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Victoria Aesthetics Wellness Centre

MALE CLINIC · HORMONE OPTIMISATION

Testosterone Replacement Therapy in Seychelles

Not tired. Not old. Possibly low T.

Physician-led TRT for men with symptoms and blood results that confirm low testosterone. We test first, treat the cause, deliver your medication discreetly and monitor you for as long as you continue.

  • Blood tests before any prescription
  • Pharmaceutical-grade testosterone
  • Discreet delivery
  • Reviewed every 3 months

Consultation SCR 900 · deductible from your treatment plan

Energetic man after hormone optimisation care at Victoria Aesthetics, Seychelles

STARTS WITHA hormone blood panel

FIRST REVIEWAt 8 to 12 weeks

MEDICAL DIRECTIONDr. Eric Licea, MD

  • DIAGNOSIS

    2 tests

    Symptoms plus two low morning testosterone results

  • CONSULTATION

    ~60 min

    Results, history and goals reviewed with your doctor

  • FIRST REVIEW

    8–12 wks

    With repeat bloods drawn about 2 weeks before

  • THEN

    3 months

    Regular reviews of symptoms, labs and dose

WHY TESTOSTERONE FALLS

A slow slide, not a cliff.

From around the mid-thirties, total testosterone falls by roughly 1% a year, and the free, active fraction falls faster. Weight gain, poor sleep, stress, diabetes and some medications can push it lower.

Illustrative curve: average testosterone stays fairly stable until the mid-thirties, then declines gradually with age 3040506070

Illustrative population trend only. Individual levels vary widely, which is exactly why we test.

IN YOUR 30s

Usually stable, but not always.

Most men are still near their peak. Low testosterone at this age is less common, so when symptoms appear we look hard for a cause: weight, sleep, stress, medications, anabolic steroid use or a pituitary problem.

60-SECOND SELF-CHECK

Which of these sound familiar?

Tap every sign you have noticed over the last few months. It is not a diagnosis: many of these have other causes too. It simply tells you whether a blood test is worth doing.

DESIRE & PERFORMANCE
ENERGY & MOOD
BODY

0 OF 12 SIGNS

Start tapping.

Pick the signs you recognise. Low testosterone is confirmed only by symptoms together with blood tests, never by a questionnaire alone.

Send my result on WhatsApp (opens WhatsApp in a new tab)
Man in his forties reviewing his health with a doctor
Symptom→Root cause

ERECTILE CHANGES & LOW LIBIDO

You're not broken. You're not alone.

Erectile dysfunction, the difficulty getting or keeping an erection firm enough for sex, affects some degree of about half of men aged 40 to 70. It is not a life sentence, and it is often a warning sign of something deeper: low testosterone, vascular disease, diabetes, stress or the side effect of a medication.

That is why we treat the root cause, not just the symptom. When low testosterone is the driver, correcting it can restore desire and improve erectile function; when it is not, testosterone will not fix it, and we tell you so.

New erectile problems can be an early sign of heart disease. Your assessment includes your cardiovascular risk, not just your hormones.

TESTED, NOT GUESSED

No blood test, no testosterone.

International guidelines diagnose low testosterone only with consistent symptoms and two low morning results. Our panel also checks why it is low, and whether TRT is safe for you.

TestWhat it tells usWhy it matters
Total testosterone × 2Your level, drawn in the morning on two separate days.Confirms the diagnosis
SHBG & free testosteroneHow much testosterone is actually available to your tissues.Catches “normal but low”
LH & prolactinWhether the problem starts in the testes or in the pituitary.Finds the cause
Oestradiol (sensitive)How much testosterone is being converted to oestrogen.Guides the plan
Full blood countHaematocrit, the share of red cells in your blood.Safety baseline
PSAA prostate marker, checked before starting and during treatment.Safety baseline
Metabolic panel (CMP)Liver, kidneys, glucose and electrolytes.Whole-body picture

Thyroid, lipids, HbA1c and vitamin D are added when your symptoms suggest it. Your blood can be drawn at the clinic, or at your home or office for a service fee.

