Growth hormone, human (HGH) (somatotropin)
CPT4 code
Name of the Procedure:
Growth Hormone, Human (HGH) Therapy
Common name(s): HGH therapy
Technical/Medical term: Somatotropin therapy
Summary
Human Growth Hormone (HGH) therapy involves injecting synthetic HGH to supplement low levels of natural growth hormone in the body. This treatment is used to manage growth hormone deficiencies in children and adults, aiming to improve growth, metabolism, and overall health.
Purpose
Medical Conditions Addressed:
- Growth hormone deficiency
- Turner syndrome
- Chronic kidney disease
- Prader-Willi syndrome
- Muscle wasting disease (associated with HIV/AIDS)
Goals/Expected Outcomes:
- Stimulate growth in children with growth hormone deficiency
- Increase muscle mass and bone density
- Improve energy levels and metabolism
- Enhance overall quality of life
Indications
Symptoms/Conditions:
- Short stature in children
- Delayed puberty
- Decreased muscle mass
- Fatigue and decreased stamina
Patient Criteria:
- Diagnosed with growth hormone deficiency
- Poor growth velocity or other symptoms of deficiency despite normal nutrition
Preparation
Pre-procedure Instructions:
- No specific fasting required
- Review current medications with healthcare provider
Diagnostic Tests:
- Blood tests to measure growth hormone levels
- Bone age assessment through X-ray
- MRI to rule out pituitary abnormalities
Procedure Description
Step-by-Step Process:
- Consultation with an endocrinologist to confirm the necessity of HGH therapy.
- Prescription and preparation of HGH injection.
- Injection typically administered subcutaneously (under the skin).
- Frequency of injections varies – often daily or several times a week.
Tools/Equipment:
- Syringe and needle or HGH injection pen
- Alcohol swabs
Anesthesia/Sedation:
- Generally not needed; injection may cause slight discomfort.
Duration
- Administration of each injection takes a few minutes.
- Long-term therapy with duration depending on individual needs and response.
Setting
- Can be performed at home after initial training by a healthcare professional or in a medical clinic.
Personnel
- Endocrinologist
- Nurse or medical professional for initial training
Risks and Complications
Common Risks:
- Injection site reactions (redness, swelling, pain)
- Headache
- Joint and muscle pain
Rare Risks:
- Increased intracranial pressure
- Scoliosis progression in children
- Glucose intolerance
Management of Complications:
- Adjusting dosage
- Discontinuing therapy if serious adverse effects occur
Benefits
Expected Benefits:
- Improved growth and development in children
- Increased muscle mass and strength
- Improved bone density
- Enhanced mood and energy levels Realization Timeframe:
- Varies; several weeks to months before noticeable improvement
Recovery
Post-Procedure Care:
- Monitoring growth and development regularly through follow-up appointments.
- Blood tests to check hormone levels periodically.
Expected Recovery Time:
- No immediate recovery time after individual injections.
Restrictions/Follow-Up:
- Regular follow-up with endocrinologist to monitor progress and adjust dosage.
Alternatives
Other Treatment Options:
- Lifestyle changes (nutrition, exercise)
- Other medications to manage specific symptoms
- Surgery (if related to pituitary abnormalities)
Pros and Cons Compared to HGH Therapy:
- Alternatives may be less effective in directly addressing growth hormone deficiency.
- Lifestyle changes and other medications may support overall health but typically don't replace HGH.
Patient Experience
During Procedure:
- Minimal discomfort from injections.
After Procedure:
- Some soreness at the injection site.
- Gradual improvement in symptoms over time.
Pain Management:
- Over-the-counter pain relief for injection site discomfort if necessary.
- Proper injection technique to minimize pain.