If you’ve been diagnosed with Low Testosterone, Dr. Bissoon will present several options for testosterone replacement therapy. The optimum choice will depend on your symptoms, preferences and unique circumstances.
Many men come to Dr. Bissoon with the mistaken belief that testosterone replacement therapy can be accomplished only with injectable testosterone. Not true!
Although injectable testosterone is popular (and Dr. Bissoon prefers this method), it’s not the only choice. If you opt for injectable testosterone, Dr. Bissoon will write a prescription, and instruct you in the proper technique for self-injecting when you return to his office with the product. If you are not a candidate for self-injection – for personal and/or medical reasons – topical creams and gels are good alternatives.
Creams, Gels and Patches
Gels come in many different concentrations, and must be applied once or twice a day. Dr. Bissoon will adjust the dosage of the medication based on your serum levels.
Note: Testosterone gel is not a good option for those with small children because the gel can be transferred through skin contact within 12 hours of application. (Some patients use the gel, and later switch to injectable testosterone.)
Testosterone patches are also commercially available, though few men choose them – probably because they are associated with estrogen replacement.
A final testosterone replacement option is the recently invented pellet. This is ideal for men who wish to avoid the hassles of applying topical testosterone on a daily basis (gels and creams take time to dry) and weekly or twice-weekly injections.
Instead, some patients prefer to have testosterone pellets implanted below the skin (in the buttocks) – a minor surgical procedure that takes about 10 minutes. Once the pellets are implanted, testosterone is slowly time-released over the course of 4-6 months. Blood testosterone levels will increase within hours of the pellet’s implantation.
Lately, the use of testosterone carries a somewhat negative stigma, thanks to athletes who have used it as a performance-enhancing drug. For men who want to avoid testosterone replacement, three other choices are available:
Clomid: FDA approved for infertility in women, this drug is also used to treat male infertility by increasing testosterone. The pill must be taken once a twice a day.
HCG: Human Chorio Gonadotropic Hormone is FDA approved for infertility, undecended testicles in young boys and secondary Hypogonadism. HCG cannot be taken as a pill, but requires injections 2-3 times a week in order to stimulate the testicles into producing testosterone.
The final alternative to testosterone replacement treatment usually comes in the form of nutritional substances. There are many on the market, but the best options are DHEA, Pregnenolone, Tribulus and Macca. Multiple combinations of these supplements are commercially available.
When it comes for testosterone replacement therapy and other testosterone-boosting treatments, many choices now exist. Dr. Bissoon will review each option to help you select the option that’s best for you.