Reproductive endocrinology

A Randomized Controlled Trial Comparing Testosterone Enanthate and Testosterone Undecanoate as a Gender Affirming Hormonal Therapy in Trans Males

Clin Endocrinol (Oxf)Published Randomised controlled trial

Authors' conclusion

Both TE and TU is safe, effective and well tolerated GAHT among FtM transsexuals with no significant differences in clinical, biochemical and hormonal parameters. Testosterone undecanoate was preferred at the end of 1 year due to its long dosing intervals.

Study context

Population
Testosterone-naive transgender men (female-to-male (FtM)), transgender multi-specialty clinic
Participants
58 men
Comparison
Testosterone enanthate vs testosterone undecanoate
  • Testosterone enanthate (TE)n = 29
  • Testosterone undecanoate (TU)n = 29
Methodological detailsprospective, single-centre transgender multi-specialty clinic, Conducted over 28 months
  • Prospective
  • Single-centre transgender multi-specialty clinic
  • Conducted over 28 months

Primary result

As reported in the abstract

Clinical, biochemical and hormonal parameters · 1 year

Number of injections received, TU vs TE

6 vs. 18

Original publication

A Randomized Controlled Trial Comparing Testosterone Enanthate and Testosterone Undecanoate as a Gender Affirming Hormonal Therapy in Trans Males. Clin Endocrinol (Oxf). Published 26 February 2025. doi:10.1111/cen.15223

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