Dr. Pugach no longer treats men with Low T and refers patients to USC Institute of Urology at Keck Medicine USC.


The initial consideration for treating low testosterone is to find the underlying cause and to precisely address that issue. In most cases, the cause is failure of a man’s testicles to produce adequate amounts of testosterone. This is due to “burn out” of the Leydig cells that produce testosterone. It is an inevitable part of aging
The decision as to which form of testosterone to use depends upon your clinical evaluation, blood analysis, recommendations by Dr. Robert Pugach and your preferences. At The Male Health & Hormone Center of Excellence, we believe it is important to have an open discussion to help you decide if injectable testosterone therapy is right for you.


This is a time tested method of testosterone replacement therapy. We do these in the office and can teach you how to do them at home! They are typically administered every 1-4 weeks. At The Male Health and Hormone Center of Excellence we carefully monitor your testosterone levels to ensure that you achieve optimum clinical results while ensuring that you don’t have any side effects from your treatment


Injectable testosterone pellets have a distinct advantage – you only need to have them injected every 3 to 4 months! That means just a few visits per year to our office can allow you to have excellent testosterone levels without having more frequent injections. We are one of the largest users of pellets for our patients so we can give you excellent advice about the pros and cons of these injections. In general, it can be said that they slowly release testosterone so that you maintain healthy levels without the up and down fluctuations that can be seen with more frequent injections.


Testosterone pellets are one excellent way to ensure that testosterone enters your body. They typically achieve excellent blood levels.

  • The procedure is done in-office and takes just 5 minutes to complete.
  • The procedure is virtually painless.
  • Pellets only need to be injected every 3 to 4 months and sometimes as long as 6 months per dose! Over a few months, the pellets are totally absorbed by your body.
  • There’s no need for daily applications of creams or gels.
  • Testosterone pellets are usually covered by insurance plans.

The FDA has approved the use of testosterone pellets under the brand name Testopel® (Download, Testopel® brochure “Turn it Up” for more Information!


Dr. Pugach advises his male hormone patients that all therapies have some degree of risks. Some of the disadvantages of testosterone pellets include:

  • There may be some swelling and soreness at the injection site for 1 – 2 days.
  • You can get local inflammation at the injection site.


HCG, or Human Chorionic Gonadotropin, can have a significant role for men who need injectable treatment for Low T. For some, it may be able to stimulate natural testosterone production. For others, it may prevent shrinkage of the testicles that can be seen with testosterone replacement therapy.


Dr. Pugach advises his patients at The Male Health and Hormone Center of Excellence that
testosterone replacement therapy is an individualized process. We’re here to give you a proper
evaluation and help you make the right choice to improve your testosterone levels if that’s the
right thing for you.

Low testosterone levels can be life altering for men. 
Understand the signs, symptoms and the many treatment options.

Call 888.735.4336 for your confidential appointment or email us via 
our Contact Us form for more information.