Chye ClinicTestosteron rendah dan TRT di Kepong
Nafsu menurun, cepat letih, kurang ereksi pagi. Testosteron rendah ialah salah satu sebabnya, dan ujian darah waktu pagi memberitahu sama ada ia sebab anda. Jika ya, kami cari puncanya dahulu, dan gunakan terapi testosteron hanya apabila perlu.
- Uji dahuluujian darah waktu pagi sebelum sebarang rawatan
- TRThanya apabila ada keperluan klinikal
- Dipantauujian darah berkala semasa rawatan
- Datang terustiada temu janji diperlukan
Berbaloi memeriksa testosteron anda jika
Testosteron rendah biasanya muncul sebagai beberapa perubahan sekali gus, bukan satu simptom. Beberapa daripadanya serentak, berlarutan berbulan-bulan, ialah sebab biasa lelaki datang.
- Nafsu seks anda menurun
- Kurang ereksi pagi, atau masalah ereksi
- Letih walaupun cukup tidur
- Mood rendah, cepat marah atau kurang tumpuan
- Otot berkurang sementara lemak di perut bertambah
- Anda menghidap kencing manis jenis 2 atau banyak lemak di sekeliling pinggang
Setiap perkara dalam senarai ini boleh ada punca lain, daripada kurang tidur kepada masalah tiroid hingga kemurungan. Sebab itu doktor menguji, bukan meneka.
Bila testosteron dikira rendah
Satu keputusan darah bukan diagnosis. Doktor mencari tiga perkara serentak.
Simptom
Perubahan seperti di atas, berlarutan berbulan-bulan.
- dan
Paras pagi yang rendah
Darah diambil awal pagi, ketika testosteron berada pada paras tertinggi.
- dan
Disahkan dengan ujian ulangan
Paras berubah dari hari ke hari, jadi satu keputusan rendah tidak cukup.
- bersama:
Testosteron rendah
Kemudian doktor mencari puncanya dahulu sebelum bercakap tentang rawatan.
Punca hormon testosteron menurun
Selalunya sesuatu yang boleh diubah. Kadang-kadang masalah pada testis atau kelenjar pituitari yang perlu disiasat.
Selalunya boleh dipulihkan
- Berat badan berlebihan, terutamanya di bahagian perut
- Kencing manis jenis 2
- Kurang tidur, termasuk apnea tidur
- Minum alkohol berlebihan
- Sesetengah ubat, seperti ubat tahan sakit opioid dan steroid
- Penyakit serius baru-baru ini, atau tekanan yang berpanjangan
Perlu disiasat
- Kerosakan pada testis, akibat kecederaan, beguk atau pembedahan dahulu
- Masalah pituitari, seperti paras prolaktin yang tinggi
- Keadaan genetik, seperti sindrom Klinefelter
- Penurunan berterusan dengan usia yang lebih besar daripada biasa
Rawatan testosteron rendah
Rawatan bermula dengan puncanya. Testosteron itu sendiri hanya digunakan apabila perlu.
- Merawat puncanya
- Menurunkan berat badan, tidur lebih baik, mengawal kencing manis atau menukar ubat boleh menaikkan testosteron dengan sendirinya.
- Terapi testosteron (TRT)
- Melalui suntikan atau gel, dipreskripsi hanya apabila testosteron rendah disahkan dan menyebabkan simptom.
- Pemantauan berkala
- Paras testosteron, kiraan darah dan PSA diperiksa secara berkala, supaya dosnya kekal selamat.
- Bila TRT tidak sesuai
- Jika anda merancang untuk mendapat anak, kerana TRT mengurangkan penghasilan sperma. Juga jika ada kanser prostat atau kanser payudara, atau apnea tidur teruk yang tidak dirawat.
Apa yang berlaku semasa ujian testosteron
Sejarah kesihatan anda
Apa yang berubah dan sudah berapa lama, nafsu seks dan ereksi anda, tidur, mood, berat badan, ubat, dan sama ada anda merancang untuk mendapat anak.
