University of San Agustin

General Luna St., 5000 Iloilo City, Philippines

www.usa.edu.ph

COLLEGE OF HEALTH AND ALLIED MEDICAL PROFESSIONS - DEPARTMENT OF NURSING

Name: Red Angela O. Dinson Course&Section: BSN 1-B

NCM 106 - PHARMACOLOGY

Module 3 Activity No. 4 Men’s Reproductive Health and Reproductive Disorders

Activity 4. Analyze and Discuss

Instructions: Read and analyze the scenario provided. Answer the questions asked. Write your answers in
the space provided.
Scenario:
MJ, age 16 years, is a high school junior who is 59.3 inches tall and weighs 126 lb. He is having
increased feelings of discomfort about not fitting in with the other students at school because he has not
yet begun sexual maturation. He is a good student and an accomplished violinist in the school orchestra.
His father states that he also was a “late bloomer,” but both parents are concerned about MJ’s
increasing social withdrawal and seem determined to seek medical intervention for him. The nurse at the
clinic assesses the needs and status of MT and his parents.

Questions:

1. As a nurse what health teaching should you prepare before the parents decide whether to start
their son on androgen therapy? The decision is made to prescribe methyltestosterone (Striant) 30
mg twice daily by buccal tablet (held inside the cheek until it dissolves). MT will be on this regimen
for 4 months, during which time he is to come to the clinic at monthly intervals.

Answer:
First of all, I want to introduce and explain to them what is Methyltestosterone and the Androgen
Therapy. The sex hormone testosterone, which is naturally generated in a man's testicles, is also available
in synthetic form as methyltestosterone. Additionally, a woman's ovaries and adrenal glands make very
little testosterone. This Methyltestosterone is used to treat disorders in men and boys that result from a
shortage of this hormone, such delayed puberty or other hormonal abnormalities. Treatment is often not
necessary for milder instances of delayed puberty, but for carefully chosen patients, there is enough data
supporting the effectiveness and safety of brief courses of low-dose testosterone therapy. So, my health
teaching would be in a form of leaflets and informational infographics or table that can synthesize the
information about the prescribe drug/therapy. I will produce a table guide that explain correct
administration, predicted medication effects, bad responses to watch out for before visiting the doctor,
contraindications and cautions, drug and food interactions, proper storage, and what to do if you miss a
dose.

Email: cn@usa.edu.ph | Tel. No.: 0999-997-1485 | Fax No.: (033) 337-4403

 University of San Agustin
General Luna St., 5000 Iloilo City, Philippines
www.usa.edu.ph

COLLEGE OF HEALTH AND ALLIED MEDICAL PROFESSIONS - DEPARTMENT OF NURSING

My example of leaflet or informational drug table guide where they can used it for prior knowledge and
to use it for their basis before they decide:

Drug/Theraphy Effects Dosage and Administration

methyltestosterone (Striant) 30
mg twice daily by buccal tablet/
Androgen Therapy
➢ Methyltestosterone is
used in men and boys to
address disorders like
delayed puberty or other
hormonal abnormalities
that are brought on by a
shortage of this hormone.
Women who have breast
cancer that has
progressed to other body
areas may also be treated
with methyltestosterone.
➢ Although males with a
genetic delay in puberty
ultimately experience
normal hypothalamic-
pituitary-gonadal axis
activation, their sexual
immaturity and relatively
small height/weight may
make them more
susceptible to
psychological issues. A
four-month regimen of
testosterone injections
used as androgen
treatment promotes
physical development
and adulthood. In
addition to genetic delays
in puberty, obesity and a
lack of growth hormone
may also delay puberty.
Side Effects:
trouble urinating, breast
swelling/tenderness, too
frequent/prolonged erections.
Adverse Effects:
such as breast cancer in men,
prostate cancer, gum or mouth
irritation, gum pain
Toxic Effects:
This medication can affect
fertility in male
Striant is taken by putting one
buccal system (30 mg) on the
gum area twice a day, in the
morning and the evening (about
12 hours apart).
Serum testosterone levels should
be measured to make sure the
right dose is given.
Striant has to be positioned
comfortably directly above the
incisor teeth (on either side of the
mouth). Striant should be applied
to the lips on different sides each
time. Patients need to be careful
not to move the buccal system.
After consuming food or
alcoholic or non-alcoholic drinks,
patients should check to
determine whether Striant is in
place. Striant must not be
ingested or chewed. Striant
should be carefully moved away
from the gum and toward the
tooth in order to prevent
damaging the gum.

Email: cn@usa.edu.ph | Tel. No.: 0999-997-1485 | Fax No.: (033) 337-4403

 University of San Agustin
General Luna St., 5000 Iloilo City, Philippines
www.usa.edu.ph

COLLEGE OF HEALTH AND ALLIED MEDICAL PROFESSIONS - DEPARTMENT OF NURSING

2. While on therapy, when should MT have x-rays taken? Explain your Answer.

Answer:
Every six months, the patient must have x-rays performed to ensure that his bones are healthy. X-ray of
the hand and wrist should be taken to measure bone age in order to evaluate the treatment's impact on the
epiphyseal centers. Androgen treatment for delayed puberty may accelerate bone formation without
compensating with linear growth, resulting in impaired body structure in maturity. In carefully selected
males with obviously delayed puberty, androgens may be used to stimulate puberty. Puberty is anticipated
to happen naturally at a somewhat late period in these individuals, who often have a family pattern of
delayed puberty that is not attributable to a pathological disease. In certain cases, these individuals may be
justified for brief therapy with cautious dosages if they do not improve with psychological assistance.
Before administering androgens, the patient's parents should be informed about any possible negative
effects on bone maturation like what I have created on the question number 1.

References:

methyltestosterone – Health Information Library | PeaceHealth. (n.d.). Retrieved September 22, 2022,
from https://www.peacehealth.org/medical-topics/id/d00295a1
Striant (Testosterone): Uses, Dosage, Side Effects, Interactions, Warning. (2021, November 10). RxList.
Retrieved September 22, 2022, from https://www.rxlist.com/striant-drug.htm#dosage

Email: cn@usa.edu.ph | Tel. No.: 0999-997-1485 | Fax No.: (033) 337-4403