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Conditions: Low Testosterone

Treating Low Testosterone

How often should men using gels or patches have their blood tested?

The American Association of Clinical Endocrinologists recommends that patients receiving testosterone replacement be monitored every 3-4 months during the first year of treatment. Physicians may also suggest an initial follow-up visit after one or two months is encouraged to assess how treatment is working and to determine if a higher or lower dose is needed as well as yearly follow-up.

The optimal time of day for measuring testosterone levels varies by delivery system. Peak serum testosterone occurs approximately four to eight hours after patch application. Since testosterone levels remain fairly constant with the gel formulation, the timing of measurement is not critical.

Men undergoing testosterone replacement should also have the following assessments performed at baseline and periodically during follow up exams:

  • PSA (prostate-specific antigen) and digital rectal exam - to monitor the effect of treatment on the prostate
  • Hematocrit and hemoglobin levels - to measure the amount of red blood cells.

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