DEAR DR. ROACH:
Can you please discuss testosterone pellet treatment? So many men have low amounts of testosterone. My doctor recommended a plan of Testopel pellets every few months. What are the benefits and concerns? — A.C.
ANSWER:
Low testosterone levels are common in men, and replacement therapy is indicated in men with symptoms of low testosterone and repeatedly abnormally low levels, with tests done in the early morning when levels are normally the highest.
There are many different ways to use testosterone — injections being the oldest and most time-tested. Gel preparations are very convenient, but my experience is that it’s hard to get to a therapeutic level for many men. A new oral formulation is available in Canada, and a nasal gel (used three times daily) has newly become available as well. I haven’t yet had experience with either of these.
The pellets (two to six are typically used) are placed surgically under a local anesthetic every three to six months. Potential side effects include infection, fibrosis and extrusion of the pellets. I believe this has limited use.
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Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to [email protected] or send mail to 628 Virginia Dr., Orlando, FL 32803.
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