Reproductive endocrinology

Endocrine regulation of cardiac repolarization: early QTc shortening after testosterone in healthy AFAB adults

Eur J EndocrinolPublished Prospective cohort study

Authors' conclusion

These findings demonstrate rapid ventricular repolarization remodeling after testosterone initiation, with a magnitude comparable to the sex-based QTc gap.

Study context

Population
Healthy adults assigned female at birth initiating gender-affirming hormone therapy with daily transdermal testosterone gel
Participants
10 adults
Exposure
3 months of transdermal testosterone vs baseline
Outcome
ECG repolarization, baseline to 3 months
Follow-up
3 months
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

QTc change, Bazett

−32 ms

P = .002

QTc change, Fridericia

−14 ms

P = .010

Observational data: associations, not effects.

Original publication

Endocrine regulation of cardiac repolarization: early QTc shortening after testosterone in healthy AFAB adults. Eur J Endocrinol. Published 1 October 2025. doi:10.1093/ejendo/lvaf201

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