Testosterone delivered by injection is the most economical way and oldest method to increase blood levels. Testosterone is available in more than one ester which allows different timed releases. Testosterone is easily self-administered using a small subcutaneous needle.

Read more about testosterone injection options.

Testosterone is available as a transdermal delivery system in custom strengths for topical application to the skin. When applied to the skin, a small amount of the hormone penetrates and is absorbed into blood circulation. Topical testosterone provides 24-hour duration of action and needs to be applied daily.

Read more about transdermal topical testosterone options.

A sterile pellet about the size of a grain of rice is implanted subcutaneously by a physician at the Defy Medical clinic to deliver a steady dose of testosterone over a period of three to six months.  Pellets offer a convenient treatment option for patients who prefer not to self-administer.  Defy Medical uses cGMP manufactured pellets stored in glass ampules for container integrity and quality assurance. 

Read more about testosterone pellet options.

Testosterone can be administered to the nasal cavity using a topical gel designed for mucosal absorption. This dosage form provides an injection-free method of administration that requires daily application.

Read more about testosterone nasal gel options.

HCG offers another option for increasing testosterone in men with hypogonadism. hCG is sometimes co-administered with testosterone to help support fertility and testicular size in men prescribed testosterone replacement.

Read more about HCG options.

FSH is sometimes prescribed to support fertility in men undergoing testosterone replacement therapy.

Read more about FSH options.

Aromatase inhibitors (AI) and Selective Estrogen Receptor Modulators (SERMS) describe two types of medications commonly prescribed to manage estrogen in men. Common medications include anastrozol, letrozole, and tamoxifen. Current protocols recognize the importance of estrogen in men and medication is only prescribed if needed. Custom compounded capsules allow for tailored microdosing to minimize exposure in men who need management.

Sometimes testosterone can be increased by stimulating the glands responsible for producing hormones associated with testosterone production. A SERM like clomiphene citrate and/or gonadotropin hormones can be prescribed to increase testosterone in men with secondary hypogonadism. They are also prescribed to men discontinuing TRT and can also be used as a diagnostic tool to confirm the type of hypogonadism.

(‘Treatment option section should have a group photo of all unbranded compounded products used in TRT including: testosterone cypionate, enanthate, propionate, compounded blend, compounded testosterone 20% cream, compounded testosterone pellet in ampule showing four strengths 25mg, 50mg, 100mg and 200mg, compounded HCG 6,000iu and 12,000iu, compounded FSH 1500iu).

Access a variety of options including oral PDE5 inhibitor therapy and penile injections like Tri-Mix.

Read more about sexual health and ED options.