Testosterone therapy for hormone deficiency
If the doctor prescribes hormone therapy, there are several options:
- Patch for sticking to the skin
- Gel for application on the skin,
- Implants - small cylinders of pure testosterone, which are implanted in the abdominal wall.
Testosterone implants and syringes for hypogonadism
Testosterone implants release the drug over a period of four to six months. Since the testosterone cylinder slowly consumes itself, the testosterone level drops steadily, so that at the end of the action time, the old symptoms can be restored, because the hormone level has fallen below the normal level.
Testosterone injections are injected into a muscle (usually the gluteus maximus) at intervals of two to four weeks. The disadvantage: Shortly after the syringe has been administered, the testosterone level rises steeply, but then falls off again at the end of the period of action similarly steeply.
Capsules and patches with testosterone
Testosterone is also available in capsule form. When the capsules dissolve in the intestinal tract, the testosterone is released into the bloodstream via the lymph. One must take the drug three times a day, since the half-life of the testosterone is very short.
Plasters containing the testosterone are applied to the body or to the scrotum itself. The scrotal patch is changed daily and placed in the morning after the morning toilet. After three to six hours, the highest testosterone concentrations in the blood are measured. During the day, the patch then continuously releases 6 mg of the hormone.
The hormone patch is considered to be a pleasant method of therapy, because the thus achieved rise and fall of the testosterone level corresponds approximately to the natural daily fluctuations of the hormone: In healthy men, the highest testosterone concentration in the morning, the evening it decreases constantly.