Treatment FAQ

what testosterone treatment is best: topical or injections

by Juanita Herman Published 2 years ago Updated 2 years ago
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Testosterone Therapy Injections Injections are often not someone’s first choice, but options, such as the subcutaneous injection, are actually the most universal and often considered to be the most convenient. There are multiple injectable options to choose from at varying doses and administration schedules.

One study found that testosterone injections may help maximize musculoskeletal benefits for those on TRT compared to other forms. Additionally, there may be fewer cardiovascular risks with injectable testosterone compared to oral or transdermal testosterone.Jun 9, 2020

Full Answer

How effective are once daily testosterone creams?

Testosterone Creams take around 20 minutes to fully enter the blood stream. Testosterone Gels pass through the skin fully in only 5 minutes. Testosterone Creams can also leave a residue on the skin or clothing, whereas the gel does not. Despite this, most men tend to prefer the Testosterone Cream to the Gel. Effective Use of Cream Testosterone

What are the side effects of too much testosterone?

When testosterone levels are high, it can cause a number of disadvantages and complications such as:

  • Increased risk of heart damage
  • Difficulty sleeping
  • Stunted growth in adolescents
  • Weight gain

What is the best testosterone cream for women?

  • Fortesta gel/cream is typically applied to the front or inner skin of the thighs (upper legs).
  • In contrast, Vogelxo gel/cream is only applied to the shoulders or upper arms, but not the abdomen or stomach.
  • Testosterone cream/gel is never applied to the scrotum or penis. Don't apply it to skin that has any cuts or scrapes.

What are the side effects of testosterone cream?

What Are The Side Effects of Topical Testosterone Treatments?

  1. Causes Skin Issues. The most common complaint for those who use transdermal treatments is skin complaint. ...
  2. Transfering From Skin to Skin. As topical treatments sit on your skin for long periods of time it is easy for them to wipe off onto other people you ...
  3. Gynecomastia. ...
  4. A Drop in Libido. ...
  5. Enlarged Prostate. ...

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Which is better testosterone shots or cream?

Testosterone injections build slightly better muscle mass and enhance strength far more than the cream. This is also independent of how active a person is. If self-injecting, syringes, needles and other consumables have to be bought.

What is the best form of testosterone to take?

The recommended dosing regimen of testosterone enanthate or testosterone cypionate for testosterone therapy is 100 to 200 mg every week or 150 to 400 mg every other week. Weekly injections are preferred because more frequent injections lower fluctuations in serum testosterone.

Is topical testosterone effective?

After treatment (or testosterone normalization), energy level improved in 75% of subjects and sexual drive improved in 70%. Topical 2% testosterone solution is a safe and effective treatment for HGN men who have had a suboptimal response to previous treatment with topical testosterone gels.

Do testosterone patches work as well as injections?

Patches and creams offer a great alternative. Unlike injections, these two treatments deliver a slow, steady amount of testosterone to your system, and they don't require follow-up office visits every 7–10 days since you can apply them yourself.

Where do you put topical testosterone?

Apply AndroGel® 1% to a clean, dry, intact skin of the shoulders, upper arms, or abdomen (stomach), unless your doctor tells you to use it on another part of your body. AndroGel® 1.62% should only be applied to a clean, dry intact skin of the shoulders and upper arms.

Which testosterone gel is best?

Axiron and AndroGel effectiveness Study results reported in Clinical Endocrinology suggest that topical medications such as Axiron and AndroGel are safe and effective for increasing testosterone levels and improving the quality of life in men who have low testosterone levels.

How long does it take for topical testosterone to work?

Effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3–4 weeks, but maximum benefits take longer.

What is the best time to apply testosterone gel?

Topical testosterone comes as a gel and solution to apply to the skin. It is usually applied once a day. It is best to apply testosterone gel or solution in the morning.

How long does it take topical testosterone to absorb?

In this case study, we demonstrate the absorption of testosterone cream via scrotal delivery. The data suggests that after application therapeutic levels are reached with concentrations of (1204.7 ng/dL) within two hours. Additionally, consistent concentrations (1320.6 ng/dL) remain beyond six hours.

