A seated man in light clothing illustrating the subject of men's hormonal health care at 23MD

    Restore your baseline. Feel like yourself.

    Men's BHRT

    Doctor-led men's bioidentical hormone replacement, addressing testosterone decline through comprehensive testing and personalised, monitored protocols.

    Meet 23MD Digital

    Wellness & Longevity · London & Dubai

    The Treatment

    Men's BHRT

    Men's BHRT prescribes testosterone, and where appropriate supporting hormones such as DHEA, in molecularly identical form to what your body produces. The goal is restoration to healthy young-adult levels, not supraphysiological enhancement. Delivered via gel, cream, or injection depending on lifestyle and clinical need.

    Men typically describe the change as feeling like themselves again, sharper, more capable in the gym, more present at home and at work. Improvements usually begin within 4–6 weeks and consolidate over 3–6 months. BHRT is a long-term commitment, monitored carefully and adjusted as needed.

    Duration

    60 min

    Downtime

    None

    Pain level

    Low

    Sessions

    8 weeks then 6-monthly

    Results start

    3–4 weeks

    Results peak

    3–6 months

    About

    What it is, how it works.

    How it works

    Testosterone is the principal male hormone responsible for muscle, energy, libido, mood, and metabolic regulation. Levels typically peak in the early 20s and decline gradually from the late 30s onward, a process known as andropause. BHRT restores testosterone to healthy levels, allowing these systems to function normally again. Every protocol is designed and monitored by Dr Martin Galy with regular blood work and symptom tracking.

    Why it matters

    Men typically describe the change as feeling like themselves again, sharper, more capable in the gym, more present at home and at work. Improvements usually begin within 4–6 weeks and consolidate over 3–6 months. BHRT is a long-term commitment, monitored carefully and adjusted as needed.

    Indications

    What We Treat

    • Symptoms of low testosterone (fatigue, low libido, fat gain, muscle loss, low mood)
    • Suboptimal testosterone confirmed on blood testing
    • Late-30s onward andropausal symptoms
    • Reduced cognitive sharpness and motivation
    • Loss of strength and recovery capacity

    Results & Expectations

    Clinical Expertise. Natural Outcomes.

    What may improve

    • Energy and stamina
    • Muscle mass and strength
    • Libido and erectile function
    • Sleep, mood, and mental clarity
    • Abdominal fat with training

    Timeline

    Energy and mood often improve within 3–4 weeks. Strength, libido, and body composition continue to improve over 3–6 months as the body recalibrates.

    BHRT restores physiological levels, it is not a performance-enhancement programme.

    23MD Digital

    Meet our 23MD Digital Team

    Doctor-led intelligence, at your fingertips. Explore whether Men's BHRT is the right pathway with our BHRT Expert.

    23MD Digital tools provide general information only and do not replace a consultation with a doctor. In an emergency, contact your local emergency services.

    Suitable For

    Safety & Suitability

    Not suitable for

    • Untreated prostate cancer or a high PSA
    • Severe untreated sleep apnoea
    • Polycythaemia (high red cell count)
    • Men trying to conceive (testosterone suppresses sperm production)
    • Patients seeking supraphysiological enhancement

    Consultation required: Baseline PSA, prostate examination, and full blood panel are required before starting. Treatment is monitored throughout via 6-monthly bloods.

    FAQs

    Your Questions, Answered

    Not necessarily. Many men prefer gel or cream applied daily. Injections (typically once or twice weekly) suit men who prefer less frequent dosing. Your physician will recommend based on your physiology and lifestyle.

    Yes, testosterone therapy suppresses your body's natural production of sperm. If you plan to have children, discuss this before starting. Alternatives such as hCG-based therapy can preserve fertility.

    Mild acne is possible early on. Testosterone may accelerate male-pattern hair loss in men predisposed to it. Both can usually be managed with adjustments or supportive treatment.

    Energy and mood often improve within 3–4 weeks. Strength, libido, and body composition continue to improve over 3–6 months.

    BHRT is generally long-term. Many men stay on it indefinitely. You can stop at any time, but symptoms will return.

    Generally no, BHRT is typically a private-pay programme in both the UK and UAE. We can provide receipts for any insurance reimbursement claims.

    No. BHRT restores testosterone to healthy physiological levels and is medically monitored. Anabolic steroid abuse uses supraphysiological doses outside medical supervision.

    Yes. Men's BHRT runs at both the London and Dubai clinics, with seamless care across both locations.

    Yes, restoring testosterone improves muscle protein synthesis, recovery, and training response. Combined with structured training and nutrition, results are significant.

    Initial 60-minute consultation, followed by blood testing, then a results review. Treatment begins after that. The full assessment process typically takes 3–4 weeks.

    Medically reviewed by Dr Martin Galy, MB BCh BAO LRCP&SI, GMC-registered since 2001.

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    Testimonials

    What our patients say

    Verified feedback from 23MD patients, collected after their appointments through our clinic system and published with permission.

    Review via Trustpilot
    “I have been seeing Dr Kersh and her colleagues at 23MD for many years. They listen very carefully to my concerns and always come up with a truly bespoke solution.”

    Kate R. · London · October 2026

    Review via Trustpilot
    “I saw Dr Kersh at her clinic in Chelsea and found her care and attention to my needs extremely impressive. I would highly recommend seeing her.”

    Jim C. · London · March 2026

    Review via Trustpilot
    “I am writing this review after being her patient for almost five years. I have realised how unique Dr Kersh is.”

    Claudia U. · London · November 2023

    Review via Trustpilot
    “The clinic is absolutely spotless and pristine. Dr Galy was very patient, professional, and made sure that I knew exactly what I was getting into and felt comfortable the entire time.”

    Robert · London · January 2019

    Verified patient
    “Incredible and thorough testing, clear explanations and wonderful online or in person assessments”

    Kim · London

    Dr Martin Galy

    Verified patient
    “After ten years with Dr Galy we continue to be extremely happy with his care and the service offered”

    Shaunagh · London

    Dr Martin Galy

    Verified patient
    “Dr. Galy was very professional and listened to all my concerns. He explained everything so that I could understand. I felt confident in his treatment plan.”

    Sarah · Dubai

    Dr Martin Galy

    Verified patient
    “I have been seeing Dr Martin Galy for roughly 15 years and he is fantastic. I highly recommend his services.”

    Reva · London

    Dr Martin Galy

    Verified patient
    “I experienced 23 MD as a highly efficient, professional and caring service, thank you!”

    Emma · London

    Dr Martin Galy

    Verified patient
    “I feel I always get good advice from Dr Galy”

    Chiara · London

    Dr Martin Galy

    Verified patient
    “Dr Galy is a wonderful doctor. Kind, compassionate, caring and knowledgeable. I always feel heard and understood. He knows me well and treats me holistically.”

    Sarah · London

    Dr Martin Galy

    Verified patient
    “I have been with Dr Galy for approximately twenty years. He always listens and helps you deal with your concerns. I am always grateful for his professional help and advice. Every woman should be lucky enough to have a Dr Galy.”

    Penny · London

    Dr Martin Galy

    As featured in

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