Traditional healthcare often prioritizes treating symptoms rather than addressing individuals’ unique needs. Igor Gorchakov, nurse practitioner and founder of Rochester TRT – Adult Health NP of WNY, is working to shift that mindset. Through personalized hormone optimization, he aims to redefine how men in Western New York manage their health.
A Personal Journey That Led to a New Approach
Gorchakov’s path to healthcare was shaped by his own experiences. Born in Ukraine, he immigrated to the United States at the age of 7, growing up in a low-income household that often relied on local churches for support. His parents instilled in him the belief that education was the way to a better life. Determined to create opportunities for himself, he became a registered nurse and later a nurse practitioner, all while managing a YouTube channel with over 100,000 subscribers and raising his Rottweiler, Bruno.
While working night shifts in hospitals, he observed challenges within the healthcare system. Many patients struggled with fatigue and hormonal imbalances, yet their concerns were not always fully addressed in brief appointments. In some cases, pharmaceutical recommendations took precedence over patient-centered solutions. Wanting to offer an alternative, Gorchakov launched Adult Health NP of WNY in January 2022.
Creating a Fresh Approach to Men’s Health
Opening a clinic in the middle of a pandemic was a bold move, but Gorchakov recognized an increasing need. Patients often waited weeks or months for brief, impersonal visits. They were searching for effective solutions to ongoing health issues but frequently encountered a one-size-fits-all approach.
Despite industry skepticism, Adult Health NP of WNY has grown steadily, serving a growing number of clients in Western New York.
Gorchakov built his practice primarily through word-of-mouth referrals, allowing patient experiences to demonstrate the clinic’s impact. His philosophy is simple: provide high-quality, personalized care, and patients are more likely to return.
A Different Kind of Healthcare Experience
At Adult Health NP of WNY, patients receive the time, attention, and direct communication that traditional healthcare may not always provide. The clinic stands out through:
- Timely appointment scheduling: Patients often receive care within days, rather than waiting weeks or months.
- Extended visits: Each appointment typically lasts around an hour, allowing for meaningful discussions and comprehensive care.
- Direct access to the provider: Patients have the option to text or call Gorchakov directly, ensuring a level of trust and accessibility that is less common in traditional clinics.
- A focus on patient needs, with an emphasis on personalized treatment plans: Decisions are guided by what works for the individual, minimizing external influences from insurance or pharmaceutical companies.
The Impact of Personalized Health Solutions
Targeted care can make a meaningful difference for men struggling with energy levels, metabolism, and overall well-being. Gorchakov specializes in testosterone replacement therapy in Rochester, NY, helping men work toward improved health through individualized treatments. Their patient-first approach is contributing to a shift in men’s healthcare in Western NY.

Expanding the Vision
With demand growing, Gorchakov is exploring opportunities for expansion. He hopes to bring Adult Health NP of WNY’s personalized approach to more communities across New York State. Additionally, he is considering introducing hormone optimization services for women, ensuring that both men and women have access to individualized care.
To support this growth, the clinic partnered with Just Get Known—a marketing and development firm that helps clinics expand their reach. With their support, Adult Health NP of WNY is increasing its visibility across New York and neighboring states, starting with a redesigned website that reflects the clinic’s commitment to personalized care.
A New Future for Men’s Health
Gorchakov’s approach centers on patient care rather than promotional tactics or external backing. His patients trust him because he listens, takes action, and seeks to provide effective solutions.
As his practice continues to grow, one thing remains clear: healthcare doesn’t have to be rushed, impersonal, or dictated by external pressures. With the right approach, it has the potential to be exactly what it should be: patient-focused.
Disclaimer: The information provided in this article is for informational purposes only and does not constitute medical advice. Patients should consult with their healthcare providers before making any changes to their healthcare regimen. No doctor-patient relationship is established through this article, and individual results may vary.
Published by Joseph T.