Walk-Ins Welcome · 5831 Vernor Hwy, Detroit, MI 48209
Confidential, physician-monitored TRT from a board-certified internist. Lab testing, individualized dosing, and ongoing safety monitoring at our Vernor Hwy clinic in Southwest Detroit.
Testosterone Replacement Therapy restores testosterone levels in men whose bodies no longer produce enough naturally — a condition called hypogonadism. TRT is appropriate only when low testosterone is confirmed by lab testing and the patient has matching symptoms.
If three or more of these apply, lab testing is the next step.
Every TRT patient goes through the same evidence-based protocol — no shortcuts, no untested compounds.
The only way to know is a blood test. Symptoms of low testosterone (low energy, low libido, fatigue) can have many causes. Dr. Dourra orders a complete lab panel and only starts TRT if testosterone levels are clinically low and symptoms match.
Many insurance plans — including Medicare and most commercial insurance — cover TRT when it's medically necessary, meaning lab-confirmed low testosterone with symptoms. We verify coverage before starting treatment.
There are three common forms: weekly intramuscular injection, daily transdermal gel, or pellets placed under the skin every 3–6 months. Dr. Dourra reviews the pros and cons of each with you before starting.
When prescribed and monitored by a physician, TRT is well-studied and considered safe for most healthy men. Risks include increased red blood cell count, sleep apnea worsening, and possible prostate effects — all of which are monitored with periodic lab work.
Yes. TRT typically suppresses sperm production. Men who want to preserve fertility should discuss alternatives (clomiphene, hCG, or combination protocols) with Dr. Dourra before starting TRT.
5831 Vernor Hwy, Detroit, MI 48209 · Mon–Fri 9 AM–7 PM · Saturday 9 AM–3 PM