If you suspect you have low testosterone, your doctor may suggest you see a specialist such as a urologist or endocrinologist. We are board-certified urologists experienced with multiple forms of treatment.
If testosterone replacement is indicated, there are options:
Shots – Usually inexpensive but also the most painful. Shots are usually given once a week or every two weeks. The levels sharply spike after injection. Levels of testosterone rise above the normal range within the first 48 hours and fall below the normal range in the days prior to the next dose. This supraphysiologic rise and fall can be a matter of concern.
Creams – This is a painless way of applying testosterone. Transdermal testosterone formulations (patches, gels) can have limitations, such as local reactions, poor adhesion, fear of transmission to others, unpleasant odor, and high discontinuation rates.
Pellets- Testosterone pellets are bio-identical. In other words, it is the same type of testosterone as your body makes. Pellets can last for months at a time and have the benefit of holding steady levels. As a result, the erratic swings with other modes of therapy are avoided. The pellets are placed in the physician’s office in a 5-10 minute procedure. The pellets are shaped like large grains of rice and are placed in the upper hips or buttocks. Patients may experience soreness for a couple of days. It is a procedure, so there is a small risk of infection. The procedure itself is usually painless. Pellets are sourced from FDA registered 503B facilities. The sterile pellets are derived from yams, irradiated with E-beams to sterilize, and are in compliance with CGMP, which is the same as large commercial drug manufacturers.