Testosterone Treatment

Testosterone Treatment (For Males)

Program Overview

Our hormone replacement therapy program is designed to cater to your specific needs and lifestyle. Our dedicated team will collaborate with you to tailor a personalized hormone regimen.

This program includes a blend of bio-identical hormones, comprehensive doctor consultations, and convenient lab work, available either in the office or virtually.

Symptoms of Testosterone Deficiency

Men experiencing testosterone deficiencies commonly report

  • Decreased libido
  • Sexual dysfunction
  • Abdominal weight gain
  • Muscle mass loss
  • Fatigue accompanied by depression.

Addressing this deficiency typically alleviates all associated symptoms.

Hormone Replacement Strategies

Treatment Options

We offer testosterone pellet therapy, where pellets are implanted every six months. This option costs $699-$799 and provides a convenient and consistent dose of medication. Pellet therapy is safe for household members, eliminating the risk of cross-exposure.

Intramuscular injections are dosed once a week typically. Shots can be administered in the clinic or at home.

  • Your medication stored at the clinic- $10 per shot


  • IM Testosterone- @ $60 a month or $90 for a 3-month supply.
  • Compounded cream- @ $55 a month and @$105 for a 3-month supply.
  • Compounded cream 30-day supply- $45
  • Compounded cream 90-day supply- $100
  • Compounded RDT/Troche- $45-$55 a month
  • Compounded RDT/Troche- $125- 90 day supply
  • Clomid is another option for patients who still desire to have children. Dosing is 50 mg two or three times a week.

Testosterone Lab Draw Guidelines

Hormone replacement therapy (HRT) labs do not require fasting.
Regular monitoring of cholesterol, estrogen, prostate-specific antigen (PSA), and blood count levels is essential, typically every 3-6 months.

Pellet Therapy

Lab draws are scheduled one month after pellet insertion to determine the appropriate dosage for the next insertion.


Lab work should be conducted at least one week before your planned hormone visit. Ensure that none of the cream is present on your arms during the lab draw. Consider abstaining from hormone use on the day of the lab draw to prevent contamination.


For accurate results, labs should be drawn at least 4 hours after taking the troche to capture peak hormone levels. Plan to conduct the lab work at least one week before your scheduled hormone visit.

Testosterone Injections

Labs should be drawn at least one week before your planned hormone visit, ensuring that the timing aligns with your next dosing schedule. For instance, if you administer your injection on Saturdays, schedule your lab draw for the preceding Friday.

Using Hormone Cream

Hormone creams offer versatility in application. They can be applied to the inner thigh, behind the knees, on top of the feet, shoulders, or abdomen. It's crucial to avoid getting the cream on any family members or pets, as it can vaporize and affect them, especially while sleeping.

TakingTroches or RDT

Troches and RDTs (rapid dissolve tablets) should be allowed to fully dissolve in the mouth when taken orally. Most patients place the troche or RDT under their tongue or between their cheek and gum. Remember to only swallow your saliva and none of the troche or RDT to prevent potential liver distress. These medications may be dosed once or twice a day to maintain consistent hormone levels.

Considerations for Testosterone Therapy

Testosterone therapy comes with several important considerations that patients need to be aware of before starting treatment.

Fertility Concerns

Testosterone treatment can lead to sterility. If you are planning to have more children, testosterone therapy is contraindicated.

Testicular Shrinkage

Some men may experience testicular shrinkage as a side effect of testosterone therapy. To avoid this, some individuals opt for supplementing with hCG (human chorionic gonadotropin), which is administered via weekly intramuscular injections.

  • HCG administration is available in-office at Dr. Rogers Centers, as compounding hCG at local pharmacies is no longer permitted due to FDA regulations.

Estrogen Control

Testosterone supplementation can sometimes result in high levels of estrogen due to the conversion of testosterone. To prevent conditions like gynecomastia (enlargement of male breast tissue), some patients may require an estrogen blocker like Arimidex.

Blood Viscosity

Testosterone therapy may increase red blood cell count, which can thicken the blood and increase the risk of heart attack and stroke. Regular blood donations may be necessary to manage this risk.

Prostate Cancer Monitoring

Patients undergoing testosterone therapy should undergo regular monitoring of prostate-specific antigen (PSA) levels and yearly digital rectal exams to detect any signs of prostate cancer.

Behavioral Changes

Increases in aggressive personality tendencies should be closely monitored while on testosterone therapy to ensure psychological well-being.