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Indications And Usage Males Androgens Are Indicated For Replacement Therapy In Conditions Associated With A Deficiency Or Absence Of Endogenous Testosterone. A.primary Hypogonadism (Congenital Or Acquired) - Testicular Failure Due To Cryptorchidism, Bilateral Torsion, Orchitis, Vanishing Testes Syndrome; Or Orchiectomy. B.hypogonadotropic Hypogonadism (Congenital Or Acquired) - Gonadotropic Lhrh Deficiency, Or Pituitary - Hypothalamic Injury From Tumors, Trauma Or Radiation. If The Above Conditions Occur Prior To Puberty, Androgen Replacement Therapy Will Be Needed During The Adolescent Years For Development Of Secondary Sex Characteristics. Prolonged Androgen Treatment Will Be Required To Maintain Sexual Characteristics In These And Other Males Who Develop Testosterone Deficiency After Puberty. Safety And Efficacy Of Testopel ® (Testosterone Pellets) In Men With “age-Related Hypogonadism” (Also Referred To As “late-Onset Hypogonadism”) Have Not Been Established. C.androgens May Be Used To Stimulate Puberty In Carefully Selected Males With Clearly Delayed Puberty. These Patients Usually Have A Familial Pattern Of Delayed Puberty That Is Not Secondary To A Pathological Disorder; Puberty Is Expected To Occur Spontaneously At A Relatively Late Date. Brief Treatment With Conservative Doses May Occasionally Be Justified In These Patients If They Do Not Respond To Psychological Support. The Potential Adverse Effect On Bone Maturation Should Be Discussed With The Patient And Parents Prior To Androgen Administration. An X-Ray Of The Hand And Wrist To Determine Bone Age Should Be Taken Every 6 Months To Assess The Effect Of Treatment On Epiphyseal Centers (See Warnings ).
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