Treatment with the drug bromocriptine was dramatic and has totally resolved the problem. Both preparations are widely available, and it is certainly important to discuss these options with your physician when considering testosterone replacement therapy. Currently, the most popular method of testosterone supplementation is by injection. The most common compound and the ones used for decades in the United States are testosterone cypionate and testosterone enanthate. These are generally given as a 200-mg injection every two to three weeks.
Results are usually satisfactory for the majority of patients.
The downside to this has been an initial super-physiologic testosterone level during the first few days after the injection followed by a decrease. In other words, when you first get the injection, the testosterone level goes much higher than natural levels would be, and then tends to drop. It is usually not noticeable to patients. Some physicians, however, feel that the intermittent elevations may have more long-term consequences than a steady level produced by transdermal preparations. Studies are currently investigating whether transdermal testosterone has advantages over testosterone shots.