Men's Hormone Replacement

Comprehensive Lab Panels

• What It Is: A detailed blood analysis that provides a panoramic view of your entire hormonal and metabolic ecosystem.

• Primary Benefits:

  • Identifies the root cause of your symptoms, whether it's low testosterone, high stress, inflammation, or a combination.

  • Provides the data for a truly personalized treatment plan, a new standard for men's health in the Twin Cities.

  • Establishes critical safety baselines (e.g., prostate health) before therapy begins.

  • Allows for objective tracking of your progress and optimization of your protocol over time.

• How It Works (The Science): We analyze a wide range of biomarkers, including:

  • The HPA Axis Panel: We measure not just Total and Free Testosterone, but also the brain hormones (LH and FSH) that signal for its production, as well as Estradiol to ensure proper hormonal balance.

  • Cortisol: Assesses the impact of stress on your system, as high cortisol can suppress testosterone production.

  • Prostate-Specific Antigen (PSA): A critical screening tool for prostate health that is mandatory before and during testosterone therapy.

  • High-Sensitivity C-Reactive Protein (hs-CRP): Measures low-grade systemic inflammation, which is closely linked to hormonal decline, fatigue, and increased health risks.

• Important Safety Information: This is a standard blood draw. A comprehensive lab panel is an essential prerequisite for any safe and effective hormonal management program.

Natural Support vs. Medical TRT

• Our Philosophy: We always start with a conversation about foundational health: diet, exercise, stress management, and sleep. However, for men experiencing true andropause with clinically low testosterone levels, lifestyle changes are often insufficient. In these cases, a medically supervised Testosterone Replacement Therapy (TRT) program is the most effective intervention available to men in Minnesota.

Bioidentical Hormone Pellets

• What It Is: Tiny, custom-compounded pellets of bioidentical testosterone, about the size of a grain of rice, that are inserted under the skin. This is often our preferred TRT method for our Twin Cities patients.

• Primary Benefits:

  • Provides a steady, consistent release of testosterone, avoiding the hormonal "roller coaster" of peaks and troughs.

  • Incredibly convenient, requiring only a simple in-office procedure at our Inver Grove Heights clinic every 4-6 months.

  • Mimics the body's natural release, delivering consistent, round-the-clock symptom relief.

• How It Works (The Science): The crystalline testosterone pellets are inserted into the fatty tissue of the upper buttock or hip. They dissolve slowly over several months, releasing a physiologic dose of testosterone directly into the bloodstream.

• Important Safety Information: Pellet insertion is a minor in-office procedure with minimal risk. As with all TRT, regular lab monitoring is required to ensure optimal and safe dosing.

Testosterone Injections

• What It Is: Intramuscular or subcutaneous injections of testosterone, typically self-administered at home one to two times per week.

• Primary Benefits:

  • Allows for very precise and easily adjustable dosing.

  • A highly effective and well-established method for TRT.

• How It Works (The Science): Injectable testosterone (usually testosterone cypionate or enanthate) is suspended in an oil carrier. After injection, it is gradually absorbed into the bloodstream, raising serum testosterone levels.

• Important Safety Information: Requires proper patient education on sterile self-injection techniques. Regular lab monitoring of testosterone, estradiol, PSA, and blood counts (hematocrit) is crucial to manage potential side effects like fluid retention, acne, or changes in blood viscosity. TRT is contraindicated in men with active prostate or breast cancer.

While optimizing testosterone is the foundation of male vitality, we offer a suite of the most advanced sexual health therapies available in the Minneapolis-St. Paul area. These treatments work synergistically with hormonal optimization to address the specific mechanical, vascular, and neurological factors of erectile function and performance.

Emsella® Chair

• What It Is: An FDA-cleared, non-invasive therapeutic chair that uses electromagnetic energy to deliver thousands of powerful contractions to the pelvic floor muscles.

• Primary Benefits:

  • Strengthens the pelvic floor, which is essential for erectile rigidity and ejaculatory control.

  • Can lead to improved erectile function and stronger, more satisfying orgasms.

  • Effectively treats urinary incontinence, a common issue for aging men.

• How It Works (The Science): The Emsella chair utilizes High-Intensity Focused Electromagnetic (HIFEM) technology. While you sit fully clothed in our Inver Grove Heights office, the device generates a powerful but painless electromagnetic field that stimulates the motor neurons of the pelvic floor, causing deep, supramaximal contractions. One session provides the equivalent of over 11,000 Kegel exercises.

• Important Safety Information: The treatment is completely non-invasive, painless, and has no downtime. It is contraindicated for men with pacemakers or metallic implants, particularly hip replacements.

