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Testosterone Replacement Therapy: Online Options

Nov 21, 2020
Testosterone Replacement Therapy: Online Options
After the age of 30, men have a natural decline in testosterone levels of about 1% per year.

After the age of 30, men have a natural decline in testosterone levels of about 1% per year. In many men, symptoms such as low energy, decreased muscle strength, and decreased libido will result from low-T. For the last decade or so, interest in testosterone supplementation has increased. Clinical trials to evaluate the benefits of testosterone supplementation for men have concluded that testosterone supplementation does work in appropriately selected men. They describe the benefits as moderate. These findings may lead many men to look for an online doctor who will write a prescription for testosterone replacement therapy. In this article, we will look at the many forms of testosterone offered online and the risks and benefits of each.

In early 2000, direct marketing to consumers led to a boom in testosterone sales. It became a billion-dollar industry. Do all men after a certain age need testosterone replacement therapy? According to urologist Dr. Landon Trost, the answer is no. Testosterone replacement therapy should be considered in men who have a blood testosterone level of less than 280. He cautions that studies show that supplementing with testosterone when you have a normal level brings no added benefit.

Forms Of Testosterone Replacement Therapy Available Online

Gels

Testosterone gels are a prescription testosterone replacement therapy that can be purchased online. Testosterone gels are absorbed through the skin. The brand choice will determine where the preferred application site is. AndroGel, Testim, and Vogelxo are applied to the upper arm or shoulder. Fortesta is applied to the front or inner thigh.

Testosterone gels are usually applied in the morning to clean, dry skin. Cover the application site with clothing as soon as the gel has dried to prevent accidental transfer. Wash your hands with soap and water after applying the gel to prevent accidental transfer. Do not apply testosterone gel directly to the penis or scrotum or to any skin surface that is cracked or covered with a rash or sores. Do not get testosterone cream in the eyes.

Online testosterone replacement therapy requires a prescription from a doctor

Black Box Warning: Testosterone gels can be inadvertently transferred to others, such as women or children, causing serious health problems. If a woman is pregnant, may be pregnant, or is breastfeeding touches testosterone gel, her baby may be harmed. Care must be taken to protect others from exposure to testosterone gels and cream. Bed linens and towels may also have testosterone gel on them. Advise anyone who touches items which may have testosterone gel on them to wash their hands carefully with soap and water.

Testosterone gels and creams may potentially cause:

  • watery eyes
  • headaches
  • dry or itchy skin
  • diarrhea
  • skin redness or irritation

Potential side-effects from testosterone replacement therapy:

  • enlarged or tender breasts
  • acne
  • depression
  • headaches
  • a blood clot which may cause lower leg pain or swelling or shortness of breath
  • stroke symptoms
  • prolonged erections
  • chest pain
  • nausea and vomiting
  • worsening of sleep apnea

Keep testosterone gel in its original container and away from children. Testosterone gel should be stored at room temperature, away from heat and moisture. If you purchase testosterone replacement therapy online, follow your doctor’s instructions for dosage and application.

Patch

Androderm is a patch that contains testosterone. It is applied to the thigh or torso each night. The application site should not be oily, hairy, likely to perspire heavily, over a bone, or to have pressure directly on it such as when sitting or sleeping. A different spot should be chosen each night for application. A minimum of seven days should pass before a spot is reused.

Use the testosterone patch immediately after opening the pouch. Testosterone patches work best if they are applied at the same time each night, usually between 8:00 p.m. and midnight, and left in place for 24 hours. Only one patch should be applied at a time unless prescribed differently by your physician.

After you have applied the patch, do not shower, bathe, swim, or get the patch wet for a minimum of three hours. Do not remove the testosterone patch until ready to apply the next one. If a patch loosens, press it firmly to better adhere to the skin. Do not tape it in place. If a patch falls off before noon, replace it. If the patch falls off after noon, replace it at the normally scheduled time.

Side effects from testosterone patches may include:

  • burn-like blisters, redness, pain, or itching at the application site

Potential side-effects from testosterone replacement therapy:

  • enlarged or tender breasts
  • acne
  • depression
  • headaches
  • a blood clot which may cause lower leg pain or swelling or shortness of breath
  • stroke symptoms
  • prolonged erections
  • chest pain
  • nausea and vomiting
  • worsening of sleep apnea

If you purchase testosterone replacement therapy online inform your doctor of any new or worsening symptoms you may notice (Medline Plus, 2018).

