出现以下情况,值得检查睾酮
睾酮偏低通常不是单一症状,而是一组变化。几项同时出现、持续几个月,是男士来看诊的常见理由。
- 性欲下降
- 晨勃减少,或勃起有困难
- 睡再多也消除不了的疲倦
- 情绪低落、易怒或注意力变差
- 肌肉流失,同时腰腹脂肪增加
- 您有第二型糖尿病,或腰腹积聚很多脂肪
清单上每一项都可能有其他原因,从睡眠不足、甲状腺问题到忧郁都有可能。这就是医生要检测而不是猜测的原因。
睾酮怎样才算偏低
一次验血结果不等于诊断。医生会看三件事是否同时成立。
症状
像上面那些变化,持续了几个月。
- 加上
早晨的水平偏低
在一天中较早的时间抽血,那时睾酮处于最高点。
- 加上
复验确认
睾酮水平每天都有波动,所以一次偏低并不足够。
- 合起来:
睾酮偏低
接着医生会先找原因,然后才谈治疗。
什么会让睾酮下降
常常是可以改变的因素。有时则是睾丸或脑下垂体的问题,需要进一步检查。
往往可以逆转
- 体重过重,尤其是腰腹
- 第二型糖尿病
- 睡眠不足,包括睡眠呼吸暂停
- 大量饮酒
- 某些药物,例如鸦片类止痛药与类固醇
- 近期一场严重的病,或长期的压力
需要进一步检查
- 睾丸受损,原因可能是受伤、腮腺炎或以前的手术
- 脑下垂体问题,例如催乳素偏高
- 遗传疾病,例如克氏综合征(Klinefelter syndrome)
- 随年龄稳定下降,但幅度比一般大
睾酮偏低怎么治疗
治疗从原因开始。只有在需要时,才使用睾酮本身。
- 处理原因
- 减重、改善睡眠、控制糖尿病或调整药物,本身就可能让睾酮回升。
- 睾酮补充治疗(TRT)
- 以注射或外用凝胶的方式,只在确认睾酮偏低并造成症状时才开处方。
- 定期监测
- 定期检查睾酮水平、血球与 PSA,确保剂量保持安全。
- 什么情况不适合 TRT
- 计划生育的人,因为 TRT 会降低精子数量。另外,有前列腺癌或乳癌,或有未治疗的严重睡眠呼吸暂停,也不适合。
睾酮检测时会做什么
了解病史
有什么改变、持续多久,您的性欲与勃起、睡眠、情绪、体重、用药,以及是否计划生育。
早晨验血
睾酮连同 SHBG,加上 LH、FSH、催乳素与 TSH,让医生看出偏低的水平从何而来。
解释结果
与您的体重、血压与血糖一起看。结果偏低会先复验,才作任何决定。
制定计划,然后跟进
处理原因、在有需要时使用 TRT,或两者并行。6 至 12 个星期后复诊,并重复相关检查。
诊所在这方面还能做什么
这只在您和医生之间
- 您的问诊
- 私密进行,不带批判,无论您的性别、性取向或感情状况。
- 您的病历
- 加密保存在诊所自己的系统里,只有您可以授权查阅。没有您的明确同意,诊所职员无法调出您的检测结果。
- 您的名字
- 看诊不一定要留名字。想匿名检测的病人可以匿名检测。
- 您的医生
- 诊所每一位医生都在本网站列出姓名与资历,其中一位是名列国家专科医生名册的家庭医学专科医生。之后有问题或需要续药,直接用 WhatsApp 联系为您看诊的医生,不必经过前台。
直接来,或先问清楚
营业时间内(每日 上午9点至晚上8点)可不预约直接到诊,也可以先传讯息,把想问的都问清楚再来。
病人的话
甲洞与吉隆坡一带病人的评价
4.9来自 785 则 Google 评价
Fei Ru OohGoogle 在地向导 · 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.来自 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.来自 Google
ParrotGoogle 在地向导 · 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.来自 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.来自 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.来自 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.来自 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.来自 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.来自 Google
LeeminGoogle 在地向导 · 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.👍👍来自 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.来自 Google
Kristina JGoogle 在地向导 · 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 treatments来自 Google
Michael CheongGoogle 在地向导 · 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 👍🏼👍🏼👍🏼👍🏼👍🏼来自 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...来自 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.来自 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.来自 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!👍🏻来自 Google
Zo EeGoogle 在地向导 · 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.来自 Google
Aqilah NizarGoogle 在地向导 · 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.来自 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.来自 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! ❤️❤️❤️❤️来自 Google
常见问题
- 睾酮多少才算正常?
- 每间化验所都有自己的参考范围。医生会把结果和您的症状、复验结果一起判断,而不是只看单一数字。
- 男性更年期是真的吗?
- 男性更年期是对睾酮随年龄下降的俗称。和女性更年期不同,它下降得很慢;若下降得很明显,通常另有原因值得找出来,例如体重、糖尿病或睡眠呼吸暂停。
- TRT 会影响生育吗?
- 会。睾酮补充治疗会降低精子数量,有时甚至降到零。若您计划生育,请告诉医生,还有其他方法可以处理。
- 药房或网上卖的睾酮补充品有效吗?
- 大多数号称能提升睾酮的补充品,效果并不明显。一些健身用的产品可能含有合成类固醇,风险不小。
- 开始 TRT 就要终身使用吗?
- 不一定。若原因可以处理,例如体重或睡眠呼吸暂停,睾酮可能回升,治疗也可以重新评估。若原因是永久性的,通常需要长期治疗并定期检查。
在甲洞检查睾酮,每天开到晚上8点,可直接到诊
48, Jalan Lang Kuning, 52100 Kepong Baru, Kuala Lumpur.
Chye Clinic


