Topical Testosterone (Gel/Cream) Treatment Plan

This treatment plan outlines the application, dosage, expected benefits, and potential side effects of topical testosterone gel or cream for testosterone replacement therapy (TRT). Please read this plan carefully, along with the manufacturer’s information provided with your medication, for complete details regarding precautions, interactions, and other important safety information.

Topical therapy provides a non-invasive alternative to injections and is applied daily for consistent hormone delivery.

For testosterone replacement therapy, you have been prescribed:

Topical testosterone gel or cream, to be applied once daily unless otherwise directed by your provider.

General guidance:

• Apply to clean, dry, intact skin (commonly shoulders, upper arms, or thighs, depending on product instructions)
• Use the exact prescribed amount (pump or measured dose)
• Spread evenly and allow the medication to dry completely before dressing
• Wash hands thoroughly with soap and water after application
• Avoid showering, swimming, or sweating heavily for at least 2–4 hours after application 
• Rotate application sites as recommended

Avoid contact between the application site and others until the medication has fully dried. Cover the area with clothing if there is a risk of skin-to-skin transfer.

Your provider will determine your dose and adjust based on lab results and clinical response. Regular monitoring is required.

Testosterone is absorbed through the skin and enters the bloodstream, helping restore levels to a normal range.

Topical testosterone therapy may help:

• Improve energy and reduce fatigue
• Increase libido and sexual function
• Support muscle mass and strength
• Improve mood and mental clarity
• Support overall metabolic and bone health

Because it is applied daily, topical testosterone can provide steady hormone levels when used consistently.

• Use only as prescribed. Do not apply more than directed.
• Avoid transferring testosterone to others. Accidental exposure (especially to women and children) can cause unwanted hormonal effects.
• Wash the application site before any anticipated skin-to-skin contact.
• Common side effects may include skin irritation at the application site, acne, or increased hair growth.
• Testosterone therapy may increase red blood cell levels and affect cholesterol or hormone balance. Regular lab monitoring is required.
• Testosterone may suppress natural hormone production and reduce fertility.
• Seek medical care if you experience chest pain, shortness of breath, leg swelling, severe headaches, or signs of allergic reaction.
• Do not apply to broken or irritated skin.

This medication contains the following active ingredient. Do not use if you are allergic to this ingredient or any components listed in the manufacturer’s information.

Testosterone

This medication may cause an allergic reaction in some individuals.

Stop this medication and seek immediate medical care if you experience:

• Rash or hives
• Swelling of the face, lips, or throat
• Difficulty breathing
• Severe skin irritation at the application site

We evaluate your health history based on the information you provide. If any of the following apply or develop during treatment, discontinue use and seek in-person evaluation:

• Known or suspected prostate or breast cancer
• Severe heart, liver, or kidney disease
• Elevated red blood cell count
• History of blood clots
• Uncontrolled sleep apnea
• Significant skin conditions affecting application areas
• Unexplained swelling, chest pain, or shortness of breath

We evaluate the specific health information you provide and make our recommendations based on it. If you incorrectly provide that information, we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment.

We recommend this treatment because the potential benefits of treatment outweigh the risks. You should evaluate this information as well as the manufacturer’s pamphlet, and any input from your in-person healthcare team, or other information to decide if this treatment plan is appropriate for you. You are free to decline our treatment recommendations although, doing so may prolong symptoms and be associated with negative outcomes.

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide.

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.