Ujian darah waktu pagi
Testosteron bersama SHBG, serta LH, FSH, prolaktin dan TSH, supaya doktor dapat melihat dari mana paras yang rendah itu datang.
Keputusan diterangkan
Bersama berat badan, tekanan darah dan gula dalam darah anda. Keputusan yang rendah diulang dahulu sebelum apa-apa diputuskan.
Pelan, kemudian susulan
Merawat puncanya, TRT jika ada keperluan, atau kedua-duanya. Disemak semula pada 6 hingga 12 minggu dengan ujian berkaitan diulang.
Apa lagi yang klinik lakukan untuk ini
Mati pucuk
Kerap ditemui bersama testosteron rendah, dan selalunya dengan punca asas yang sama.
Pengurusan berat badan
Menurunkan lemak di sekeliling pinggang ialah antara cara paling boleh diharap untuk menaikkan testosteron.
Pancut awal
Satu lagi sebab biasa lelaki datang, dengan punca dan rawatannya sendiri.
Kesihatan mental
Apabila mood rendah atau tekanan rupa-rupanya berada di sebalik keletihan dan nafsu yang menurun.
Ini kekal antara anda dan doktor anda
- Konsultasi anda
- Peribadi dan tanpa prasangka, tanpa mengira jantina, orientasi atau status hubungan anda.
- Rekod anda
- Disulitkan dalam sistem klinik sendiri, dan hanya anda yang boleh membenarkan akses kepadanya. Kakitangan klinik tidak boleh mendapatkan keputusan anda tanpa persetujuan jelas daripada anda.
- Nama anda
- Anda tidak perlu memberikan nama untuk dirawat. Pesakit yang mahu menjalani ujian tanpa nama boleh berbuat demikian.
- Doktor anda
- Setiap doktor di sini dinamakan di laman web ini bersama latihan mereka, dan seorang daripadanya ialah Pakar Perubatan Keluarga dalam Daftar Pakar Kebangsaan. Soalan susulan dan ubat ulangan terus kepada doktor yang merawat anda melalui WhatsApp, bukan melalui kaunter hadapan.
Datang terus, atau tanya dahulu
Datang tanpa temu janji dalam waktu buka (Setiap hari, 9:00 pagi hingga 8:00 malam), atau hantar mesej dan tanya apa sahaja dahulu sebelum datang.
Mesej andaHi, saya ingin membuat temu janji untuk testosteron dan TRT.
Hubungi doktor kami sekarangWhatsApp akan dibuka dengan mesej anda sudah siap, dan anda masih boleh mengubahnya sebelum menghantar. Tiada apa-apa dihantar daripada halaman ini, dan nama, nombor atau waktu temu janji tidak diminta di sini.
Daripada pesakit kami
Kata pesakit kami
4.9daripada 785 ulasan Google
Fei Ru OohLocal Guide · a month agoI have been visiting this clinic since I was a kid, and now my children already reached adulthood! It has gone through 3 generations from Dr Chye to Dr Lee and now Dr Chan. A true family clinic, specialized in family health. Dr Chan carries the same trait of his predecessors, very caring, knowledgeable, patient and goes above and beyond to help his patients. He truly invests his time in knowing his patients' family, know every family members and remember everyone well. He spends extra hours even beyond the official working hours. Highly recommend this clinic, especially Dr Chan.di Google
Vidhya Naira month agoI recently had two cysts removed by Dr. Richard Ngu at Clinic Chye in Kepong. I had an excellent experience. Dr Richard was professional, skilled, and made me feel comfortable throughout the entire procedure. The surgery was smooth, and the results were clean and neat. Thank you, Dr. Richard Ngu, for your excellent care and dedication. I truly appreciate your professionalism and kindness. I highly recommend Dr. Richard Ngu to anyone looking for a trustworthy and excellent experienced doctor.di Google
ParrotLocal Guide · a month agoThank you Dr.Chan for your amazing care and support during a difficult time. Forever grateful for Dr.Chan for your dedication and expertise. Dr.Chan for your compassionate care made all the difference in my recovery. Thank you Dr.Chan for helping me stay strong and hopeful. Dr.Chan for your hard work and commitment truly saved lives.di Google
June Lee2 months agoI had a great experience at this clinic. The staff were friendly, professional, and welcoming. The doctor was patient, listened carefully to my concerns, and explained everything clearly. The clinic was clean, well-organized, and the waiting time was reasonable. I felt well cared for throughout my visit. I highly recommend this clinic to anyone looking for quality medical care.di Google
