by Dr Gary Bellman, Board Certified Urologist, Member Academy of Anti-Aging Medicine.
The first question is if testosterone replacement is right for you. If the answer is yes then the next question is what is the best method. The methods that I have used include topical gels and creams, injections and pellets. Over the last number of years I have been underwhelmed with the results with the topical application of testosterone. Unfortunately many men do not absorb the gel or cream well. In addition these products can be smelly and sticky as well as expensive and carry the risk of transferring the testosterone to a partner. Injections work well, however they need to be administered weekly or sometimes twice a week.
In addition, as men are a rather non-compliant group, many men skip applications of testosterone and thus the levels fall. The goal of testosterone replacement is to maintain steady levels to achieve the best results.
I now prefer the placement of testosterone pellets, called Testopel. These tiny pellets are placed under the skin and maintain excellent levels of testosterone for 3 months.
The placement takes 3-4 minutes in the office with no suturing and is relatively painless. This allows men who are interested in testosterone replacement to come to the office 4 times a year and don’t need to worry about anything else.
Testopel may be the ideal method of testosterone replacement.
Every man has different needs as far as his dose on the number of pellets. It depends on one’s age, body size and level of activity. I generally start around 12 pellets but for younger more active guys up to 16 or even higher may be necessary. Blood tests after 2 months of the pellet insertion helps guide the dose for the next insertion. It is important to check not only the testosterone levels but the estradiol (female hormone) as well as the blood count (CBC) and PSA (prostate).
Dr. Gary Bellman, M.D., is a Board Certified Urologist, interested in Testosterone replacement and men’s heath. He attended medical school at McGill University, did a fellowship at Long Island Jewish Medical Center and has taught at UCLA for many years. He is currently is private practice in the San Fernando Valley, a suburb of Los Angeles.
For more information on Dr. Bellman, visit his Websites: http://www.drgarybellman.com/
For questions or other inquiries, you may contact Dr. Bellman at firstname.lastname@example.org.