Name of the Procedure:

Injection, testosterone undecanoate, 1 mg (J3145)

• Common Name(s): Testosterone Injection
• Medical Term: Testosterone Undecanoate Injection

Summary

This procedure involves injecting a small dose (1 mg) of testosterone undecanoate, a hormone commonly used to treat low testosterone levels in men. It aims to restore normal testosterone levels and alleviate associated symptoms.

Purpose

The injection is intended to address conditions like hypogonadism (low testosterone production). The goals are to normalize testosterone levels in the body, improve energy levels, mood, and sexual function, and maintain secondary sexual characteristics.

Indications

• Symptoms of low testosterone such as fatigue, depression, low libido, and erectile dysfunction.
• Confirmed low testosterone levels through blood tests.
• Conditions like primary or secondary hypogonadism.

Preparation

• No fasting required.
• Patients should inform their healthcare provider about any medications or supplements they are taking.
• A baseline testosterone blood test is necessary to confirm low levels.

Procedure Description

1. The patient sits or lies down comfortably.
2. The injection site (typically the gluteal muscle) is cleaned with an antiseptic wipe.
3. A healthcare professional administers the testosterone undecanoate using a sterilized syringe and needle.
4. The injection site is then covered with a small bandage.

Duration

The injection process typically takes about 5-10 minutes.

Setting

The procedure is performed in a healthcare setting, such as a hospital, outpatient clinic, or doctor's office.

Personnel

• The injection is usually administered by a nurse or a trained healthcare provider.

Risks and Complications

Common risks:

• Pain, swelling, or redness at the injection site.
• Nausea.
• Headache.

Rare risks:

• Severe allergic reactions.
• Blood clots.
• Polycythemia (increased red blood cell count).

Benefits

• Improved mood and energy levels.
• Enhanced libido and sexual performance.
• Better muscle mass and strength.
• Results can often be observed within a few weeks to months.

Recovery

• Minimal downtime; patients can typically resume normal activities immediately.
• Patients should monitor the injection site for any signs of infection or adverse reactions.
• Follow-up appointments to monitor testosterone levels and adjust dosage if necessary.

Alternatives

1. Topical Gels or Patches: Easier to apply but can cause skin irritation.
2. Oral Testosterone Supplements: Convenient but less consistent absorption.
3. Testosterone Pellets: Long-lasting but require minor surgical insertion.
4. Lifestyle and Diet Changes: Non-invasive but may not significantly affect testosterone levels.

Patient Experience

• Patients might feel a brief sting or mild discomfort during the injection.
• Post-injection soreness at the site may occur but usually resolves within a day.
• Pain management typically involves over-the-counter pain relievers like acetaminophen or ibuprofen, if necessary.
• Most patients find the procedure quick and relatively painless.