Dr Felix Happich MD
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TRT for Men Over 50 in Dubai

TRT for men over 50 is simple with Dr Felix's personal care. There is no prescription after one blood test, no skipped prostate check, and testosterone is only started when your symptoms and two morning results both point to a real deficiency.

Your first visit covers your symptoms, your prostate, your heart and your blood count. Dr Felix separates normal ageing from true low testosterone before any treatment is discussed.

Dr Felix Happich
Written byDr Felix Happich, MDDHA-licensed physician · Dubai Healthcare City
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TRT for men over 50 in Dubai: man in his late fifties walking up park steps in the early morning
01

Prostate checked first

Men over 50 have a prostate examination and a PSA (prostate-specific antigen) blood test before treatment and again at 3 and 12 months.

02

Ageing sorted from deficiency

Testosterone falls slowly with age. Dr Felix checks whether your level is truly low or only lower than at 30.

03

Your doctor at every visit

This is a personal practice. Dr Felix Happich, German-trained and licensed by the Dubai Health Authority, sees you at every appointment.

Straight answers before you book

Wristwatch, reading glasses and a glass of water on a bedside table in the morning

What does TRT for men over 50 include?

TRT (testosterone replacement therapy) for men over 50 with Dr Felix includes 6 checks before and during treatment. Testosterone is prescribed only when symptoms and two low morning results agree.

  • Testosterone: measured fasting between 8 and 10 in the morning, on two separate days.
  • LH and FSH: luteinising hormone and follicle-stimulating hormone, the brain signals to the testes, show where the problem sits.
  • Prostate: examination and PSA before treatment, then at 3 and 12 months.
  • Blood count: haematocrit, the share of red cells in the blood, because testosterone raises it.
  • Heart and sleep: blood pressure, heart rhythm, cholesterol and snoring or daytime sleepiness.
  • Bones: fracture risk, because testosterone raised fractures in one large trial.
Couple in their sixties walking arm in arm along a park path in the evening

Is low testosterone after 50 just ageing?

Low testosterone after 50 is rarely explained by age alone. Total testosterone falls by about 0.4 percent per year, and true late-onset hypogonadism, the medical term for age-related testosterone deficiency, is uncommon.

2 in 100men aged 40 to 79 had low testosterone together with three sexual symptoms: fewer morning erections, low desire and erectile problems.European Male Ageing Study, 3,369 men

The figure comes from the European Male Ageing Study (New England Journal of Medicine, 2010). Excess weight and chronic illness lower testosterone more than age does. The US Food and Drug Administration (FDA) does not approve testosterone for a level that is low because of age alone.

Does TRT help men over 50?

Yes, TRT helps men over 50 with a confirmed deficiency, mainly with sexual function and mood. In the Testosterone Trials, 790 men aged 65 and older with low testosterone had more sexual activity and desire and better mood after one year on testosterone gel than on placebo gel (New England Journal of Medicine, 2016).

Anaemia without another cause improved in about half of the men on testosterone (54 percent), against about 1 in 7 on placebo (15 percent). Bone density in the spine rose by 7.5 percent with testosterone, against almost nothing, 0.8 percent, with placebo. Energy, memory and walking distance barely changed. In the TRAVERSE trial, testosterone did not raise heart attacks or strokes, but atrial fibrillation, pulmonary embolism and fractures were more common. Fractures occurred in 3.5 percent of men on testosterone against 2.5 percent on placebo, about 1 extra fracture for every 100 men (New England Journal of Medicine, 2024).

What does monitoring on TRT after 50 look like?

Monitoring on TRT after 50 follows a fixed schedule in the first year and then continues yearly. A PSA rise of more than 1.4 ng/mL within a year, or a PSA above 4 ng/mL, leads to a referral to a urologist.

  1. Before the startTestosterone twice, LH, FSH, haematocrit, PSA and prostate examination
  2. After 2 to 3 monthsTestosterone level checked and the dose adjusted
  3. After 3 to 6 monthsHaematocrit, PSA and prostate examination
  4. After 12 months, then yearlyHaematocrit and PSA, testosterone every 6 to 12 months

When is TRT not started after 50?

TRT is not started after 50 when a condition makes testosterone unsafe. Five conditions are treated or ruled out first.

  • Prostate or breast cancer: testosterone is not given.
  • High haematocrit: a value above 50 percent is investigated before treatment.
  • Severe urinary symptoms: an enlarged prostate is treated first.
  • Severe untreated sleep apnoea: breathing pauses at night worsen on testosterone.
  • Uncontrolled heart failure: testosterone retains a little salt and water.
Dr. Felix Happich, MD

Dr Felix Happich, MD decides with you whether treatment fits and when. Nothing is prescribed on request alone.

Why see a doctor for TRT after 50?

Dr Felix Happich is a German-trained physician licensed by the Dubai Health Authority. He sees every patient himself, checks your prostate and heart before treatment and starts testosterone only when the results support it.

When the decline comes with age: andropause. Symptoms without a clear deficiency: andropause treatment. How the diagnosis is made: low testosterone. How treatment works: testosterone replacement therapy. All options for men: Men’s Health & TRT Clinic Dubai.

Your first consultation with Dr Felix

  1. Symptoms and history

    Desire, erections, energy, mood, sleep, urinary symptoms, earlier fractures and your current medicines.

  2. Examination

    Blood pressure, heart rhythm, prostate examination and a check for breast tissue and testis size.

  3. Morning blood tests

    Testosterone on two mornings, LH, FSH, haematocrit, PSA, cholesterol and blood sugar.

  4. Decision and plan

    Dr Felix explains whether TRT fits, which form suits you and the dates of your checks.

More questions about TRT for men over 50

What does TRT for men over 50 cost?

The cost of TRT for men over 50 depends on the blood tests you need and whether treatment becomes part of your plan. You get the full cost in the consultation before anything starts.

Is TRT safe for the heart after 50?

In the TRAVERSE trial of 5,246 men aged 45 to 80 with heart disease or heart risk, testosterone did not raise heart attacks, strokes or cardiovascular deaths. Atrial fibrillation and pulmonary embolism were more common, so heart rhythm and clot risk are checked.

Does TRT cause prostate cancer?

Prostate cancer rates in the TRAVERSE trial were low and similar with testosterone and placebo. Men at high risk were excluded, so PSA and prostate examination stay part of every plan after 50.

How soon do men over 50 notice a difference?

Desire, energy and mood change within 3 to 6 months at a normal testosterone level. No change after 6 months points to another cause, and treatment is reviewed.

Low testosterone after 50, checked properly

One consultation with Dr Felix in Dubai Healthcare City. You leave knowing whether your testosterone is truly low and what treatment means for your prostate and heart.

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Sources

  1. Identification of late-onset hypogonadism in middle-aged and elderly men (European Male Ageing Study), New England Journal of Medicine 2010, PubMed abstract. 3,369 men aged 40 to 79
  2. Effects of Testosterone Treatment in Older Men (Testosterone Trials), New England Journal of Medicine 2016, PubMed abstract. 790 men aged 65 and older
  3. Cardiovascular Safety of Testosterone-Replacement Therapy (TRAVERSE), New England Journal of Medicine 2023, PubMed abstract. 5,246 men aged 45 to 80
  4. Testosterone Treatment and Fractures in Men with Hypogonadism, New England Journal of Medicine 2024, PubMed abstract. Fracture results from TRAVERSE
  5. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline, Journal of Clinical Endocrinology and Metabolism 2018, PubMed abstract. Diagnosis, treatment and monitoring
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