HOW IT WORKS

From first test to steady levels.

Doctors registered with the Seychelles Medical & Dental Council, and the peace of mind of receiving your medication at your door.

  1. STEP 01

    Medical history

    A short intake form, or the low-T quiz, so your doctor knows your symptoms and history.

  2. STEP 02

    Blood panel

    Haematological, biochemical and hormonal tests, drawn in the morning, at the clinic or at home.

  3. STEP 03

    Consultation

    About 60 minutes, in person or by video, to go through your results and decide if TRT is right for you.

  4. STEP 04

    Your plan

    Route, dose and any support medication chosen for you, with risks and benefits explained.

  5. STEP 05

    Delivered

    Medication and supplies shipped to your door in discreet packaging.

  6. STEP 06

    Follow-up

    First review at 8 to 12 weeks, with bloods 2 weeks before, then every 3 months.

BENEFITS, HONESTLY

What TRT can, and cannot, do.

In men with confirmed low testosterone, large trials show real benefits in some areas and little in others. Choose an area to see what the evidence says.

SEXUAL HEALTH

The clearest benefit.

Libido, sexual activity and erectile function improve in men with low testosterone. If erections remain a problem, TRT can be combined with other treatments.

EVIDENCE

Strong

YOUR TRT PLAN

Bioidentical testosterone, in the route that suits you.

Bioidentical testosterone has the same chemical structure as the hormone your body makes. Esters differ in how fast they act and how long they last; your doctor chooses the form, dose and any support medication.

  • 01

    Injections

    Testosterone cypionate or enanthate, given at regular intervals for steady levels. The most widely used route.

  • 02

    Transdermal cream

    Applied daily to the skin for a gentler, needle-free option. Avoid skin contact with partners and children after applying.

  • 03

    hCG

    Human chorionic gonadotropin stimulates your own testes. Used with TRT to help maintain testicular size and, in some men, sperm production.

  • 04

    Aromatase inhibitor

    Only when needed: lowers oestrogen if high levels cause nipple tenderness or breast swelling. Not routine for every man.

BEFORE YOU START · FERTILITY

Testosterone can switch off sperm production.

Testosterone from outside tells your brain to stop sending its signals (LH and FSH) to the testes. Your own testosterone production falls, the testes can shrink and sperm production can stop. It usually recovers after stopping, but not always quickly.

  • Planning a child soon?

    Tell us before starting. TRT on its own is not the right choice, and there are other ways to raise testosterone that protect fertility.

  • Want to keep your own production?

    hCG can be added to keep the testes working while you are on TRT. Your doctor explains whether it suits you.

  • Not a contraceptive either

    Reduced sperm counts do not make TRT reliable contraception. Use contraception if pregnancy is not planned.

SAFETY FIRST

The right dose, for the right man, reviewed over time.

In the large TRAVERSE trial (New England Journal of Medicine, 2023), men with confirmed low testosterone had no increase in major heart events on testosterone compared with placebo. Atrial fibrillation, blood clots and fractures were more frequent, which is why monitoring matters.

WE MONITOR

Every review.

  • Testosterone and oestradiol levels
  • Haematocrit, because TRT can thicken the blood
  • PSA and prostate symptoms
  • Blood pressure, sleep and how you feel

POSSIBLE SIDE EFFECTS

What we watch for.

  • Acne or oily skin
  • Breast tenderness or enlargement
  • Worsening of sleep apnoea
  • Smaller testes and lower sperm counts
  • Raised red-cell count, which can increase clot risk

WE WILL NOT START TRT WITH

Until it is investigated.

  • Prostate or breast cancer
  • A raised PSA or haematocrit
  • Untreated severe sleep apnoea
  • A recent heart attack or stroke
  • Plans to father a child soon

Over-replacement causes problems too. The goal is a normal level for you, not the highest number on the report.

