Do you often feel tired, lethargic, frustrated with life, or have a decreased sexual desire? Sometimes the reason for this may be a decrease in the hormone testosterone in your body. This hormone is very important for a man's health and vitality. Today we are going to talk about a special treatment given to men whose testosterone levels have decreased due to certain medical reasons. That is testosterone pellets that are placed under the skin (Testosterone Subcutaneous Pellets).
What are these testosterone pills?
Simply put, this is a medication that increases the level of testosterone in your body. Testosterone is a hormone in the androgen group, a primarily male hormone. In this treatment, a doctor inserts several small tablets, about the size of a grain of rice, under your skin, usually in the buttocks or abdomen, through a small incision. These tablets gradually release testosterone into your body. This works for several months. This means that you don't have to worry about taking medication every day. In Sri Lanka, these are available under brand names such as `(Testopel)`.
Things you need to tell your doctor before starting this treatment
Before you start this treatment, it is very important to talk honestly and openly with your doctor about your entire health condition, as using this medication with certain medical conditions can be risky.
| Your medical condition or problem | Why is it important to inform the doctor ? |
|---|---|
| Breast cancer or prostate cancer or enlargement | Testosterone can accelerate the growth of some types of cancer. |
| Diabetes | This medication can affect blood sugar levels, so your diabetes medication dosage may need to be adjusted. |
| Heart disease, kidney disease, or liver disease | Testosterone can increase fluid retention in the body, which can make these conditions worse. |
| Lung-related diseases | Some patients, especially those with sleep apnea, may be affected. |
| Allergies to testosterone or other medications, foods, or dyes | This is essential to prevent a serious allergic reaction. |
| If your partner is pregnant or trying to get pregnant | Testosterone therapy can affect sperm production, which can affect fertility. |
How do you use this medicine?
This is not something you can take home. It is something that is placed under your skin in a hospital or clinic by a trained doctor or healthcare team . You will be given a special information leaflet (MedGuide) about this before the procedure. Remember to read it carefully every time.
What if the dosage of the medicine is increased? (Overdose)
Since this is done under the supervision of a doctor, there is little chance of overdose. However, if you suspect that something has happened, immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
What if I can't take the pills on time?
These pills are given every few months, so it's important to be on time. Your doctor will tell you when your next treatment will be. If you can't make it on that day for some reason, let your doctor's office know in advance.
Other medications that may interact with this medicine
If you are taking medication for other illnesses, tell your doctor about that as well.It is imperative to say this because some medications can interact with testosterone. Specifically:
- Medications for diabetes
- Medicines that prevent blood clotting (e.g. ` warfarin` )
- Some high blood pressure medications like `Propranolol`
- Painkillers such as `Oxyphenbutazone`
- Steroid medications such as ` Prednisone` or `Cortisone`
This list is not complete, so tell your doctor about all the medications you take, including vitamins, herbal remedies, and supplements .
Things to consider during treatment
It is important to always pay attention to your health while undergoing this treatment.
- Regular medical checkups: Your doctor will regularly check your testosterone levels and other things in your blood. So, make sure to attend your checkups on time.
- For people with diabetes: If you have diabetes, check your blood sugar levels regularly. This medicine may cause changes in your blood sugar levels. Always talk to your doctor before changing the dosage of your diabetes medicine.
- Pills coming out: Very rarely, the inserted pills may come out of the skin. If this happens, inform your doctor immediately.
- Especially for athletes: Many sports organizations have banned the use of testosterone in athletes. If you are an athlete, be aware of this.
Important to note: Some people taking this medication have been reported to have an increased risk of heart attacks and strokes. Therefore, if you experience symptoms such as shortness of breath, chest pain or tightness, sudden arm pain, difficulty speaking or understanding, numbness or weakness in the face, arm or leg, go to the Emergency Department (ETU) immediately.
What side effects might I experience?
As with any medication, side effects can occur. Some are serious, some are common.
| Serious side effects that should be reported to the doctor immediately | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue. |
| Blood clot | Leg pain, swelling, warmth, difficulty breathing, chest pain. |
| Heart attack or stroke | Pain or stiffness in the chest, shoulders, arms, nausea, shortness of breath, sudden numbness, difficulty speaking. |
| Liver damage | Pain in the upper right side of the stomach, loss of appetite, dark urine, and yellowing of the skin or eyes. |
| Mental changes | Feelings of restlessness, irritability, depression, and suicidal thoughts. |
| Other serious symptoms | Increased blood pressure, swelling of the ankles, hands, or feet, prolonged painful urination, and increased sleep apnea. |
| Things that are usually not serious, but should be reported to the doctor if they persist | |
|---|---|
| Acne or increased acne | |
| Changes in sexual desire or function | |
| Unexpected growth of breast tissue (Gynecomastia) | |
You may also experience other side effects not listed in this list. If you notice anything unusual, talk to your doctor about it.
Take-Home Message
- Testosterone replacement therapy is a treatment given under the supervision of a doctor for men who have low testosterone levels due to certain medical reasons.
- Before starting treatment, tell your doctor about all your medical conditions and medications you are taking.
- If you experience any serious symptoms such as chest pain, difficulty breathing, or sudden numbness, go to the Emergency Department (ETU) immediately.
- This medicine is for you only. Do not share it with anyone else for any reason.
- If you have any questions about this treatment, talk to your doctor about it openly.
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