Piezowave 2 Acoustic Wave Therapy

• What It Is: A clinically proven, non-invasive therapy for erectile dysfunction that uses low-intensity acoustic waves (shockwaves) to treat the root vascular cause of ED.

• Primary Benefits:

  • Promotes the growth of new blood vessels, improving blood flow to the penis.

  • Can restore spontaneous, natural erections without the need for pills, a leading-edge ED treatment for men in Minnesota.

  • Addresses the underlying cause of vascular ED, offering a potentially long-term solution.

• How It Works (The Science): The Piezowave 2 device delivers precise acoustic waves to the penile tissue. This energy creates controlled microtrauma, which stimulates the body's innate healing response. This process includes the release of powerful growth factors and leads to neovascularization—the formation of new, healthy blood vessels, fundamentally improving blood flow.

• Important Safety Information: This is a safe, in-office procedure with no downtime. It is not recommended for individuals with certain bleeding disorders or those on high-dose anticoagulant therapy.

The P-Shot® (Priapus Shot®)

• What It Is: An advanced sexual enhancement procedure that uses Platelet-Rich Plasma (PRP), derived from the patient's own blood, to rejuvenate penile tissue.

• Primary Benefits:

  • Can improve erection quality and firmness.

  • May increase penile sensitivity and enhance sexual pleasure.

  • Promotes healthier tissue and improved circulation.

• How It Works (The Science): A small amount of your blood is drawn and centrifuged to concentrate the platelets, creating PRP rich in natural growth factors. After applying a topical anesthetic, the PRP is carefully injected into specific areas of the penis to stimulate stem cells, promote new blood vessel and nerve growth, and repair tissue.

• Important Safety Information: As the procedure uses your own blood, there is no risk of allergic reaction. The risks are minimal, such as minor bleeding or bruising. The procedure is performed by our trained medical providers in our sterile Inver Grove Heights facility.

Prescription Medications (PT-141 & Tadalafil)

• What It Is: Targeted prescription options to address both the desire and mechanical components of sexual function.

• Primary Benefits:

  • PT-141 (Bremelanotide): A powerful peptide that directly increases sexual desire (libido) in the brain.

  • Tadalafil (Cialis): A reliable, long-acting oral medication (PDE5 inhibitor) for achieving and maintaining strong erections.

• How It Works (The Science): PT-141 is a melanocortin agonist that modulates pathways in the central nervous system to increase arousal. Tadalafil works peripherally by inhibiting the PDE5 enzyme, which increases blood flow to the penis in response to sexual stimulation.

• Important Safety Information: These are prescription medications that require a thorough medical evaluation at our Minnesota clinic. PT-141 is not for men with uncontrolled hypertension. Tadalafil cannot be used with nitrate medications for chest pain.

CJC-1295 & Ipamorelin

• What It Is: A powerful peptide combination that naturally stimulates your body's own production of Growth Hormone (GH).

• Relevance to Hormonal Health: Supporting healthy GH levels can significantly amplify the benefits of TRT. We expertly integrate peptide therapy into our TRT programs for patients across the Twin Cities.

• Primary Benefits:

  • Helps increase lean muscle mass and reduce stubborn body fat.

  • Improves sleep quality, a common complaint in andropause.

  • Enhances recovery from exercise and daily stressors.

• How It Works (The Science): This stack works in synergy. CJC-1295 (a GHRH) tells the pituitary gland which cells to activate, while Ipamorelin (a GHRP) tells those cells how much Growth Hormone to release.

• Important Safety Information: These peptides are generally very well-tolerated. This therapy is contraindicated in patients with active malignancy.

Photobiomodulation (PBM), EWOT, PEMF, & NanoVi

• What It Is: A suite of non-invasive technologies available at our Inver Grove Heights clinic designed to reduce inflammation, boost energy, and optimize cellular function.

• Relevance to Hormonal Health: These therapies address many of the underlying symptoms of andropause, helping to fight fatigue, inflammation, and cellular stress common in men with low testosterone.

• How They Help:

  • PBM Therapy: Can help lower systemic inflammation (as measured by hs-CRP) and boost mitochondrial energy production to combat fatigue.

  • EWOT: Dramatically increases oxygen delivery to all tissues, improving stamina, cognitive function, and workout capacity.

  • PEMF Therapy: Helps "recharge" your cells, improving circulation, reducing aches and pains, and enhancing recovery.

  • NanoVi Therapy: Combats oxidative stress, a key factor in the aging process that contributes to hormonal decline.

• Important Safety Information: All of our biohacking technologies are non-invasive and have excellent safety profiles. A consultation ensures we select the right supportive therapies for your specific needs.