Gum And Cheek (Buccal)

A putty-like form of testosterone that comes as a tablet-shaped patch can be applied to the crevice between your upper lip and gum to deliver testosterone through the mucosa lining the mouth. The patches are applied above the right and left incisors and on alternating sides. The patches only work when applied to the upper gums. Though the patches look like tablets do not chew or swallow them.

Testosterone Replacement Therapy: Online Options

Testosterone buccal is usually applied every 12 hours or as directed by your health care provider. Do not apply testosterone buccal more or less often than it is prescribed.

Chewing gum, smoking, brushing your teeth and drinking beverages can all be done with a testosterone buccal patch in place. Take care that the patch is not dislodged from your gum. If the patch falls off less than eight hours after application, reapply it and follow your normal application schedule. If the patch falls off after it has been in place for over eight hours, reapply it and count it as the next scheduled dose.

Testosterone in a buccal form can cause the following side effects:

  • irritation, redness, pain, tenderness, swelling, toughening, or blistering of gums
  • swollen or tender lips
  • unpleasant or bitter taste in the mouth
  • impaired ability to taste foods

Potential side-effects of testosterone replacement therapy:

  • enlarged or tender breasts
  • acne
  • depression
  • headaches
  • a blood clot which may cause lower leg pain or swelling or shortness of breath
  • stroke symptoms
  • prolonged erections
  • chest pain
  • nausea and vomiting
  • worsening of sleep apnea

Keep all testosterone replacement therapy away from children and pets. Keep testosterone buccal in its original container stored at room temperature away from heat and moisture (Medline Plus, 2018).

Nasal

Natasto is a testosterone replacement therapy that can be purchased online from a pharmacy and is available in a gel form. The gel is applied to the inside of the nose using a dispenser pump. The doses should be spaced by six to eight hours as instructed by your health care provider. Do not apply more or less that the amount prescribed. If you have severe cold symptoms, contact your doctor for instructions.

Testosterone Replacement Therapy: Online Options

Testosterone nasal gels may cause the following side effects:

Specific to testosterone nasal gel:

  • headache
  • cough
  • sinus pain
  • changed sense of smell

Potential side-effects of testosterone replacement therapy:

  • enlarged or tender breasts
  • acne
  • depression
  • headaches
  • a blood clot which may cause lower leg pain or swelling or shortness of breath
  • stroke symptoms
  • prolonged erections
  • chest pain
  • nausea and vomiting
  • worsening of sleep apnea

Consult your health care provider if you have any worsening or new symptoms and for instructions on how to use your medication when you have cold symptoms. Keep your testosterone nasal gel in its original container, tightly closed, and away from children. Store it in a room temperature setting away from heat and moisture (Medline Plus, 2017)

Implantable Pellets

Testopel is a brand of testosterone containing pellets that are surgically implanted under the skin every three to six months. Testopel pellets are implanted by your health care provider and therefore are not really an online prescription option for testosterone replacement therapy. There is the risk of infection at the implantation site and the risk that the pellet can work its way out of the skin.

Implanting testosterone pellets makes it much more difficult to adjust testosterone dosage than when using testosterone injections.

Injections

Testosterone injections come as testosterone cypionate (Depo-Testosterone), testosterone enanthate (Xyostad), and testosterone undecanoate (Aveed).

Warning: Testosterone undecanoate has a warning that it can cause serious breathing problems or allergic reactions. For this reason, it is recommended that the injection of testosterone undecanoate take place in a health care setting. Testosterone enanthate and other testosterone products can cause an increase in blood pressure, which can increase the risk for a stroke or heart attack.

Testosterone injections came as a liquid that is injected into the muscle. Testosterone enanthate can also be injected subcutaneously (just under the skin).

