Shots of testosterone are given once a month. In comparison, you will use the patch every other day or take the pill daily.
After several months of estradiol therapy, your doctor may add progesterone or progestin to your treatment. You must be on estradiol first before you can add these to your treatment plan.
Both men and women can undergo this therapy. Your doctor will decide if you need FSH, LH, or both. Other gonadotropins such as Human Chorionic Gonadotropin (hCG) or Human Menopausal Gonadotropins (hMP) may also be used, sometimes in combination with others. You may need to go to the doctor or hospital for these injections, but in some cases, you may be prescribed injections to give yourself at home.
Ask your doctor about getting a portable infusion pump, which will deliver GnRH in pulses over the course of 18 months, similar to an insulin pump for diabetes. [5] X Research source
If infertility is your only issue, you may only need gonadotropin injections. A doctor or fertility specialist can help. If you have not undergone puberty, you may have a serious deficiency. Boys may have undescended testicles, a lack of body hair, high-pitched voices, and small sexual organs. Girls will not get periods or grow breasts. [6] X Trustworthy Source Nature Respected Multidisciplinary Scientific Journal Go to source These issues start in the womb and are often diagnosed in childhood. If you do not have a sense of smell, tell your doctor. They may order a genetic test to see if you have Kallman Syndrome.
This test can also check how much testosterone or estradiol your body produces. It will determine if your problems come from low levels of GnRH or from an issue in your sexual organs. Your doctor might also want to order X-rays, take an MRI of you brain or do ultrasounds of the abdomen or pelvis in order to find the cause of your hypogonadism. This could also help them look for any complications or other associated effects.
Blood tests to test hormone levels Examination of sexual organs Sperm counts (for men)
You can use Clinicaltrials. gov to find a clinical trial that you qualify for. You can also apply for the trial through this website.
Your doctor will want to use special X-ray tests to monitor your bone density over time.
