Skip to content
A man in his forties leaning into a video call at his kitchen counter in the evening, talking and smiling.

TRT and hormone health

Monitoring iswhat makes itsafe.


Testosterone therapy is ongoing, and so is the oversight. Follow-up appointments and repeat blood work are how your prescriber catches problems early and keeps the plan working.

Important: TRT is a prescription therapy with potential risks and side effects. Monitoring reduces those risks, it does not remove them, and your provider reviews the ones relevant to you.

Takes 3 minutes. See which treatment fits and what to expect.

  • Licensed Canadian
    prescribers
  • Secure and private
    virtual care
  • Pharmacy
    fulfilment
  • Ongoing monitoring
    and support
  • Virtual men's health
    and hormone clinic

What gets followed

What monitoring actually looks at

The exact markers and the interval are set by your prescriber, based on your results and your health history.

  • Hormone levels

    Repeat testosterone and related markers, to check the dose is doing what it should.

  • Blood health

    Red blood cell count and hematocrit, which testosterone therapy can raise.

  • Metabolic markers

    Lipids, glucose and blood pressure, as part of your general cardiovascular picture.

  • Your own report

    How you actually feel, which is the reason for treating and the first thing reviewed.

Both halves of the picture

What it involves, and what it is watching for

What ongoing care involves

Treatment is not a prescription that arrives and then nothing. The follow-up is the part that makes it medicine.

  • Follow-up appointments

    Virtual reviews with your provider to discuss how you are responding.

  • Repeat blood work

    Ordered at the intervals your prescriber judges appropriate for you.

  • Dose adjustments

    The plan changes when your results or your symptoms say it should.

  • Pharmacist support

    Counselling on administration, storage, interactions and side effects.

Risks and side effects

These are real and they are why monitoring exists. Your provider reviews the ones relevant to you before anything is prescribed.

  • Changes to red blood cell count and hematocrit.

  • Effects on sperm production and fertility.

  • Acne, oily skin and fluid retention.

  • Mood changes and sleep disturbance.

  • Effects on the prostate, which are monitored where indicated.

This is not a complete list. Tell your provider about any new symptom while you are on treatment, and seek medical attention for anything severe.

Still weighing it up?

The questions men ask us most, including the ones about side effects, fertility and stopping treatment.

Next step

TRT questions

Read the FAQs

Start your confidential assessment

It takes a few minutes, it costs nothing, and it is the step that tells you whether this is the right pathway for you.

  • Secure and private
  • Takes a few minutes
  • No obligation
  • Canadian licensed providers

    Assessment and prescribing by licensed practitioners.

  • Secure and private

    Your health information is encrypted and kept confidential.

  • Evidence-informed approach

    Guidance grounded in clinical evidence, not trends.

  • Medications delivered across Canada

    Filled by Border Pharmacy, or any pharmacy you choose.

Monitoring plans are set by your prescriber and vary by individual. This page describes what monitoring generally involves, not a schedule you should expect. The Men's Health Discovery Call is educational in nature and does not provide medical advice or establish a healthcare provider-patient relationship. Medical assessment, diagnosis, laboratory testing, and prescribing decisions are made independently by licensed physicians or nurse practitioners. Pharmacists provide medication counselling within their scope of practice.