Screening

Baseline testosterone levels† (free and total), baseline lipid profile, baseline liver enzyme levels, mammography, Papanicolaou smear

Initiate therapy‡

Combination product (Estratest or Estratest hs)

Methyltestosterone (Android), 1.25 to 2.5 mg daily

Micronized oral testosterone, 5 mg twice daily

Testosterone proprionate 2 percent in petroleum applied daily to every other day

Testosterone injectables/pellets

Reevaluation at three to four months

Repeat testosterone levels, lipid profile, liver enzyme levels

Monitor symptoms, side effects

Continued therapy

Taper to lowest effective dosage¶

Monitor lipid levels, liver enzyme levels once or twice yearly

Routine Papanicolaou smear and mammography schedules