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Low testosterone

TRT injections vs pellets vs gel: how to choose

Testosterone injections, pellets, or gel: how do you choose?

Straight answer

Injections are given weekly or every few weeks, but levels can rise and fall. Gels are daily and give steady levels, but can transfer to others by skin contact.

What's involved

Pellets are placed under the skin every few months, so there's little upkeep. Your lifestyle and how your body responds guide the choice.

When to visit us on Gordon Rd

If you're starting or switching testosterone, schedule a visit to compare options.

For the mountain counties

We welcome Pickens, Gilmer and Fannin residents to our Jasper Clinic, 49 Gordon Rd Suite 103.

Request an appointment at Advanced Urology.

Call (678) 344-8900 Book a visit online

Testing in Jasper

Men in Pickens and nearby counties can be evaluated for low testosterone at our Jasper Clinic by Britany Howard, FNP, or one of our urologists. Two low morning blood levels plus symptoms confirm the diagnosis, so a repeat test is common.

Comparing the options

Injections are given at set intervals, at home or in the office. Gels are applied daily, and skin contact with partners or children has to be avoided until dry. Pellets are placed under the skin in the office and release testosterone over several months. We'll talk about your schedule, comfort with needles and preferences before deciding.

Call us if

  • Breast tenderness or swelling develops
  • Leg swelling or shortness of breath appears
  • A pellet site becomes red or painful

Common questions

Common questions

How often are labs checked?

Blood tests check testosterone, red blood cell count and PSA, a few months after starting and then at regular intervals. A high blood count can mean adjusting the dose.

Can I switch methods later?

Yes. Men switch between gel, injections and pellets for convenience, cost or how steady their levels stay. A switch is followed by a repeat blood test.

Jasper, Talking Rock and Ellijay men reach us by dialing (678) 344-8900.

Men who plan to have children should tell us first, since testosterone can lower sperm production. Sleep, weight, exercise and alcohol all influence testosterone, and lifestyle steps are part of any plan. We'll also explain how quickly levels rise with each method and what follow-up looks like.

Starting with habits alone, then retesting a few months later, is a fair approach too.

Questions are always welcome.

Partners are welcome to come along.

More to read

Videos from Advanced Urology

Dr. Greenstein on Low Testosterone Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

Where can I go from here?

Start with the condition page, then call or book online whenever you are ready.

Questions after reading this? Our offices in Marietta, Canton, Dallas and Jasper share one phone line and one caring team.

Call (678) 344-8900 Book online