• Treatment Options

  • Option 1: MICRO T®™ Injections:  This subcutaneous testosterone microinjections system MICRO T®™, is the most state-of-the-art way to receive testosterone. MICRO T®™ has all the advantages of intermuscular testosterone injections, but the injection is administered with a microsyringe (28g ½ in) or insulin syringes.

    Option 2: IM injections: Intermuscular injections or more commonly known as (IM) has been used to administer testosterone since the 1920’s, it is one of the oldest modalities used to administer testosterone.  The effects on the human body are very predictable and dependable.  (IM) testosterone is administered with a (23g 1½ in) syringe and is injected deep into the muscle so that the greatest amount of blood flow can carry the medication directly and quickly into the cell.  

    Option 3: Testosterone Pellets: Used since 1935, the pellet is about the size of Tic Tac and is used with a local anesthetic.The Pellets are placed beneath the skin in the dermis layer of the hip/buttock. The pellet itself is designed and heat compressed so it delivers a slow and steady release of testosterone into the bloodstream over a 4-5 month period.  New pellets are inserted every 4-5 months but, based on the individual patient's metabolic rate and level of exercise the pellets vary in length of absorption.  Once a patient has normalized to this protocol the level and length of the protocol will generally length to 4 to 5 months.  This protocol is very effective for those patients who have trouble taking injections or who travel and cannot be consistent with an injection protocol. 

    Advantages:

    a) Simple and convenient;  

    b) Success rate is 100%;  

    c) Maintains smooth and consistent levels of absorption.

    Disadvantages:

    a) Recovery time is 2-3 days after pellets inserted;  

    b) Soreness and bruising for 1 week around insertion site;  

    c) Small risk of infection; and  d) scar tissue may develop over time.

    Option 4: Clomiphene (Clomid): Clomiphene is a fertility drug that works by blocking estrogen at the pituitary level. The pituitary gland encounters less estrogen, and intern makes a more luteinizing hormone (LH). More LH stimulates the Leydig cells in the testicles to produce testosterone. The success rate of clomiphene response is around 60% and highly dependent on the individual's medication sensitivity; MTC will know within two months if clomiphene protocol will be a viable long-term option. Clomiphene has a greater responsiveness in younger patients and is used particularly for patients that desire to remain highly fertile during childbearing years.

    Option 5: Human Chorionic Gonadotropin (HCG) microinjections: A natural hormone that resembles luteinizing hormone (LH).(HCG) acts in a similar fashion as Clomiphene in that it stimulates the Leydig cells in the testicles to produce testosterone. (HCG) works best in men over the 40 years old and is used to prevent testicular shrinkage, the success rate is around 75%; MTC will know within two months if (HCG) will be a viable long-term option.