Typically men will pick up their testosterone injection at a local retail pharmacy (e.g. Kroger, Publix, Walmart are usually the least expensive). The prescription includes: vials of testosterone (1 ml), needles (22 gauge) and syringes (1-3 ml).
We recommend using MedQuest, a compounding pharmacy based out of Utah. They manufacture a bioidentical testosterone cream made from natural substances. In our experience, their product is high quality and works well for most of our patients. MedQuest will call you directly to obtain payment and shipment details. They will mail a 90 ml pump to your house.
As an alternative, we are happy to send a prescription for topical testosterone to your local pharmacy (e.g. Testim, Androgel). However, a number of patients report not feeling better on these formulations because they don’t consistently raise testosterone levels.
Pellets are inserted in the office via a minor 5 minute procedure. You will lay on your side in one of our exam rooms. The insertion is in the upper buttock area, so be prepared to partially lower your pants and underwear. Our medical assistant will apply a numbing spray while you await our provider.
We inject 7-10 ml of lidocaine with epinephrine 1% mixed with sodium bicarbonate (local anesthesia). Once you’re “numb,” you’ll mainly feel pressure as we make a small skin incision and implant the pellets. If you feel any sharp pains, please let us know so we can inject more local anesthesia. Once completed, we will place steristrips, gauze, and a clear tegaderm dressing over the skin poke.
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The pellets should start taking effect within 1 week, but often take 1 month to really notice an improvement in low T symptoms. Men typically report that the pellets start “wearing off” after 4-5 months. Be sure to schedule your next pellet insertion at the time of your initial visit.