Effects of Intramuscular Testosterone Undecanoate on Body Composition and Bone Mineral Density in Female-to-Male Transsexuals

    Andreas Mueller, Lothar Haeberle, Hendryk Zollver, Tomma Claassen, Desiree Kronawitter, Patricia G. Oppelt, S. Cupisti, Matthias W. Beckmann, Ralf Dittrich
    TLDR Testosterone undecanoate increases lean mass and causes various physical changes in female-to-male transsexuals.
    The study evaluated the effects of long-acting intramuscular testosterone undecanoate on body composition and bone mineral density in 45 female-to-male transsexuals over 24 months. Results showed a significant increase in lean mass, but no change in BMI, fat mass, or bone mineral density. Hormone levels shifted, with declines in gonadotropins, estradiol, and high-density lipoprotein, and increases in testosterone and triglycerides. Clinical effects included cessation of menstrual bleeding, increased clitoral growth, libido, body and beard hair growth, deepened voices, and reduced breast size. Adverse effects included increased hemoglobin, hematocrit, liver enzymes, and systolic blood pressure. Monitoring for lipid profiles, blood pressure, and erythrocytosis was recommended during therapy.
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