What are the cons of taking testosterone injections?

Possible side effects of testosterone therapy include:increased acne.fluid retention.increased urination.breast enlargement.decreased testicular size.decreased sperm count.increased aggressive behaviors.

Which testosterone is better cypionate or enanthate?

Testosterone enanthate & Testosterone cypionate are very similar and preferred low-T treatment (via injections) options. Enanthate works wonders in achieving stable levels while keeping potential side effects manageable. With a short half life most side effects can be managed by altering dosage or frequency or both.

What are the negative effects of testosterone shots?

Testosterone injection may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:acne.breast enlargement or pain.hoarseness.deepening of voice.pain, redness, bruising, bleeding, or hardness at injection site.tiredness.difficulty falling asleep or staying asleep.mood swings.More items...•

Where to apply androgel?

Apply AndroGel® 1% to a clean, dry, intact skin of the shoulders, upper arms, or abdomen (stomach), unless your doctor tells you to use it on another part of your body. AndroGel® 1.62% should only be applied to a clean, dry intact skin of the shoulders and upper arms.

How long to wait to use androgel?

Wait for at least 2 hours (for AndroGel® 1.62%, Fortesta®, and Vogelxo™) or 5 hours (for AndroGel® 1%) after applying this medicine before showering or swimming. To use the topical solution: Apply an antiperspirant or deodorant spray at least 2 minutes before you apply this medicine.

What is the difference between androgel and androgel?

AndroGel® is available in two dosage strengths: AndroGel® 1% and AndroGel® 1.62%. AndroGel® 1% is used differently than AndroGel® 1.62% , even though they are both applied to the skin. Do not change your dose unless your doctor tells you to. To use the gel:

How to measure fortesta?

Hold the pump over a sink and press the pump all the way down at least 3 times (Androgel® or Vogelxo™) or 8 times (Fortesta®) or until the gel begins to flow freely. Rinse the medicine discarded into the sink down the drain. Place the palm of your hand under the pump and press the pump the proper number of times to measure out your correct dose. ...

What is testosterone gel?

This makes sense when you think about it. Testosterone gel and patches are transdermal delivery methods. This means the testosterone has to cross through your skin, fat, muscle, and blood vessels before it gets into your system. Testosterone injections bypass some of these barriers.

Can testosterone injections be administered at home?

By contrast, testosterone injections may be administered less frequently. 2. All methods can be administered conveniently at home. Whether your doctor prescribes the testosterone patch, gel, or injections, there are options for each of these to be administered in the comfort and convenience of your own home. 3.

Can testosterone patches be used daily?

Testosterone is also available in patch form, another transdermal (through the skin) delivery method. Patches are also applied daily, and you have to remember to apply them every single day. An unfortunate side effect of testosterone patches is rash and burning at the patch site.

Can testosterone gel be used on other people?

One method of administering testosterone therapy is a topical gel. This is the most commonly prescribed form of TRT in the United States, though not worldwide. The gel is applied daily, and it will diffuse through the skin into the bloodstream. But testosterone gel can also transfer to other people through contact. This can be particularly dangerous for women and children and should be taken into consideration.

Can testosterone be given in the office?

Finally, testosterone can be administered through injections. Some healthcare professionals give these injections in the office, but there are often take-home formulations available for your convenience. Low T injections have few side effects and are the most common form of TRT worldwide.

Why is testosterone important?

Testosterone is a key factor of maintaining optimal health and well-being throughout life . As both men and women age, we tend to lose more and more of the testosterone produced within the body, which can accelerate age-related diseases as well as the frustrating symptoms we typically associate with aging. Many doctors, both progressive and traditional, are understanding the important role that testosterone plays in disease prevention as well as improving your quality of life. When discussing testosterone therapy with your doctor, make sure that they offer the right application method for you using bioidentical testosterone, a comprehensive testing and treatment program and regular patient monitoring. It's crucial for your health to understand that not all testosterone therapy treatment programs are the same.

