There are four approved types of Testosterone therapy available: gels, patches, injections and sustained release pellets. Oral Testosterone is not available in the United States.
**With Testosterone gels, it is important to remember that after applying you may not shower, swim, sweat excessively or have skin-to-skin contact with your significant other for at least 4 hours.
--In about 25% of patients a mild skin reaction may occur at the site of the patch. This is easily treated with hydrocortisone cream.
**Gels and patches are the more expensive forms of Testosterone therapy, but give even levels of testosterone. Despite applying properly, about 20% of patients do not achieve adequate levels.
--instruction/education is given for patients to self- inject or have someone of choice give
--trough* lab levels are essential for accurate treatment
--typically this is the most affordable, however, it does involve frequent needle sticks