Founder and Medical Director of Transcend Clinic in Bangkok, Dr. Panu Sivarapornsakul, MD, is board-certified by the American Board of Anti-Aging and Regenerative Medicine (A4M/ABAARM) and holds a Diploma in Sexual Medicine. He has over six years of experience in men’s hormone therapy, men’s health, sexual medicine, regenerative medicine, and performance enhancement.
Man beside a box of Clomiphene Citrate 50mg tablets, a pill-based treatment for low testosterone and male fertility

Clomiphene Use in Men: A Pill-Based Option for Low Testosterone and Fertility

Clomiphene citrate (often known by the brand name Clomid) was originally developed to treat infertility in women. Today it has an important off-label role in men’s health—as an oral option for raising testosterone while keeping the body’s own production switched on. For the right patient, it can be an alternative to traditional testosterone replacement therapy…

Read more
Muscular man performing a barbell row in a gym, illustrating the key drivers of muscle growth and hypertrophy

What Affects Muscle Growth? Understanding the key drivers behind hypertrophy

Many patients come to us wanting to build muscle—whether for better health, improved performance, or just to feel stronger. But muscle growth doesn’t happen by accident. It’s a process influenced by several key factors that work together. Here’s a breakdown of what really matters: Resistance Training Muscles grow when they are challenged. Resistance training—using weights,…

Read more
PT-141 peptide therapy banner showing an intimate couple and a glowing brain, representing a brain-based approach to sexual wellness

PT-141 Peptide Therapy: A Brain-Based Approach to Sexual Wellness

PT-141, also known as Bremelanotide, is a peptide therapy developed to treat sexual dysfunction by stimulating the brain’s arousal centers. Unlike traditional medications that act on the vascular system, PT-141 works through the central nervous system—helping enhance libido and sexual responsiveness in both men and women. What Is PT-141? PT-141 is a synthetic peptide derived…

Read more
Gloved hand holding blood sample tubes surrounded by testosterone, estradiol, Hct, LH and PSA lab markers, showing why a total testosterone test alone is not enough before starting TRT

Why a Total Testosterone Test Alone Isn’t Enough to Start TRT

Many men experiencing fatigue, low libido, reduced motivation, erectile difficulties, or loss of muscle mass assume that one total testosterone result is enough to determine whether they need testosterone replacement therapy (TRT). However, testosterone levels must be interpreted alongside symptoms, related hormones, and important safety markers. A proper evaluation helps confirm testosterone deficiency, identify its…

Read more