Testosterone Therapy - Delivery Systems

Many guys wonder how testosterone therapy, or hormone replacement therapy (HRT) as it is commonly called is adminstered under a doctor's care.  Is it easy?  Private?

Let's go over by far three most common methods of testosterone delivery:

1.  Gels.  Androgel, which comes in packets or bottles that you pump in a metered dose and rub into your chest and upper body. Generally, you'll receive a box of two bottles which, depending on if you are receiving four, six or eight pumps/day, can last up to a couple of weeks.  Testim, another patented gel, followed shortly thereafter.  These are very convenient and provide a nice metered dose with few highs or lows.  The primary issue is that some guys simply can't get enough testosterone from these gels for whatever reason, i.e. it is poorly absorbed topically. After a while, you just "shellac" or "wax" any more into your system.  Some doctors will try to get around this poor absorption with Testim, a much more expensive form of HRT.  However, as far as I know, no study shows that Testim is more absorbable, so this is of debatable value.

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NOTE:  If you are having trouble with Androgel or Testim, you may want to consider a Compounding Pharmacy, which can often deliver the testosterone at a higher does and lower cost.

2.  Injections.  Testosterone cypionate and enanthate are two esters of testosterone that are commonly injected on a once every two or three week basis.  The ester is stripped off quickly leaving just testosterone and it is considered very safe from the metabolite (byproduct) standpoint.  Unfortunately, what these methods tend to have very high testosterone levels for several days after the injection and very low levels for several days right before an injection is needed.  This leaves most males with a peak and valley feeling.  There is a new testosterone undecanoate that can be considered.

3.  Scrotal Patches.  These are easy to use but tend to result in higher DHT levels than other delivery methods.

If you are interested, you should read about some of the More Common Side Effects of Testosterone (Hormone Replacement) Therapy and Testosterone Therapy Safety.  These links should give you a lot of good talking points with your doctor.