More and more, men between the ages of 40 and 64 are being tested and given Testosterone Therapy (TT) in recent years, to the point in which some men may even want TT without being evaluated—but only if they have particular symptoms.
The advantages of having optimal testosterone levels are well known. In fact, Testosterone Therapy is recommended for males aged 40 and up and for men who match the clinical and laboratory definitions of testosterone shortage, which is a testosterone level of less than 300 ng/dL.
An “optimal” level of testosterone, not a “normal for age” level, is connected with health advantages. Restoring testosterone levels to the top 25% of the “normal” range is what an ideal level of testosterone entails. If the normal range is 300-1100 ng/dL, then 800-1100 ng/dL would be the ideal level. In fact, males frequently need to reach a blood sugar level of 650 ng/dL before they begin to feel better.
Next are some treatment options for Testosterone Therapy (TT):
Testosterone injections have been used with excellent success and few side effects.
The testosterone injection is given to men and boys to address diseases, including delayed puberty, impotence, and other hormonal imbalances caused by a deficiency of this hormone.
Most doctors administer testosterone intramuscularly (in the buttock or thigh) weekly or biweekly. In recent years, testosterone injections have grown in demand. Patients usually see the treatment’s results within a few days. Furthermore, such outcomes are almost definitely owing to the greater blood concentration obtained through injections.
Every week, the standard starting dose is 100mg. Depending on the patient’s reaction to treatment, the dosage might be increased to 150–200 mg per week.
Testosterone is present in this medicated patch. Androderm is a patch that’s used to replace testosterone in men who are unable to produce enough of the hormone (for example, due to hypogonadism or Low T). This medication is absorbed through the skin, enters the bloodstream, and aids in the restoration of normal testosterone levels in the body.
Patches allow men to avoid frequent trips to the doctor’s office. Patches provided more consistent Testosterone levels, avoiding the roller-coaster effect seen with injections. Patches have the next characteristics:
- Therapeutic effects are minimal.
- Displaying a visible patch, which might be uncomfortable at times.
- Causes skin irritation in the form of bright red round spots at the patch’s site.
Testosterone topical gel is used to treat hypogonadism. In the United States, testosterone gel is the most commonly used therapy. It can be rubbed over the non-bearded area of the face, upper arms, shoulders, and on the side of the abdomen on a daily basis. It’s best to avoid washing or showering for the first two hours after applying it, as well as skin contact with partners or children.
The absorption of testosterone gel is excellent. Nonetheless, roughly 15-20% of men have trouble absorbing the gel. Therefore, it is critical to monitor the levels to ensure that the amount of testosterone is increasing. Patented gel produced by large pharmaceutical firms and bio-identical gel prepared by specialized compounding pharmacies are the two forms of gel available.
Bio-identical Testosterone provides two additional benefits in addition to being natural. Doctors can change the dosage based on the patient’s response, and they can add other drugs to the mix to provide additional benefits not available from the established proprietary formula.
Hormone replacement therapy includes testosterone pellets. They’re roughly the size of a grain of rice, and they’ll be implanted under the skin by a doctor. These pellets contain crystalline testosterone and provide a consistent, modest dose of the hormone to the user for up to 4 months.
Another advantage is the lack of risk in the hormone metabolizing into Estradiol or DHT, unlike with gels and injections.
Most people notice a difference within 24-48 hours, but it can take up to 14 days for others.
Extrusion (thus the need to avoid early physical activity after the implantation), small bleeding of 0-2 minutes, and minor (1-5 percent) infection are all possible risks.
HCG (human chorionic gonadotropin) is a luteinizing hormone (LH) that tells the testicles to make more testosterone.
HCG can be injected subcutaneously to stimulate the testicles’ Leydig cells to make Testosterone. This alternative is especially intriguing to younger men who are concerned about testicular atrophy and decreased fertility.
HCG can be taken alone or in combination with other kinds of testosterone therapy to reduce these negative effects. If the LH level is low or normal, this strategy might work.