What is the recommended treatment for testosterone replacement therapy (TRT) in individuals with hypogonadism?

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Testosterone Replacement Therapy for Hypogonadism

Transdermal testosterone formulations are the recommended first-line treatment for testosterone replacement therapy (TRT) in individuals with hypogonadism due to their stable hormone levels and lower risk of adverse effects compared to intramuscular injections. 1, 2

Diagnosis of Hypogonadism

  • Diagnosis requires low testosterone levels (<300 ng/dL) in at least two separate morning measurements AND presence of corresponding symptoms such as decreased libido, fatigue, and mood changes 1, 2
  • Assessment should include morning total testosterone concentration drawn between 8 AM and 10 AM, as well as free testosterone level by equilibrium dialysis and sex hormone-binding globulin level, especially in men with obesity 2
  • Serum luteinizing hormone (LH) and follicle-stimulating hormone (FSH) concentrations should be measured to distinguish primary (testicular) from secondary (pituitary-hypothalamic) hypogonadism 2

Treatment Options

First-Line: Transdermal Formulations

  • Transdermal formulations (gels, patches) provide stable testosterone levels and avoid fluctuations observed with intramuscular injections 1, 2
  • Target mid-normal physiological values (500-600 ng/dL) 2
  • Lower risk of polycythemia (3-18%) compared to injections (up to 44%) 1
  • Apply to clean, dry, intact skin of the shoulders and upper arms only 3

Alternative: Intramuscular Injections

  • Testosterone cypionate or enanthate administered every 2-3 weeks 2
  • More economical option ($156.24 annually) compared to topical gels/creams ($2,135.32 annually) 1
  • Peak serum levels occur 2-5 days after injection, with return to baseline usually observed 10-14 days after injection 2
  • Target mid-normal value (500-600 ng/dL) when measured midway between injections 2

Important Limitations

  • Oral testosterone formulations are specifically contraindicated by the FDA for "age-related hypogonadism" not associated with structural or genetic etiologies 1, 3
  • Safety and efficacy of testosterone therapy in men with "age-related hypogonadism" have not been established 3

Monitoring Protocol

  • Test testosterone levels 2-3 months after treatment initiation and/or after any dose adjustment 1, 2
  • Once stable levels are confirmed, monitor every 6-12 months 2
  • Evaluate symptoms within 12 months of starting treatment 1
  • Monitor PSA and prostate function, especially in men over 40 years old 1
  • Monitor hematocrit to detect polycythemia, which is less common with transdermal formulations 1, 2

Expected Benefits

  • Improved sexual functioning and quality of life, though effect sizes may be small 4, 2
  • Potential improvements in fasting plasma glucose, insulin resistance, triglyceride levels, and HDL cholesterol 2
  • Little to no effect on physical functioning, depressive symptoms, energy and vitality, or cognition in older men 4

Potential Risks and Side Effects

  • Secondary exposure risk with topical formulations - patients must wash hands immediately after application and cover application sites with clothing after the gel has dried 3
  • Erythrocytosis (higher risk with injections) 1, 2
  • Fluid retention, benign prostatic hyperplasia, sleep apnea, gynecomastia, acne or oily skin, and testicular atrophy 2, 5
  • Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE) 3, 5
  • Possible increased risk of myocardial infarction and stroke 3
  • Fertility suppression due to negative feedback on the hypothalamic-pituitary-gonadal axis 6

Special Considerations

  • TRT is specifically indicated for primary hypogonadism (congenital or acquired) and hypogonadotropic hypogonadism (congenital or acquired) 3
  • The European Association of Urology specifically recommends against using testosterone therapy in eugonadal individuals 7
  • Long-term efficacy and safety data are limited, particularly for men aged 18 to 50 years 4, 8
  • Weight loss through low-calorie diets can improve testosterone levels in men with obesity-associated secondary hypogonadism 2

Contraindications

  • Men with carcinoma of the breast or known or suspected prostate cancer 3
  • Women who are pregnant 3
  • Patients with hypercalcemia, especially those with breast cancer or immobilized patients 5
  • Patients with severe cardiac, renal, or hepatic disease due to risk of edema 3, 5

References

Guideline

Testosterone Replacement Therapy for Patients with Chronic Pain and Low Testosterone

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Testosterone Injection Treatment for Male Hypogonadism

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Diagnostic and Therapeutic Considerations for Female Hypogonadism

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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