include: diet modification, medication, office based procedures and surgical procedures.
Prostate Cancer
Diagnosis/Evaluation may include: Detailed history including Family history, Physical exam to include the prostate, PSA testing, MRI evaluation and prostate biopsy.
Treatment for Prostate cancer may include: Active Surveillance/Watchful Waiting, Focal laser treatment, Surgical Removal, Radiation/Proton Therapy and medication.
Prostatitis
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatment of Prostatitis may include: Antibiotics, Anti-inflammatories, prostate medication, diet modification and other behavior modification techniques discussed with the doctor.
Vasectomy
This procedure is performed in the office by Dr. Wierschem. It is a painless procedure that typically takes less than 10 minutes. You will be set up to have your semen checked 6-8 weeks after the procedure to ensure that you are sterile. Until that time you will need to continue contraception. Please contact the office for more information.
Nephrolithiasis – Kidney stones
Diagnosis/Evaluation may include: Detailed history, Physical Exam, Urinalysis, blood tests, Radiological evaluation (e.g. plain X-ray, CT scan, Ultrasound), comparison to prior radiological studies, labs and reports.
Treatment of Kidney Stones may include: Active Surveillance/Watchful Waiting, diet modification, medical management, pain management, surgery (e.g. Shock Wave Lithotripsy (ESWL), ureteroscopy (typically with laser stone ablation), stenting (an internal tube that bypasses the obstructing stone) or even external drainage of the kidney in certain cases.
Infertility
Diagnosis/Evaluation may include: Detailed history, Physical Exam, urinalysis, semen analysis (and possible other semen studies), radiological evaluation.
Treatment of Infertility may include: Active Surveillance/Watchful Waiting, medication, diet and behavior modification and surgical intervention.
Ready to Schedule Your Consultation?
We are here to help you achieve your optimal sexual health, and full-body aesthetic goals. Schedule a consultation with our world class medical doctor, and get a team of premiere professionals dedicated to your success.
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