Dr. Rodwick, HIV AIDS, transgender, hepatitis C, Clearwater, FL, AAHIVM, WPATH, testosterone, Sculptra

Dr. Rodwick has been trained in the insertion of Testopel tablets and has performed the procedure many times. The pellets are very small (about the size of a grain of rice). Several pellets are placed under the skin near the hip in an office procedure that takes about 10 minutes. The pellets release testosterone and often can maintain therapeutic testosterone levels for 4-5 months. That means there are 4-5 months where there is no need for daily application of gels or patches or weekly/bi-weekly injections. We submit information directly to the insurance company prior to the procedure to determine the exact co-payment and cost to the patient.

Testopel® is Unique.

Testopel® is the only FDA-Approved testosterone treatment that can normalize testosterone levels for 3-6 months per dose. The typical interval of Testopel® placement is 3-4 times/year. Testopel® is also the only FDA-Approved testosterone pellet.


Testopel® is approved for testosterone replacement therapy in adult males for conditions associated with low or absent testosterone in the body.


So How Does The Testopel® Delivery System Work?

Figure 1. See the size of a Testopel® pellet pictured here relative to a dime.

Size Comparison

Figure 2. In the doctors office, Testopel® will be placed just underneath the surface of your skin—in your hip area. Imagine the top of your pants back pocket. Once there, the pellets will slowly dissolve away as they are delivering the medication over a 3-6 month period.

Target Area

Figure 3. You can see here how Testopel® is placed in the subdermal fat layer using a special instrument. Once placed by your doctor, you will not see Testopel® on the surface of the skin.

Pellet Insertion

Figure 4. Once complete, your doctor will place a bandage on the site. The Testopel® insertion procedure does not require a stitch. It is advisable not to swim, use a hot tub or lift heavy weights for a few days after Testopel® is placed. Please follow your doctor’s instructions and see complete Prescribing Information.



Testopel FAQs

How big is a Testopel® pellet?

Testopel® relative to a dime is shown in the picture above.

Where is Testopel® placed?

Testopel® is placed just underneath the skin in the hip area. Imagine the outer corner of the top of your pants back pocket.

How will my doctor know when to replace my Testopel®?

Talk to your doctor when you feel your symptoms of Low T returning. Your doctor will order a simple blood test to measure your current level of testosterone to determine when you have fallen below the normal range.

Are there patients who should not receive Testopel®?

Yes. You should not receive Testopel® or any form of testosterone replacement therapy if you have known or suspected prostate cancer or breast cancer or have had a previous adverse reaction to the product. Pregnant women or women trying to get pregnant should also not use Testopel® or any testosterone therapy. Please see the complete Safety Information to learn more.

Will my insurance pay for Testopel®?

The majority of insurance plans do cover Testopel®. It can be treated as a “medical benefit” by your insurer or handled through a specialty pharmacy, which means you’ll never go to the pharmacy to pick up a prescription for Testopel®. Your doctor’s office can work with the Testopel® Reimbursement Program to explore your specific benefit coverage and provide appropriate direction.


Important Safety Information

Men with breast cancer should not use Testopel®. In patients with breast cancer, Testopel® may cause elevated calcium levels in the blood. Men who have or might have prostate cancer or have had a previous adverse reaction should not use Testopel®. Men treated with Testopel® may be at an increased risk for developing an enlarged prostate and prostatic cancer. Testopel® is not approved for use in women. If you are pregnant or may become pregnant, you should not use Testopel® because it may harm your unborn baby.

Swelling of your ankles, feet or body with or without heart failure may be a serious problem in patients treated with Testopel® who have heart, kidney or liver disease. In addition to your doctor stopping treatment with Testopel®, your doctor may need you to take a medicine known as a diuretic. Testopel® should be used cautiously in healthy males with delayed puberty. Adolescent males taking Testopel® for delayed puberty should have bone development checked every 6 months. In children, Testopel® may speed up bone maturity without having a similar gain in linear growth (height). This may result in a decreased adult height. Testopel® has not been shown to be safe and effective for the enhancement of athletic performance. Because of the potential risk for serious adverse health effects, Testopel® should not be used for such purpose.

Because Testopel® pellets are placed under the skin it is more difficult for your doctor to change the dosage compared to medicines taken by mouth or medicines injected into the muscle (intramuscular injection). Surgical removal may be required if treatment with Testopel® needs to be stopped. In addition, there are times when the Testopel® pellets may come out of the skin. While taking Testopel®, your doctor may periodically do tests to check for liver damage. You doctor may also check for increased red blood cell count if you are receiving high doses of Testopel®.

Side effects of Testopel® include more erections than normal or erections that last a long time, nausea, vomiting, changes in skin color, ankle swelling, changes in body hair, breast enlargement or tenderness, male pattern baldness, acne, suppression of certain clotting factors, bleeding in patients on blood thinners, increase or decrease in libido, headache, anxiety, depression, inflammation and pain at the implantation site and rarely anaphylactoid reaction, a sudden onset of an allergic reaction.

For a complete description, please see the full Prescribing Information.


Consent Form - The consent form is available for review prior to the procedure. Testopel Enrollment Form - the information needed to request the patient's share of cost of Testopel.
Patient Instructions - instructions for the immediate period following the procedure. Go to the Testopel Web Site. Testopel logo
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