How long does it take for testosterone to increase?

Testosterone Injection Therapy. Injection therapy is very common. This treatment is fast acting and can help improve your levels within 30 days. With injection therapy, it's very important to ensure the proper balance and ratios of testosterone to estrogens.

What are bioidentical hormone pellets?

Bioidentical hormone pellets are derived from plants, meaning they are naturally-based and structurally identical to the hormones produced in the body. Pellets are currently available for testosterone and estradiol. Each pellet is as small as a grain of rice and is inserted into the upper hip area during a simple, in-office procedure. The body then slowly begins to metabolize the pellets, releasing a steady, optimal dose of hormones—much like our normal function—over three to six months. The duration depends on how quickly your body metabolizes the pellet.

What are the benefits of hormone pellet therapy?

Benefits of Hormone Pellet Therapy 1 Convenient, customized dosing. The pellet is inserted and goes to work – you don't have to remember to inject, or deal with needles, applicators or messy creams. People with busy lifestyles or who travel frequently tend to find this method the most convenient. With pellet therapy, you can be confident your body is always getting the exact amount of hormones it needs. 2 Minimizes fluctuations between treatments and offers the most stability. Pellets are specifically designed to work with each patient’s body chemistry, releasing an optimal amount hormones throughout the treatment period. Patients on pellet therapy have the most stability in their levels with no movement after 30 days, and after 3-5 months are often able to achieve optimization. 3 The process is quick, like having your blood drawn. Local anesthetic is applied to the injection site, a tiny incision is made in the skin and the pellet is put into place by trained medical staff and sealed with a piece of medical tape. There is no need for stitches or fear of scarring. 4 Estrogen aromatization. Any negative response or side effects from TRT is likely is due to either estrogen conversion (i.e. your estrogen levels not being managed correctly) and/or mis-dosing. Pellets do not cause as much estrogen aromatization, and this is something your doctor should monitor closely during treatment in order to fully understand your individual response.

How long does testosterone metabolize?

Each type of ester metabolizes in the body at different speeds. Testosterone Cypionate is considered a very long-acting ester, metabolizing every 7-8 days.

Can you inject testosterone directly into the bloodstream?

You will be injecting testosterone directly into the bloodstream, so you can guarantee 100% absorption of your specific dose. Easy to adjust and monitor. Injectable testosterone makes it very easy to control your levels. Adjustments can be made quickly and as often as needed during your treatment program.

Can you inject yourself?

Convenient. You can inject yourself in the comfort of your own home. Most people, even those squeamish about needles, find this is much easier than they thought it would be once they learn the proper injection method.

Where to apply transdermal testosterone?

Most transdermal testosterone is prescribed in a gel form and is applied to the upper arms and shoulders. When prescribed in a cream form with the appropriate base compound, transdermal testosterone can be applied to the scrotum. Scrotal skin is thin and has high steroid permeability. It is extremely important to avoid using a cream ...

Does testosterone cream help with erectile dysfunction?

The cream also offers a slightly better increase in dihydrotestosterone (DHT) levels; therefore enhancing erectile strength and overall sexual functioning.

Does testosterone cream work on scrotal skin?

The Andrology Department at Concord Hospital and ANZAC Research Institute did a study on testosterone cream applied to scrotal skin, and in their research they indicated that testosterone via transdermal delivery is an excellent method to achieve therapeutic concentrations of testosterone.

Is it safe to use a cream with alcohol?

It is extremely important to avoid using a cream or gel with alcohol as alcohol is harmful for scrotal skin health. The literature and highly trained physicians with clinical experience have proven that trans-scrotal testosterone cream is a highly effective delivery method of testosterone.

Does trans scrotal cream work?

The only real downside with the trans-scrotal cream is the possibility of wiping it off on someone else by accident.

Is transdermal testosterone low?

Well, you MAY have been right. Traditionally, the concentrations of transdermal testosterone were too low, and it was difficult to control the delivery of the dosage; not to mention poor absorption of testosterone via skin due to sweat glands, location of the application, and other factors.

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