Dr. Samadi is a board-certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. He is chairman of urology, chief of robotic surgery at Lenox Hill Hospital and professor of urology at Hofstra North Shore-LIJ School of Medicine. He is a medical correspondent for the Fox News Channel's Medical A-Team and the chief medical correspondent for am970 in New York City. Learn more at . Visit Dr. Samadi's blog at . Follow Dr. Samadi on Twitter and Facebook.
At a minimum, high-T males have been blessed—or better, cursed —with the raw energy to do things to the extreme. And so they're in danger of abusing this energy—to act imprudently, rashly, or recklessly. A large variety of research findings indicate that high-testosterone males are more likely to be impulsive , impatient, unreliable, and (as Dabbs pointedly puts it) "single-minded to the point of obsessiveness." Competitively, or confrontationally, leaning toward raucous, rough, or rugged physical activities, they frequently don't perform well academically.
Transdermal patches (adhesive patches placed on the skin) may also be used to deliver a steady dose through the skin and into the bloodstream. Testosterone-containing creams and gels that are applied daily to the skin are also available, but absorption is inefficient (roughly 10%, varying between individuals) and these treatments tend to be more expensive. Individuals who are especially physically active and/or bathe often may not be good candidates, since the medication can be washed off and may take up to six hours to be fully absorbed. There is also the risk that an intimate partner or child may come in contact with the application site and inadvertently dose himself or herself; children and women are highly sensitive to testosterone and can suffer unintended masculinization and health effects, even from small doses. Injection is the most common method used by individuals administering AAS for non-medical purposes.