Testosterone Replacement
Therapy in Kuala Lumpur
Treatment for men with symptomatic testosterone deficiency, started only after the diagnosis is confirmed by blood test. Assessed and prescribed at The Alpha Clinic by Dr. Sujesh Paramasivam.
KKLIU Licensed
Registered private clinic
Certified Specialist
Experienced specialists in Men’s Health
Fully Confidential
Records stay with your doctor
Same-Day Slots
No referral required
Dr. Sujesh Paramasivam
Founder & Lead Physician, The Alpha Clinic
Dr. Sujesh developed a special interest in men’s sexual health and holds a Certificate in Andrology from the Society of Men’s Health, Singapore. He sees every patient personally — the same doctor from first consultation through to follow-up.
- MBBS, Management & Science University Malaysia (2015)
- Junior Doctor, Hospital Tengku Ampuan Rahimah Klang (2016)
- Medical Doctor, Sarawak (2018)
- Private Medical Officer in Sexual Health (2020)
- Certificate in Men's Health (Andrology), Singapore (2021)
- Lifetime Member, Malaysian Medical Association
- Clinic located at Gateway Kiaramas, Mont Kiara — a quiet, low-traffic address chosen for privacy
What testosterone deficiency is
Testosterone deficiency — also called hypogonadism — is when the body produces little or no testosterone, and symptoms follow. Testosterone replacement therapy (TRT) is a long-established treatment for men who have both the symptoms and a confirmed low level on testing. Symptoms alone are not enough to make the diagnosis, because the same complaints are common to a number of other conditions.
Sexual
Reduced sex drive and reduced erectile function.
Energy & Mood
Feeling very tired all the time, and symptoms of depression.
Body Composition
Loss of lean muscle mass, and weight gain.
Hair & Appearance
Loss of body hair and reduced beard growth.
What happens when you come in
01
Consultation
A private discussion with Dr. Sujesh about your symptoms, medical history and whether testosterone deficiency is likely.
02
Blood test
Testosterone is measured from a blood sample, usually taken in the morning and repeated to confirm the result.
03
Treatment plan
If deficiency is confirmed, the form of treatment and the dose are decided with you before anything is prescribed.
04
Monitoring
Levels and blood results are reviewed at follow-up, and the dose adjusted where needed.
What treatment involves
- Diagnosis is confirmed by blood test before anything is prescribed
- The form of treatment and the dose are decided with you at consultation
- Regular review appointments to check levels and adjust the dose
- Blood counts and prostate health are monitored while you are on treatment
- TRT reduces sperm production — tell Dr. Sujesh if you plan to father children
- Treatment continues while it is needed, and is reviewed with you rather than open-ended
Outcomes and timelines
Different symptoms respond at different speeds, and the response depends on how low your levels were to begin with. The following reflects what is generally observed, and Dr. Sujesh will give you a specific expectation after your assessment.
- Effects on sexual interest appear from around 3 weeks, plateauing at about 6 weeks
- Changes in erections and ejaculation may take up to 6 months
- Effects on quality of life are often noticed within 3–4 weeks, with fuller benefit taking longer
- Changes in muscle mass and bone density develop gradually over months, not weeks
- TRT helps where testosterone is genuinely low — it is not a general energy or performance booster
What patients say
★★★★★
“I have visited other medical centres before but could not solve my problem. Dr Sujesh did a detailed diagnosis and blood test before suggesting a solution.”
— Na*****
★★★★★
“Dr Sujesh made me feel comfortable. No judgemental looks or questions. He answered all of my questions and was friendly.”
— Mr Ta*****
★★★★★
“Detailed explanation with a proper plan for what’s best for his patients.”
— Va*****
Questions about testosterone replacement therapy
By blood test. The sample is usually taken in the morning and repeated to confirm the result. Symptoms on their own are not enough, because tiredness, low mood and reduced sex drive have a number of other causes that need to be ruled out first.
Not usually. The diagnosis is confirmed by blood test before anything is prescribed, so treatment normally begins once the results are back and discussed with you.
No. TRT restores testosterone to a normal range in men who are deficient, at a dose set against your blood results. Anabolic steroid use involves much higher doses in men whose levels are already normal, which is a different thing entirely and carries different risks.
Yes. TRT reduces sperm production, and for some men this takes time to recover after stopping. If you are planning to father children now or in the near future, tell Dr. Sujesh at consultation so that alternatives can be discussed.
There can be, which is why monitoring is part of treatment. Blood counts and prostate health are checked at review appointments. Risks and what to watch for are explained to you before you start.
For many men treatment continues while the deficiency and its symptoms are being managed. It is reviewed with you at follow-up rather than set indefinitely, and stopping is discussed the same way as starting.
Sexual interest and general quality of life often change first, within roughly 3–6 weeks. Changes to erections may take up to 6 months, and changes in muscle and bone develop over months.
No. You can book directly by WhatsApp or phone.
No. Your visit and records are held by your treating doctor and are not disclosed to family, employers or insurers without your written consent.
Costs are confirmed with you at consultation, before anything proceeds. Nothing is charged that you have not approved.