Reproductive endocrinology

Pharmacoepidemiology of testosterone prescribing in Australia, 2010-2023

Eur J EndocrinolPublished Observational analysis of national prescribing data

Authors' conclusion

Male testosterone use is again approaching pre-2015 peak levels in Australia, potentially due to evasion of PBS regulations. The marked increase in female prescriptions likely reflects a rapid expansion of testosterone use as masculinizing GAHT.

Study context

Population
All Pharmaceutical Benefits Scheme (PBS) testosterone prescriptions in Australia, 2010–2023, by patient age, gender (mostly sex recorded at birth), prescriber type and indication
Outcome
Testosterone prescribing trends
Follow-up
2010–2023
Methodological details2010–2023
  • 2010–2023

Main finding

As reported in the abstract

Male testosterone prescriptions rose to a peak in 2014, fell to a nadir in 2016

30%

Male prescriptions in 2023 vs 2014 peak

98%

Female testosterone prescriptions rise 2010 to 2023, mainly to individuals aged 18-29 years

80-fold

New female prescriptions as share of all testosterone initiations in 2023

30%

Observational data: associations, not effects.

Original publication

Pharmacoepidemiology of testosterone prescribing in Australia, 2010-2023. Eur J Endocrinol. Published 17 September 2026. doi:10.1093/ejendo/lvag158

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