Lee JinHao4 months agoFirst and foremost, I would like to express my sincere gratitude to Dr. Chan, Dr. Hoo, and the nursing team. I am deeply impressed by their dedication and high sense of responsibility. They were incredibly patient and professional when explaining my medical condition, ensuring I fully understood every detail. Furthermore, they were proactive in providing an effective treatment plan that addressed my symptoms immediately. I truly appreciate their exceptional care.di Google
Maryam Aziz2 months agoI choose this clinic when i moved to Kepong because of the good reviews. And once i attend this clinic, i experienced it myself. The clinic is clean, the staff are professional and welcoming, incredibly efficient. The clinic interior design also calming and made my visits less anxious. The doctors here (Dr. Chan & Dr. Kon - sorry if misspelled) are very attentive, explain briefly to me what the do's and don'ts on after care treatments and for future preventions. I also just learned that this clinic is specialized in skin problems and i refer my dry and ictchy skin problems on my fingers. I've been put some plasters to hide the crack and dry skin for months. Thanks for the advise, now my skin is getting better. I will always come here for treatment and medical advises in future.di Google
Lye kok fai4 months agoSome clinics treat patients, but this clinic truly cares for people. Every visit here reminds me why trust matters so much in healthcare. Dr Chan is incredibly patient, detailed, and attentive, no matter how busy the clinic gets, he never makes you feel rushed. He listens, explains, and reassures, which makes a big difference when you’re not feeling your best. Carmen and the entire team deserve just as much recognition. From the moment you walk in, you’re welcomed with warmth and kindness. Even on the busiest days, the staff remain calm, friendly, and professional, something that is not easy to maintain. The clinic is always full, and honestly, that speaks for itself. It’s not just about treatment, it’s about the trust they’ve built with every patient who walks through their doors. For me, this is a place where I feel safe, heard, and genuinely cared for. At the same time, I hope the team, especially Dr Chan, will remember to take care of their own health too. Behind the dedication and long hours, I can see the tiredness , and it just shows how much effort is being put into caring for others. Thank you for your unwavering dedication, compassion, and excellent service. This is more than just a clinic , it’s a place people can rely on.di Google
joey liew7 months agoDoc tor here is professional with good attitude toward patients. Environment is new and clean. Suggest to put a little playground for kids in case of long waiting time.di Google
LeeminLocal Guide · 2 months agoDr Ivan is a very reliable and humble doctor. The atmosphere of the office is clean and quiet. The staffs are kind too. I highly recommend this clinic when you need to consult a doctor.👍👍di Google
yuen szhi7 months agoI am truly grateful to Dr Chan for his marvellous diagnosis and attentive care during the few difficult days when I was down with dengue. He was very thorough, patient, and reassuring, and his medical advice was clear and genuinely helpful throughout my recovery. He took the time to monitor my condition closely and explained everything in a way that gave me confidence and peace of mind. On top of that, the charges were very reasonable, which I deeply appreciate. Thank you Dr Chan for his dedication, professionalism, and kindness. I highly recommend him to anyone seeking a trustworthy and caring doctor.di Google
Kristina JLocal Guide · 2 years agoDr Chye and his fellow associates along with his admin staffs has always been helpful and knowledgeable. They always act with urgency and they consult in detail. You’ll always be satisfied. They always listen to your concerns and advise for each of your concerns. Good sets of meds. I’ve been coming here for more than 2 years plus and also my family members and we’re always delighted with the doctors treatmentsdi Google
