It is quite well known that inadequate testosterone levels may be to blame for low sexual function and desire, However it may also cause depression, memory lapses, impaired concentration, and muscle weakness. Average serum testosterone levels decrease naturally by 1 percent each year for men 30 and over.
Treatments for Low Testosterone
Testosterone replacement therapy is most often prescribed as a daily gel (Testim, Androgel, Fortesta, Axiron) or patch. It can also be given as weekly injections or by subcutaneous pellets implanted as an outpatient office procedure every three to four months.
Clomiphene citrate is an oral medication that causes the body to produce more of its' own testosterone. Originally used to treat infertility in women, the use of clomiphene citrate for low testosterone in men is officially "off-label." This medication has been proven effective in increasing testosterone in many clinical studies and has been prescribed safely for years.
Human chorionic gonadotropin (HCG)
HCG is almost the same as luteinizing hormone (LH), which is produced by the human pituitary gland in the lower part of the brain. It is also normally produced by the placenta in pregnancy and has been isolated from the urine of pregnant women for certain medical applications.
HCG has different uses for females and males. In females, it is used to help conception to occur when treating infertility.
HCG in males, like the LH already produced in the body, causes “suitable” testicles to produce the male hormone testosterone as well as sperm. It is not effective in adults whose testicles are damaged, undeveloped, unresponsive or absent. In those cases of low testosterone due to absent or unresponsive testicles, patients must be treated by synthetic testosterone replacement therapy.
Testosterone allows the enlargement of the penis and testes and the growth of pubic and underarm hair in males before puberty. However, in postpubertal adult males, testosterone is important for maintaining potency and libido. It may also improve muscle tone and certain mental functions.
Human chorionic gonadotrophin (HCG) is to be administered only by or under the immediate supervision of a physician. It is given as frequent, small dose subcutaneous injections. There is no oral form adequate to increase testosterone or sperm production.
HCG has been used for temporary improvement or as a “boost” for certain men with borderline or low testosterone levels in order to improve potency, libido, energy levels and alertness. For these indications it is given in various doses for several weeks or even longer depending on patient response. Therapy may be repeated when desired.
It has been used in large doses for recovery of sperm production in testicles damaged by long term testosterone therapy. In addition there are patients with low testosterone who prefer moderate to high dose HCG instead of testosterone replacement therapy. Finally, some patients take lower dose HCG along with testosterone in order to minimize the adverse effects of testosterone on the testicles.
HCG is generally more costly than intramuscular testosterone, testosterone gels, or testosterone pellets. Indications for insurance payment for HCG are few and quite limited.
This is a drug that prevents the body from converting excess testosterone to estrogen. Thus whatever testosterone that a man has will be more effective. It is taken as a capsule usually once or twice a week.