Testosterone gel
A prescription gel you apply to your skin once a day. It keeps testosterone levels steadier than injections and avoids needles.
Medically reviewed by Dr. Chirag Dave
Key facts
- Applied daily at home.
- More constant testosterone levels with daily dosing; no needles.
- Can transfer to others through skin or clothing contact.
- Usually costs more than injections.
Advantages
- More constant levels with daily dosing
- No needles
Considerations
- Higher cost than injectable testosterone
- Risk of transferring gel to spouses and young children through skin or clothes
- Messiness of application
- Possible skin irritation
Gel products
Gel products our physicians prescribe include Testim® 1%, AndroGel® 1% and 1.62%, and Fortesta® 2%. Your physician chooses the product and dose.
Applying gel
- Apply at about the same time each day to clean, dry, unbroken skin in the area your product directions list.
- Let it dry fully before dressing, and wash your hands afterward.
- Avoid swimming or showering for the time stated in the product directions.
- Cover the area with clothing before close skin-to-skin contact.
Fertility
Testosterone therapy can lower sperm production. If fertility is a concern, your doctor can discuss options, including clomiphene.
Monitoring on any testosterone therapy
Whatever form you choose, your physician monitors you at regular intervals, usually every 3 to 6 months, to make sure your symptoms are controlled and to check for side effects. Follow-up usually includes:
- Bloodwork for testosterone and other hormone levels every 3 to 6 months.
- Bloodwork for lipids, hemoglobin and hematocrit, and PSA every 6 months.
- A yearly physical exam, including a digital rectal exam to check the prostate.
Frequently asked questions
How do I keep testosterone gel from transferring to my partner or children?
Gel can pass to others, such as spouses and young children, through contact with your skin or clothes. Let it dry, cover the area with clothing and wash your hands after applying.
Where do I apply testosterone gel?
It depends on the product: for example, shoulders and upper arms (Testim), shoulders, upper arms and abdomen (AndroGel), or inner thighs (Fortesta). Follow the directions for your prescription.
Is gel more expensive than injections?
Usually, yes. Gels generally cost more than injectable testosterone, and insurance coverage varies by plan.
Talk with a urologist
Appointments at 14 Advanced Urology offices across metro Atlanta and north Georgia. Find an office.