Testosterone levels decline by approximately one percent each year after age 30. If Dr. Bouknight determines that you have low testosterone, you may be eligible for testosterone replacement therapy. There are multiple ways testosterone therapy can be administered:

• • Gel or Cream: These topical testosterone products are applied to the skin and then absorbed by the body.
  • Patch: Testosterone transdermal patches are placed on rotating areas of the body, usually once per day at the same time each day.
  • Pellet: Pellets are small implants that are inserted into the soft tissue and release a steady, low dose of testosterone for months at a time.
  • Injection: Testosterone injections are administered into a muscle at regular intervals, typically every one to four weeks.

These approaches share a common goal — to replace the testosterone your body is no longer making — but achieve it in different ways and with varying degrees of success. We have found that the best of these options is injections. Injections are the easiest to dose and the most predictable, therefore they are the safest and most effective way to increase and maintain testosterone levels.

Over the next few weeks, you may begin to notice your energy and stamina returning, along with boosts in your libido, mood, and concentration. If you exercise, you may find that your strength and endurance are improved and your recovery time has decreased. Several months of hormone therapy can bring about additional changes for your body, including increased lean muscle mass, lower body fat, and improved bone density. Men who receive testosterone therapy report feeling stronger, sexier, and healthier, like they did in their prime.