Treating Low Testosterone
If serum levels are low, testosterone replacement therapy may provide many benefits. Most men will feel more sexual desire as well as better sexual performance. They should experience improvement in energy levels, mood, concentration, memory, and overall well-being. These effects are usually noted within 3-6 weeks after starting therapy. With longer term usage improvement in bone density and lean muscle mass would be expected. Actual testosterone replacement therapy is given as a daily gel or patch, every two week injections, or small pellets implanted as an outpatient every 3-4 months. Long-term treatment is safe and reliable when levels are kept in the normal range.
Another option is treatment with either clomiphene or hcg which can cause the body to make more of its' own natural testosterone.
Clomiphene citrate is a daily tablet that works through the pituitary gland causing the testicles to make more testosterone. It is effective when the testicles are undamaged and responsive. Its' usage for this purpose in the U.S. is "off label" since it is only FDA approved for use to treat female infertility. However, it has been used safely and successfully in men for many years.
Human Chorionic Gonadotropin (HCG)
Hcg is a drug whose actions are almost the same as those of luteinizing hormone (lh) which is produced by the human pituitary gland. It is manufactured from the urine of pregnant females. Hcg in males, like the lh already produced in the body, stimulates "suitable" testicles to produce the male hormone testosterone. It is not effective in adults whose testicles are damaged, undeveloped, unresponsive or absent. It is given as an intramuscular injection. Hcg has been used for temporary improvement or as a "boost" for certain men with borderline or slightly low testosterone levels in order to improve potency and libido. It is given in various doses for several weeks. Therapy may be repeated if indicated.