These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.
Androgen Deficiency &
Testosterone [posted 11/24/98]
Question: I have a complex problem from reduced efficiency,easy fatigability, lack of concentration, weak memory, chronic fatique, to frequent dizzness. I am told that those are the symptoms of Androgen-deficiency as a result of retarded growth due severe illness during my childhood. I once used Testesterone tablets when I was 21 years old(1983) to help me develop secondary male sex characteristics normally, but they did'nt show any positive effects. I am now 36 years old and the situation seem to be worsen as time goes on especially tireness and dizzness. Is there any medication to cure this?
Answer: Are you taking testerone? If you were taking correct dosing you will develop secondary sex characterists.
Testosterone Patches [posted
Question: Could you please tell me if there are any testosterone transdermal systems available other than the brand names Androderm and Testoderm. I am currently using the Androderm system, but have skin irritation in the form of swelling and itching from it. I got sample of a Testoderm patch, but the adhesive used on it is not adequate. Any information you can give me would be appreciated.
Answer: Those are the only two I am aware of, injections are about the only alternative.
Testosterone [posted 10/2/98]
Question: I am now taking 2cc of Testosterone for bodybuilding purposes. I am taking these 2ccs every 2 weeks and have as of now taken 3 doses and have been working out hard and regularly. How long before results will begin to show ? I would like to stay this protocol for 3 months and then stop. How is that for a dosage? What could happen to muscle mass after I stop dosing? Thank you
Answer: Time to achieve effect will be 6 months or longer depending also on your work ethic. The time to decrease the muscle mass will also be 6-8 months. Pretty risky drug by the way.
Testosterone & Testicle Pain
Question:I am 24 yrs old and when I was young I had striking pain in my testicles. Then it was tested and some medicines were admisnistered by a qualified professsional. i don't remember what were the medicines. Now I have seen that one of my testicles has shrunk to almost negligible size. please advice what would be the cuase or what would be the reason or is this some kind of disease ?
Answer: Several possibilities. First, it was a variation of mumps or some of the viral infections that affect testicles, second an infection of the collecting system of the testicle that impaired the blood supply to the testicle, thirdly, a mechanical tortion-however, these are usually treated with surgery and not with medications. You should see if you have viable sperm and have your testerone levels checked occasionally. You are at risk with aging to develop low testerone levels which will need replacement.
Testosterone for Increased Sex Drive
Question: I saw a segment on Dateline about two months ago about a woman using testosterone to help her sex drive. It seemed to me that she used a cream that she claimed worked right away. I tried to get an answer from Dateline exactly what it was she used, but I only got some sort of form letter, no answer. I asked my doctor and she didn't know of anything like that. Is there something like a testosterone cream or something like that? Would you let me know so that I can have my doctor write a prescription for me for it. My problems stem from having a hysterectomy. If I knew then what I know now I wouldn't have let them do it.
Answer: The cream was a testosterone based cream. Curiously, in both men and women testosterone is responsible for sex drive. However, excessive testosterone in women will produce male characteristics (hair, deep voice, etc.) so it must be used in small doses. Any testosterone cream will work, I think that particular show used testosterone propionate (available only by special mixture at the pharmacy). However, any testosterone should improve a women's sex drive. Use very small doses and watch carefully for any male pattern changes. Also, fat cells change estrogen to testosterone in women, so sufficient estrogen replacement will also work. This is important because most physicians will not prescribe testosterone to women merely for changes in their sex drives.
2% Testosterone Propionate Cream
Question: Has a Testosterone gel (Testos Pro?) been approved by the FDA? Are any pharmaceutical companies in the process of marketing 2% Testosterone Propionate cream? In January 1998 Oprah had a show where a gyn mentioned this 2% Testosterone propionate cream for application to external female genitalia. As Oprah has a huge viewership and indicated over 40 million women have low sexual interest, I would think this would be profitable for a pharmaceutical company. I would prefer to not have to go to a compounding pharmacy because of the cost.
Answer: Not currently available without the pharmacist doing the work. I don't know about plans by drug companies.
Testosterone Compound Cream
Question: I was recently prescribed a cp testost. prop 2% in wt pet cream and was not given any information on how to use this. Where do I apply? How often? This is supposed to help with my desire for sex, since I had a complete hysterectomy and have no desire.
Answer: Strangely enough, testosterone (the "male" hormone) is the major steroid responsible for sex drive in both men and women. Estrogen is converted to testosterone in fat and the adrenal glands and is the necessary drug for sex drive. Small doses in women can improve sex drive, this is usually applied in the vaginal area, but can be used anywhere. If applied in the vaginal area it sometimes helps the dryness of the area, although estrogen cream is better. Taking oral estrogen should also help the problem. The cream is usually not absorbed enough to give sufficient results.
Question: What information do you have about the new testosterone patches marketed under the name "Testroderm"?
Answer: There are several dermal testosterone patches now available. The
original was Testogerm- applied to the scrotal skin. This gave erections, but it required
constant shaving of the hair in the area-- a nuisance. Recently, there is androderm which
is applied to the chest or wherever. This is better tolerated and tends to avoid the
high/low phenomenon of testosterone shots (the alternative). Their major disadvantage is
cost, but my patients usually prefer the patches.
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