When it comes to choosing the best prescription testosterone, there are a few key factors to consider. The formulation, dosage, administration method, and your individual needs are all important in determining which option may be most suitable. Some of the main prescription testosterone medications include:
Testosterone Cypionate: This is one of the most commonly prescribed testosterones. It is an injectable medication, typically administered intramuscularly once every 1-2 weeks. Testosterone cypionate has a fairly long half-life, meaning infrequent dosing is required. It leads to stable testosterone levels in most men.
Testosterone Enanthate: Similar to cypionate, testosterone enanthate is another injectable form of testosterone. It has a slightly shorter half-life than cypionate, so it may require dosing every 7-10 days for stable blood levels. Some find enanthate more comfortable for injection.
Testosterone Propionate: This testosterone ester has a much shorter half-life than cypionate or enanthate. It requires more frequent injections, like every 2-3 days. Some prefer propionate since levels can be adjusted more rapidly. But the frequent injections can be inconvenient for some.
Testosterone Undecanoate: Also known as testosterone undecylate, this is a longer-acting injectable testosterone. It only needs to be administered approximately once every 10-14 weeks, making it one of the least frequent dosing options. It provides very stable testosterone levels but large volume injections are required.
Transdermal Testosterone Gels: These daily topical gels provide the convenience of application without injections. Testosterone is absorbed through the skin. Drawbacks can include potential transfer through skin contact. Levels can be variable. Brand names include Androgel, Testim, Fortesta, and others.
Transdermal Testosterone Patches: Like gels, these patches deliver testosterone through transdermal absorption when applied daily to the skin. This provides stable levels without injections, but skin irritation is possible. Brands include Androderm and Testoderm.
Testosterone Pellets: These small pellets are implanted under the skin every 3-6 months, slowly releasing testosterone. This avoids the frequent dosing of gels or injections. However, minor surgery is required for implantation and pellets may extrude rarely. Brand name Testopel is one example.
Oral Testosterone Undecanoate: Unlike most other forms of testosterone, oral testosterone undecanoate (Jatenzo) does not have to pass through the liver. However, it still requires twice daily dosing and has more variable absorption. But it does offer a convenient oral option.
Buccal Testosterone: Striant buccal testosterone is applied twice daily between the gum and cheek. This allows absorption directly into the bloodstream, avoiding the liver. It has steadier levels than oral medications but still requires frequent application.
The best testosterone really depends on your individual needs and preferences. Factors like cost, insurance coverage, convenience, flexibility in dosing, and side effects should be considered. Most importantly, work with a knowledgeable hormone therapy specialist, like those at Balance Hormone Center, to determine the optimal formulation, dosage, and administration method for your health goals. Regular lab work helps ensure levels remain in the ideal range for you. With the right testosterone therapy under medical supervision, most men can improve symptoms of low testosterone.
Some key benefits of testosterone therapy can include:
- Increased energy, motivation and stamina - Improved mood, focus and sense of well-being - More muscle mass and strength - Better libido and sexual function - Reduced body fat and increased metabolism - Improved bone strength - More body and facial hair growth
However, prescription testosterone does carry some potential side effects like polycythemia, acne, male pattern baldness (if prone), gynecomastia, testicular atrophy, and increased cardiovascular risk in some men. Careful monitoring and adjusting dosage can help minimize adverse effects.
Again, the right testosterone and dosage is highly individual. Finding an experienced hormone therapy doctor to evaluate your symptoms, health history, and goals is advised. They can order lab testing of your testosterone levels along with other relevant bloodwork. This helps determine if you are a candidate for testosterone replacement and which formulation may be optimal.
Ongoing medical management is important for long-term safety and efficacy. So whether you are considering testosterone injections, gels, patches, pellets, or other options, work with a knowledgeable hormone therapy provider like Balance Hormone Center to find the best testosterone therapy tailored to your needs. With an individualized treatment plan, quality medications, and proper monitoring, most men can experience significant benefits from prescription testosterone while minimizing risks.
