Hypogonadism Treatment Options
The treatment for male hypogonadism depends on the cause and whether you’re concerned about fertility.
For hypogonadism caused by testicular failure, doctors use male hormone replacement (testosterone replacement therapy, or TRT). TRT can restore sexual function and muscle strength and prevent bone loss. In addition, men receiving TRT often experience an increase in energy, sex drive and sense of well-being.
If a pituitary problem is the cause, pituitary hormones may stimulate sperm production and restore fertility. Testosterone replacement therapy can be used if fertility isn’t an issue. A pituitary tumor may require surgical removal, medication, radiation or the replacement of other hormones.
Several testosterone delivery methods exist. Choosing a specific therapy depends on your preference for a particular delivery system, the side effects and the cost. Methods include:
Injection. Testosterone injections are safe and effective. Injections are given in a muscle. Your symptoms might fluctuate between doses depending on the frequency of injections.
Patch. A patch containing testosterone is applied each night to your back, abdomen, upper arm or thigh. The site of the application is rotated to maintain seven-day intervals between applications to the same site, to lessen skin reactions.
Gel. There are several gel preparations available with different ways of applying them. Gel application of testosterone replacement therapy appears to cause fewer skin reactions than patches do. A potential side effect of the gel is the possibility of transferring the medication to another person and as such patients should avoid skin-to-skin contact until the gel is completely dry or cover the area after an application.
Gum and cheek (buccal cavity). A small putty-like substance, gum and cheek testosterone replacement delivers testosterone through the natural depression above your top teeth where your gum meets your upper lip (buccal cavity). This product quickly sticks to your gumline and allows the medication to be absorbed into your bloodstream.
Implantable pellets. Testosterone containing pellets (Testopel) are surgically implanted under the skin and need to be replaced every three to six months.
I might be suffering from low testosterone, what should I do next?
If you suffer from symptoms of low-testosterone, we advise you to see a specialist Urologist/Andrologist.
Our doctors extensive experience diagnosing and treating hypogonadism as well as associated health issues such as erectile dysfunction or sub-fertility. During the consultation your doctor will examine you and your medical history thoroughly, establish a tailored diagnosis and help you to choose the optimum treatment option to restore your testosterone levels to normal.