Low testosterone (male hypogonadism) assessment and testosterone replacement therapy follow-up by video or phone with Dr Syed Kazmi, Consultant Endocrinologist — available to adults anywhere in Ireland, most weekday evenings.
What Can Be Reviewed Remotely
Who You'll See
Dr Syed Kashif Hussain Kazmi — MRCPI, FRCP Glasgow, CCT in Diabetes and Endocrinology, IMC 213626, GMC 6117450 — conducts online male hormone consultations personally, with access to the established physical clinic in Naas whenever face-to-face assessment is clinically required.
A clinic letter is sent to your GP after your consultation, the same as after an in-person visit, and both self-referral and GP referral are accepted.
How It Works
Call 089 656 7597 or email the clinic. Self-referral and GP referral both accepted.
Share two morning testosterone results, LH, FSH, prolactin, SHBG, a recent full blood count and PSA if checked, plus any previous treatment history.
By video or phone, weekday evenings. Dr Kazmi confirms whether hypogonadism is present, looks for the cause, and discusses whether treatment is appropriate.
A letter goes to your GP with the plan; monitoring bloods are arranged locally and reviewed at follow-up.
Scope, Tests & Prescriptions
Handled Remotely
Diagnosis and monitoring of male hypogonadism are blood-test and symptom based and suit a structured remote pathway.
Needs In Person or Local
Some assessment and safety monitoring needs a local service or an in-person visit.
Related Online Consultations
The endocrinology hub — full scope, contraindications and emergency exclusions.
Pituitary-gonadal axis and prolactin assessment by video, Ireland-wide.
Our clinical information page on low testosterone and TRT.
Frequently Asked Questions
Yes. Symptom review and discussion of testosterone blood test results are well suited to video or phone consultation with Dr Kazmi. Diagnosis requires biochemical confirmation on repeat fasting morning blood samples, per current EAU guidance — these can usually be arranged locally to you.
Where hypogonadism is confirmed through blood testing and clinical assessment, treatment planning can be discussed online, at your consultant's clinical discretion. Certain contraindications must be excluded first — see our in-depth guide on male hypogonadism for full detail.
Ongoing monitoring blood tests (PSA, haematocrit) can usually be arranged locally to you, with results discussed at a follow-up video, phone or in-person consultation.
New patient assessment is possible online where a physical examination is not immediately required. Dr Kazmi will advise if an in-person visit or further testing is needed based on your history and symptoms.
Yes — this should be raised early, since standard testosterone therapy is not appropriate for men currently trying to conceive. Alternatives can be discussed during your online consultation.
The diagnosis of male hypogonadism needs consistent symptoms plus a low testosterone level confirmed on two separate morning (before 11am) fasting samples, together with LH and FSH to identify the cause and prolactin to exclude a pituitary driver. All of that can be organised and interpreted through an online pathway: Dr Kazmi advises exactly which tests to have, arranges them locally to you, and reviews the results with you. A single borderline result, or testosterone measured in the afternoon, is not enough to diagnose hypogonadism or to justify starting treatment.
Testosterone replacement requires a structured monitoring schedule: a testosterone level to confirm the target range, and a haematocrit (from a full blood count) to check the blood is not becoming too thick, with review typically at around three and six months after starting and then at least annually, plus PSA and a prostate assessment appropriate to your age. Nearly all of this is arranged locally to you and reviewed with Dr Kazmi at follow-up video consultations. Treatment is paused or adjusted if the haematocrit rises too high or other concerns emerge.
Dr Kazmi identifies exactly which tests are needed for your testosterone concern and provides a request. In most cases these are done locally to you — through your GP practice, a hospital phlebotomy service, or a private lab — and the results are sent to the clinic and reviewed with you at a short follow-up by video, phone or in person. Where a test genuinely has to be done at a specific facility, that is explained before you proceed. You do not need to travel to Naas simply to have blood drawn.
Yes, where it is clinically appropriate. After the consultation Dr Kazmi sends a detailed letter to your GP setting out the diagnosis, the plan and any recommended change to testosterone replacement therapy or other medication, so your GP can issue or adjust the prescription as part of shared care. Where a private prescription is more appropriate, the arrangements are discussed with you directly. Some changes are deliberately held until a blood test or an in-person review is done first.
Follow-up intervals are individual to your condition, how stable it is, and Dr Kazmi's clinical judgement — they are not fixed for every patient. Many people with testosterone concern settle into a pattern of one or two reviews a year once treatment is established, with extra reviews around any medication change or new symptom. A clinic letter goes to your GP after every consultation so your primary care team stays informed throughout.
Both. New-patient assessments are carried out online where a physical examination is not immediately required — Dr Kazmi takes a full history, reviews any results and referral information, and sets out an initial plan. If the assessment shows that a hands-on examination or an on-site test is needed to be safe and complete, an in-person appointment in Naas is arranged, usually as the next step after the video consultation rather than instead of it.
Book Today
Video and phone consultations with Dr Kazmi. Same fee as in-person. Weekday evenings, 16:00–19:00, Monday–Friday.