Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Testosterone gel (Testim, AndroGel, Fortesta, Vogelxo) and Aveed (testosterone undecanoate) are both used to treat low testosterone in adult males, but they have some key differences. Testosterone gel is applied topically to the skin once a day, while Aveed is an intramuscular injection given by a healthcare provider every 10 weeks after the initial doses. Testosterone gel has a higher risk of accidental exposure to others through skin contact, which can cause unwanted side effects in children and females, whereas Aveed does not have this risk. However, Aveed requires enrollment in a REMS program due to the potential for serious lung problems and severe allergic reactions, and you must stay at the provider's office for 30 minutes after each injection. Testosterone gel is available in generic forms, making it potentially more affordable, while Aveed is only available as a brand medication. Both medications can cause side effects like heart attack, stroke, and high red blood cell count, but Aveed also has specific risks related to its injection method.
Testosterone gel
aveed (testosterone undecanoate)
Testosterone gel
aveed (testosterone undecanoate)
Summary of Androgel vs. Aveed
Summary for Testosterone replacement
Prescription only
Testosterone gel is used to treat low testosterone in adult males. It's convenient to use because you only have to apply it to your skin once a day. But compared to other forms of testosterone, there's a higher risk of exposing others to the medication through skin-to-skin contact.
Summary for Testosterone replacement
Prescription only
Aveed (testosterone undecanoate) is an injectable testosterone that’s used to treat low testosterone in adult males. It's an FDA-approved testosterone replacement therapy that must be injected by a healthcare professional due to possible allergic reactions and a serious warning called pulmonary oil microembolism (POME), which causes symptoms such as coughing, chest pain, and trouble breathing. Initially, you'll receive the first two injections a month apart, then an injection every 10 weeks after that. Common side effects include acne, pain at the injection site, and fatigue.