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Testosterone Therapy

Testosterone Therapy
for Men in Henderson & Las Vegas

We serve men across Henderson and Las Vegas — minutes from the Strip via I-215, with secure telehealth across Nevada, Arizona, and Utah. Whether you came in searching for testosterone therapy Henderson or testosterone therapy Las Vegas, your plan starts the same way: a complete hormonal panel, an honest conversation, and ongoing monitoring. Men's hormone therapy Henderson NV at Xena Health means depth, time, and a hormone-trained provider — not a vial and a calendar reminder.

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Lab-First Approach
Optimization Not Just Normalization
Ongoing Monitoring
Man at full capacity — TRT at Xena Health
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Man, late 40s–50s. Physical effort or exertion — lifting, training, working. Capability and drive. Not vanity. Dark directional lighting.
Understanding Low Testosterone

Signs You May Have
Low Testosterone

  • T peaks in your 20s, then declines 1–2% per year after age 30
  • By 45, most men have lost 20–30% of peak testosterone
  • The "normal" lab range (300–1000 ng/dL) is too wide to be useful — 310 is technically normal, but rarely optimal
  • Our goal: the upper third of the physiological range, calibrated to your biology — never templated
  • Untreated, chronic low T accelerates bone density loss, cardiovascular risk, insulin resistance, and cognitive decline
  • This is a medical issue. Not a lifestyle one.
What TRT Restores
1–2%
Annual testosterone decline after age 30
40%
Of men over 45 have clinically low T
7–10
Days to first noticeable improvement on TRT
90%
Of TRT patients report significantly improved quality of life
"We don't treat the number. We treat the man. But we start with the number — every time."
— Cherie Little, DNP, FNP-C, WHNP-BC, MSCP · Xena Health
Three Methods. One Right Plan.

TRT Delivery Methods at Xena Health.

Pellets, at-home injections, and topical creams are all available. Each has its own strengths — the right method is chosen alongside you based on your goals, your labs, and how you actually live.

Pellets · 3–6 Months
Pellets

Custom-compounded testosterone pellets inserted just beneath the skin during a brief in-office procedure. Steady levels for 3–6 months. No daily routine, no weekly injections, and no transference risk to a partner or children.

See pellet details ↓
Injections · Weekly
At-Home Injections

Self-administered subcutaneous or intramuscular injection, typically once weekly. The most cost-effective option, with the tightest dose control of any TRT delivery method. We teach you the technique — most men do it in under a minute.

Creams · Daily
Topical Creams

Compounded testosterone cream applied to skin once daily. Easy to titrate up or down, the simplest way to start TRT, and the easiest method to taper or pause if your treatment plan changes.

Testosterone Pellet Therapy for Men

Testosterone pellets are small, custom-compounded inserts placed just beneath the skin — typically in the upper buttock — during a brief in-office procedure. The insertion takes only a few minutes under local anesthetic, and most men return to normal activity the same day, with light activity restrictions for the first 48 hours.

Once placed, pellets release a steady dose of testosterone for 4–6 months, depending on individual metabolism and dose. There's no weekly injection to remember, no daily cream to apply, and no transference risk to a partner or children — a meaningful concern with topical formulations in households with young kids.

For some men, that consistency and convenience is what makes pellets the right call. Others prefer the precise dose control of self-administered injections or the gentle ramp of a topical cream. Pellets are one of several TRT delivery options at Xena Health, chosen alongside you based on your treatment plan and lifestyle. Lab work is drawn before pellet insertion and monitored on an ongoing basis — pellets aren't set-and-forget.

For our pellet patients, Xena Health uses Evexipel — a pharmaceutical-grade pellet system backed by a national network of trained providers. Learn more about Evexipel ↗

The Record Straight

What you've heard about TRT.
What the evidence says.

TRT has accumulated significant misinformation over the years. Here are the most common concerns — and the clinical reality.

Does TRT cause prostate cancer?

Decades of research have not established a causal link between TRT and prostate cancer. The "saturation model" is now the accepted framework — prostate receptors saturate at relatively low testosterone levels; further increases do not increase cancer risk. We monitor PSA as standard practice.

Does TRT cause heart attacks?

A 2024 large-scale trial (TRAVERSE) found no increased cardiovascular risk with TRT in men with low testosterone. Prior concerns arose from flawed studies. Properly managed TRT in appropriate candidates has a favorable cardiovascular profile — and untreated low T is itself a cardiovascular risk factor.

Does TRT cause permanent infertility?

TRT suppresses sperm production by reducing LH and FSH — this effect is reversible in most men when TRT is discontinued. For men who wish to preserve fertility, HCG can be added to the treatment plan to maintain testicular function during therapy. This is discussed upfront with every relevant patient.

Once you start TRT, are you on it forever?

TRT does suppress the body's own testosterone production while on therapy — this is expected and manageable. Discontinuation with appropriate tapering and support (clomiphene, HCG) allows many men to recover natural production, particularly those who were not severely hypogonadal to begin with. We discuss this with every patient before starting.

Care From Anywhere

TRT via Telehealth — Nevada, Arizona & Utah.

If you don't live near Henderson, you can still see Cherie. We're licensed to provide testosterone replacement therapy via secure telehealth across NV, AZ, and UT — same provider, same depth of care, from your home.

NV
Nevada — In-Person & Telehealth
AZ
Arizona — Telehealth
UT
Utah — Telehealth

Lab work is ordered through your local lab and electronically routed back to your chart for review. Prescriptions are sent to your local pharmacy. Insurance is accepted across all three states for labs and most medications.

Book a Telehealth Consultation