Note that the injection protocols and frequency for the purpose of TRT is never set in stone, and can always be adjusted according to the patient’s discussion and decision with their doctor. Often times many doctors will settle on an injection frequency with their patients of a once weekly injection for Testosterone Enanthate or Cypionate, for example. Many medical professionals have believed that the injection protocols as outlined by medical prescription guidelines require revision so as to ensure more frequent injection protocols in order to achieve more stable blood levels, but nevertheless, medical prescription guidelines remain as listed above. The general idea here, however, is to emphasize the fact that injection frequency can always be adjusted according to the individual’s needs, and especially following monitoring with blood work.
This is a rare complication that may occur if a small hole is made in the fibrous sac and does not close up after the needle puncture. These small holes are only made in less than 1% of epidural injections and usually heal on their own. The spinal fluid inside can leak out, and when severe, the brain loses the cushioning effect of the fluid, which causes a severe headache when you sit or stand. These types of headaches occur typically about 2-3 days after the procedure and are positional - they come on when you sit or stand and go away when you lie down. If you do develop a spinal headache, it is OK to treat yourself. As long as you do not feel ill and have no fever and the headache goes away when you lay down, you may treat yourself with 24 hours of bed rest with bathroom privileges while drinking plenty of fluids. This almost always works. If it does not, contact the radiologist who performed the procedure or your referring physician. A procedure (called an epidural blood patch) can be performed in the hospital that has a very high success rate in treating spinal headaches.