Treatment options available for Kallmann syndrome or HH.
Hormone replacement only:
Tablets - not normally effective as dose is far too low
Daily gel application - gives good levels but can cause skin irritation with some
Daily patch application
Fortnightly or monthly injection, normally with Sustanon.
Injection every 3 months, such as Nebido. Not available in every country but appears to be very effective for treating KS or HH with stable levels throughout the treatment cycle.
Implants every 6 months, convienient but can leave scarring at implant site.
Injection with hCG / Pregnyl, can be expensive but the best method to give a more natural testosterone level and does have the advantage of increased testicular size in some men.
hCG is also the pre-cursor for fertility treatments. If a good response is achieved with hCG then a FSH type injection such as Gonal-F or Perganol is used to start sperm production and hopefully achieve fertility.
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