What is testosterone

Testosterone is the hormone produced by the testicles. It is essential for maintaining bone density, muscle and lean body mass, strength and energy levels, fertility, libido and sexual performance. Testosterone also positively impacts cognitive function and mood.

Decreased levels

Testosterone progressively declines as men age. Obesity, testicular cancer, chemotherapy or radiation exposure, Klinefelter’s syndrome, immunodeficiency or previous infections may also lead to a low testosterone level.


Some men with Low T may have no symptoms at all. Others may experience one or more of the following: fatigue, low sex drive, reduced lean muscle mass, erectile dysfunction, depression, or poor concentration or memory.

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Testosterone gels or patches that are applied daily allow the hormone to be absorbed through the skin.

Short- or long-acting forms of testosterone are injected either under the skin or into the muscle, usually every one to four weeks.

Long-acting pellets of testosterone are inserted under the skin to create a longer-lasting and stead delivery of testosterone. This is typically performed in the office by a urologist under local anesthesia.

A testosterone gel is sprayed inside each nostril as directed, normally two or three times a day.

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