DR. ERIC LICEA, MD

“After 40, your body doesn't need more willpower. It needs the right hormones.”

YOUR TRT PROGRAMME

One plan. Everything in it.

Your programme price depends on your medication, route and dose, and is confirmed at consultation. Minimum purchase: a 3-month supply, with month-to-month payment options.

YOUR PROGRAMME INCLUDES

  • Medical reviews every 3 months: progress, symptoms, blood work and dose
  • Follow-up blood work (FBC, CMP, total and free testosterone, oestradiol) up to 4 times a year
  • Medication, supplies and shipping
  • Discreet packaging and reliable delivery
  • Reasonable contact by WhatsApp, email and SMS
  • One video call with a doctor during a regular review, at no cost
  • Pharmaceutical-grade products and professional support
  1. START

    Hormone consultation

    Results, history and goals, about 60 minutes. Deductible from your treatment plan.

    SCR 900

  2. PROGRAMME

    TRT plan

    Medication, monitoring and reviews, priced for your protocol.

    At assessment

  3. WITH WEIGHT LOSS

    Testosterone add-on

    For men 40+, or when hormonally indicated, added to a weight-loss programme.

    SCR 4,860

  • Extra consultation, beyond the 3-monthly reviewsSCR 799
  • Blood draw at your home or officeSCR 799
  • Letters, travel letters and extra or duplicate prescriptionsSCR 399
  • Additional blood work recommended by your doctorAs quoted

BEYOND TESTOSTERONE

Sexual performance treatments, when TRT is not the whole answer.

Prescribed only after assessment, alone or alongside TRT. More testing may be needed if an underlying physical or psychological cause is found.

  • 01

    Fast-acting troches

    Dissolvable oral combinations, such as tadalafil or sildenafil, for confidence when it matters.

  • 02

    PT-141

    A peptide that acts on the nervous system to support desire and arousal, rather than blood flow alone.

  • 03

    Trimix & Quadmix

    Self-administered injections for a rapid, reliable erection when tablets do not work or are not suitable.

  • 04

    Delay wipes

    A topical benzocaine option that reduces sensitivity without removing it, to help you last longer.

  • 05

    Combination therapy

    Some treatments work better together; your doctor builds the combination for you.

  • 06

    Lifestyle & nutrients

    Sleep, weight, exercise and stress, plus IV or vitamin support when tests show a deficiency.

QUESTIONS

Frequently asked questions

Prefer to ask privately? Message our clinical team on WhatsApp.

Ask on WhatsApp (opens WhatsApp in a new tab)
What is testosterone replacement therapy (TRT)?

TRT restores testosterone to a normal level in men whose symptoms and blood tests confirm a deficiency (hypogonadism). We use pharmaceutical-grade bioidentical testosterone, prescribed and monitored by our doctors.

How do I know if I have low testosterone?

Symptoms such as low libido, erectile changes, fatigue, low mood, loss of muscle and increased body fat can suggest it, but the diagnosis needs consistent symptoms plus two low morning testosterone results, as international guidelines recommend.

Can I receive TRT without blood work?

No. A blood panel is the only way to know whether you are a candidate for testosterone replacement and whether it is safe for you.

What labs are included in your blood panel?

Total testosterone, SHBG and free testosterone, LH, prolactin, sensitive oestradiol, full blood count (haematocrit), comprehensive metabolic panel and PSA. Thyroid, lipids, HbA1c or vitamin D are added when your symptoms suggest it.

Do you accept results from home blood test kits?

No. We cannot verify who took a home test, and verification is essential before prescribing. If convenient, our team can draw your blood at your home or office for a service fee.

What ages of men do you treat?

We generally treat adult men, most often from their thirties onwards, who have specific symptoms and objectively low lab values. In younger men we look especially carefully for the underlying cause.

How quickly will I see results?

