The Miami Men’s Approach to TRT

Why Testosterone Replacement Needs Expertise

TRT has become a crowded space with therapies offered by clinics and providers with little to no specialized training in hormone management, male reproductive anatomy, or urologic complications. These clinics often follow protocols that are outdated, needlessly complex, or medically incomplete. Perhaps most concerning, they are often unequipped to assess and manage the urologic manifestations of low testosterone and the urologic side effects of testosterone replacement therapy - including infertility, rising PSA and worsening prostate-related symptoms.

At Miami Men’s, our program is built by true board-certified specialists in urology and endocrinology who understand the full landscape of male sexual and hormonal health. This is our clinical focus. This is our expertise.

Step One: A Complete Diagnostic Picture

Before any treatment begins, we build a thorough diagnostic profile that includes:

• A full hormone panel: total and free testosterone, estradiol, SHBG, LH, FSH, DHT, prolactin, PSA, hematocrit, and more
• Body composition analysis
• In-depth symptom assessment and medical history review

This allows us to determine:

• Whether the patient has true hypogonadism—biochemically or symptomatically
• What type (primary or secondary), and why
• What therapeutic approach is most appropriate and sustainable

Step Two: Simplicity First, Always Adjustable

We begin therapy using short-acting, adjustable treatments. This gives us:

• The ability to monitor and fine-tune results quickly
• Flexibility in managing side effects early
• Diagnostic clarity—isolating variables without unnecessary complexity

We avoid polypharmacy at the outset. One medication, one change at a time, so we can see what’s working and what’s not.

Step Three: Precision Compounding

All our medications are formulated by trusted compounding pharmacies using:

• Pharmaceutical-grade testosterone
• Carefully selected carrier oils chosen for comfort, viscosity, and reliable absorption
• Rigorous quality controls for sterility, consistency, and stability

These details—small to some—make a major difference in comfort and outcome.

Step Four: Tailored Optimization, Informed by Data

Our follow-up is as intentional as our initiation:

• Scheduled labs and structured check-ins
• Real-time symptom tracking
• Strategic adjustments based on both data and patient-reported outcomes

As the program evolves, we may add:

• HCG for fertility support
• Estrogen management, if needed
• Alternate delivery routes, when appropriate

Each step is guided by data. Every decision is made with clarity and purpose.