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Testosterone
Testosterone is the primary male sex hormone responsible for developing male characteristics, muscle strength, and libido. Monitoring total testosterone levels helps assess the effectiveness of TRT and detect hormone imbalances.

Sex Hormone Binding Globulin (SHBG)
SHBG is a protein that binds to testosterone and other sex hormones, regulating their availability. Measuring SHBG helps distinguish how much testosterone is free (active) versus bound (inactive), guiding accurate assessment of hormonal status.

Globulin
Globulins are a group of blood proteins involved in immune function and hormone transport. Assessing globulin helps evaluate overall protein status and can provide clues to inflammation or liver health.

Mean Platelet Volume (MPV)
MPV measures the average size of platelets in your blood, which can indicate changes in platelet production or activation—important for monitoring cardiovascular risk during TRT.

Oestradiol
Oestradiol is a form of oestrogen present in males and females. In men on TRT, elevated oestradiol can lead to side effects such as breast tenderness or mood changes, so its level must be monitored.

Prolactin
Prolactin is a hormone that can affect sexual function and fertility. Abnormal prolactin levels may interfere with testosterone therapy and require further investigation.

Haemoglobin
Haemoglobin is the protein in red blood cells that carries oxygen. TRT can increase haemoglobin levels, so monitoring ensures they remain within a safe range to prevent blood thickening.

Free Testosterone
This measures the amount of testosterone not bound to proteins and freely available to tissues. It is a more accurate indicator of hormonal activity than total testosterone alone.

Albumin
Albumin is a major blood protein that transports hormones and maintains fluid balance. It also binds to testosterone, affecting free hormone levels.

Total Protein
Total protein includes albumin and globulins, providing an overview of nutritional and organ health, important during hormone therapy.

Platelet Count
Platelets are essential for blood clotting. TRT can affect platelet numbers, so regular monitoring helps manage clotting risks.

Prostate-Specific Antigen (PSA)
PSA is a marker used to screen for prostate health issues, including prostate cancer. Monitoring PSA is critical during TRT as testosterone can influence prostate tissue.

Full Blood Count (FBC)
FBC provides a broad picture of blood health, including red and white cells and platelets, ensuring therapy does not adversely affect blood components.

Haematocrit
Haematocrit measures the percentage of red blood cells in blood. Elevated haematocrit from TRT can increase the risk of blood clots, so it is closely monitored.