It varies. Many men notice better desire and mood within 3 to 6 weeks; changes in muscle, body fat and bone take several months. Training, sleep and diet make a real difference to what you achieve.

Is TRT safe?

When it is properly indicated and monitored, yes. In the large TRAVERSE trial (NEJM, 2023), testosterone did not increase major heart events in men with confirmed low testosterone, although atrial fibrillation, blood clots and fractures were more frequent. That is why we screen before starting and monitor haematocrit, PSA and your levels throughout.

Does testosterone therapy affect the prostate?

Current evidence does not show that TRT causes prostate cancer, but testosterone can stimulate an existing cancer and benign prostate enlargement. We check PSA and prostate symptoms before starting and during treatment, and we do not prescribe TRT to men with prostate cancer.

Will TRT affect my fertility?

It can. Testosterone from outside suppresses the brain signals that drive sperm production, so counts can fall to very low levels. If you plan to father a child soon, tell us before starting: there are other options.

Can testosterone cause my testicles to shrink?

Yes, because your own testes are told to slow down. Adding hCG can help maintain testicular size and function; your doctor will explain whether it suits you.

Will treatment stop my body from producing its own testosterone?

While you are on TRT, your natural production is largely switched off. It usually recovers after stopping, sometimes slowly. hCG can be used to keep the testes active during treatment.

How long will I have to continue treatment?

There is no fixed time limit. TRT is usually long term, using the lowest dose that achieves your goals. If you stop, levels generally return to where they were. Never change your dose or stop without speaking to us first.

Do I stop my other regular medications?

No. Keep taking your usual medication and tell your own doctor about your TRT, as some medicines may need adjusting.

How often is blood work required?

Your first review is at 8 to 12 weeks, with blood drawn about 2 weeks before. After that, blood tests and reviews are every 3 months, more often if your dose changes.

Once I enrol, how long until I receive my medication?

After your blood panel and consultation, you can expect your medication within 15 business days.

Can I transfer from another TRT provider?

Yes. If you are already on treatment, we can review labs up to 5 months old, and you do not need to lower your testosterone level before signing up.

Can I travel with my medication?

Testosterone and hCG are controlled medicines, so check the rules of each country you visit. We can provide a travel letter for an admin fee of SCR 399; email us your full travel details.

Is erectile dysfunction related to testosterone?

Sometimes. ED can be a symptom of low testosterone, but it is often linked to blood vessels, diabetes, stress or medications. Testing finds the cause, so we treat that rather than the symptom alone.

Does erectile dysfunction go away on its own?

Rarely. It often has more than one cause, physical and psychological, and it can be an early sign of heart disease. It is worth a proper medical assessment.

How and when is the consultation paid?

The hormone consultation is SCR 900 and is deductible from your treatment plan. Your programme price depends on your medication and dose and is agreed before anything is prescribed, with a minimum 3-month supply and month-to-month payment options.

Can I improve my testosterone naturally?

Often, a little. Losing excess weight, sleeping well, regular strength training, less alcohol and treating sleep apnoea can all raise testosterone. We include these steps in every plan, with or without TRT.

TRT · MAHÉ, SEYCHELLES

Find out what your testosterone is telling you.

Book your blood panel and consultation. We review your results, your history and your goals, and build a plan only if it is right for you.

Victoria Aesthetic & Wellness Clinic · Bel Etang Building, Hermitage Road, Mont Fleuri, Mahé, Seychelles

HORMONE CONSULTATION

SCR 900

INCLUDES

  • Review of your blood panel
  • Symptoms, history and goals
  • Cardiovascular and prostate risk check
  • Fertility plans discussed
  • Deductible from your treatment plan

Medical disclaimer: Educational information only, not a substitute for individual medical advice. Testosterone is a prescription medicine started only after a medical consultation, laboratory assessment and informed consent, with ongoing supervision. Benefits, risks and results vary between individuals and cannot be guaranteed.

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