Indiscriminate use of Testosterone is widely practised both in india and abroad. Testosterone is one of the drug which has been abused in wide range of patients. Youth use it for body building without knowing that this can affect there sperm count and older individuals use it to improve there sexual ability without knowing that this can affect there Prostate and heart diseases.
Testosterone can be measured in blood level of a person but a standard testing method from a well equipped lab is of main importance. These standard methods are available in very few labs. A wrong report can lead to false interpretation. Even if the test is done in a standard lab results interpretation is very important and cannot be judged with reference range given by lab. These test needs clinical correlation with patient symptoms.
Testosterone therapy is useful in patients who are having symptom complex of loss of libido, erectile dysfunction, loss of muscle mass, increased body fat, anaemia, osteoporosis, depressed mood, decreased vitality, sweating and hot flushes in association with low blood testosterone level.
Testosterone therapy can be given through injections, gels and patches. Oral testosterone preparations are associated with liver side effects, there use is considered obsolete and is no longer recommended.
Testosterone injections are recently given as depot form which is convenient to use. Between first two injections interval is of 6 weeks after that interval is increased upto 10 to 14 weeks for maintenance. With this dosage sufficient steady state testosterone levels may be achieved more rapidly.