Michael CheongLocal Guide · 7 months agoEver since my bro told me about this place, this is my go to when I feel unwell or want medical advice. When im here I feel safe and the doctors here give very good consultations and treatments. The price is also affordable and they don't simply do things. Super reccomended 👍🏼👍🏼👍🏼👍🏼👍🏼di Google
Jessy Ooi9 months agoVery friendly and kindly responsible klinic dr. detial is much help me. Explain and teach you how to do thnext step. Help you balance life, take more vitamins ect...di Google
Yong Chuen Choi7 months agoHighly recommend for their outstanding service. The entire team was professional, welcoming, and incredibly efficient. The level of care provided was excellent, and the treatment received was highly effective. Healthcare environments can sometimes feel stressful, but this clinic has a wonderful, relaxing atmosphere. The interior design is tasteful and calming, using warm colors and great lighting that made my visit much less anxious. It felt more like a wellness center than a clinic. Wouldn't hesitate to return here for any future medical needs.di Google
Mohan Das2 years agoDr. chan is very friendly and knowledgeable. He gave proper advice and gave a lots of tips on how to overcome my dry cough. The clinic ambiance is so good and the nurses are so friendly. Since this is my panel clinic and nearby my house , I always prefer this clinic for my medication and for my family.di Google
Lee Daphane4 months agoVery happy with the service here. The doctors and nurses are friendly, kind, and patient. The place is clean, and the pricing is reasonable too. Highly recommended!👍🏻di Google
Zo EeLocal Guide · 2 years agoThe clinic admins were friendly and polite. The atmosphere of the clinic is clean and neat, I don't feel uncomfortable or sickly being here. Doctor is very good, he explained my medical situation and patiently explained what I needed to be precautions of. Highly recommend this clinic.di Google
Aqilah NizarLocal Guide · 2 months agoNice sraff, clean clinic and efficient live numbering waiting queing system. Dr Kon is really helpful. Explanations is detailed but easily understamdable. Recommended.di Google
Asmine Nga year agoOur family have been with Chye Clinic for many years. Dr Chan is a very caring doctor. Well explained things to us, he even answered our questions by whatsapp. Nurses are friendly & helpful. Clean and comfortable waiting area and toilets. The best clinic by far.di Google
murny razi7 months agoI had a very pleasant experience at this clinic. The staff were friendly. The doctor took time to listen, explained everything clearly, and made me feel comfortable and well taken care of. The clinic is clean and well-organized. Highly recommended to anyone looking for great service and genuine care. Thank you so much! Keep up the great work and excellent service! Worth every penny. Important is affordable price! ❤️❤️❤️❤️di Google
Soalan lazim
- Berapakah paras testosteron yang normal?
- Setiap makmal ada julat rujukannya sendiri. Doktor membaca keputusan anda bersama simptom dan ujian ulangan, bukan berdasarkan satu angka sahaja.
- Adakah andropaus benar-benar wujud?
- Andropaus, atau menopaus lelaki, ialah nama popular bagi testosteron yang menurun dengan usia. Tidak seperti menopaus, penurunannya perlahan, dan penurunan yang besar biasanya ada punca lain yang patut dicari, seperti berat badan, kencing manis atau apnea tidur.
- Adakah TRT menjejaskan kesuburan?
- Ya. Terapi testosteron mengurangkan penghasilan sperma, kadang-kadang sehingga sifar. Jika anda merancang untuk mendapat anak, beritahu doktor, kerana ada cara lain untuk merawatnya.
- Berkesankah produk penggalak testosteron dari farmasi atau dalam talian?
- Kebanyakan suplemen yang dijual sebagai penggalak tidak menaikkan testosteron dengan ketara. Produk untuk membina otot boleh mengandungi steroid anabolik, yang membawa risiko sebenar.
- Sekali mula TRT, perlukah seumur hidup?
- Tidak semestinya. Jika puncanya boleh dirawat, seperti berat badan atau apnea tidur, testosteron mungkin pulih dan terapi boleh dinilai semula. Jika puncanya kekal, rawatan biasanya jangka panjang dengan pemeriksaan berkala.
Periksa testosteron anda di Kepong, datang terus setiap hari sehingga 8 malam
48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.