Testosterone Replacement Therapy: Online Options

Side effects of testosterone injections may include:

  • pain, redness, bruising, bleeding or hardness at the injection site

Potential side-effects of testosterone replacement therapy:

  • enlarged or tender breasts
  • acne
  • depression
  • headaches
  • a blood clot which may cause lower leg pain or swelling or shortness of breath
  • stroke symptoms
  • prolonged erections
  • chest pain
  • nausea and vomiting
  • worsening of sleep apnea (Medline Plus, 2019)
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Conclusion

Interest in testosterone replacement therapies has increased, leading to more clinical trials to assess their level of benefit for men who have declining testosterone levels due to aging. Testosterone injections have been an option for decades and are felt to be a safe, effective testosterone replacement therapy method.

Exploring treatment options for hormonal balance and improvement in testosterone levels, Enclomiphene emerges as a compelling alternative. Invigor Medical specializes in offering Enclomiphene, providing a pathway for men seeking to address symptoms associated with low testosterone while maintaining fertility. Invigor Medical’s approach ensures personalized care, guiding patients through the process with comprehensive support. For detailed information on Enclomiphene and how it might benefit your health strategy, consider consulting with Invigor Medical at their website.

Testosterone Replacement Therapy: Online Options

Frequently Asked Questions

Is there a natural alternative to TRT?

Yes, there are natural alternatives to testosterone replacement therapy (TRT) that may help improve testosterone levels in some individuals. Lifestyle changes such as regular exercise, adequate sleep, stress management, maintaining a healthy weight, and consuming a balanced diet rich in essential nutrients like zinc and vitamin D can support natural testosterone production. Additionally, certain herbal supplements like ashwagandha, fenugreek, and tribulus terrestris have been studied for their potential to increase testosterone levels, although more research is needed to confirm their effectiveness and safety.

Should a 60 year old man take testosterone?

Whether a 60-year-old man should take testosterone depends on various factors, including his overall health, symptoms of low testosterone (hypogonadism), and potential risks and benefits of testosterone therapy. Testosterone levels naturally decline with age, and some older men may experience symptoms such as reduced energy, decreased libido, and loss of muscle mass. However, testosterone therapy is not suitable for all older men and should be carefully considered in consultation with a healthcare provider. Treatment decisions should be based on individualized assessment and consideration of potential risks, including cardiovascular effects, prostate health, and other medical conditions.

How do you get testosterone Gel?

Testosterone gel, also known as testosterone transdermal gel, is a prescription medication used to treat low testosterone levels (hypogonadism) in men. It is applied to the skin, typically on the shoulders, upper arms, or abdomen, and the testosterone is absorbed through the skin into the bloodstream. Testosterone gel is available by prescription from healthcare providers and should be used according to their instructions regarding dosage, application, and safety precautions.

Does Clomid increase testosterone?

Clomid, also known as clomiphene citrate, is a medication commonly used to induce ovulation in women with infertility. However, it has also been studied as an off-label treatment for men with low testosterone levels (hypogonadism). Clomid works by blocking estrogen receptors in the hypothalamus and pituitary gland, which leads to increased production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH). This, in turn, stimulates the testes to produce more testosterone. Some research suggests that Clomid may increase testosterone levels in men with hypogonadism, although its effectiveness and safety for this use are not yet fully established, and it is not FDA-approved for this indication. Treatment with Clomid should only be initiated under the supervision of a qualified healthcare provider.

Disclaimer
While we strive to always provide accurate, current, and safe advice in all of our articles and guides, it’s important to stress that they are no substitute for medical advice from a doctor or healthcare provider. You should always consult a practicing professional who can diagnose your specific case. The content we’ve included in this guide is merely meant to be informational and does not constitute medical advice.

Testosterone Replacement Therapy: Online Options

Leann Poston, M.D.

Dr. Leann Poston is a licensed physician in the state of Ohio who holds an M.B.A. and an M. Ed. She is a full-time medical communications writer and educator who writes and researches for Invigor Medical. Dr. Poston lives in the Midwest with her family. She enjoys traveling and hiking. She is an avid technology aficionado and loves trying new things.

References

  • Mayo Clinic. (2017). Testosterone Therapy: Mayo Clinic Radio [Video].
  • Miller, E. (2020). Testosterone Therapy. Drugwatch.
  • Medline Plus. (2018). Testosterone Transdermal Patches.
  • Medline Plus. (2017). Testosterone Nasal Gel.
  • Medline Plus. (2018). Testosterone Topical.
  • Medline Plus. (2018). testosterone Buccal.
  • Medline Plus. (2019). Testosterone Injection.

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