Reproductive endocrinology

Serum Estradiol Concentrations With Estradiol 0.06% Gel in Transgender and Gender‐Diverse Adults

Clin Endocrinol (Oxf)Published Retrospective cross-sectional study

Authors' conclusion

Estradiol 0.06% gel achieves target serum estradiol concentrations in a significant proportion of transgender and gender-diverse adults. This represents an alternative estradiol formulation for individuals desiring estradiol therapy for gender affirmation.

Study context

Population
Transgender and gender-diverse adults treated with estradiol 0.06% gel at endocrine clinics in Melbourne, Australia
Participants
81 participants
Outcome
Estradiol 0.06% gel dose, serum estradiol concentration and proportion achieving target serum estradiol concentrations of consensus guidelines
Methodological detailsaudit, endocrine clinics in Melbourne, Australia
  • Audit
  • Endocrine clinics in Melbourne, Australia

Main finding

As reported in the abstract

Serum estradiol concentration
GroupValueMedian daily gel doseWithin target range (250-600 pmol/L)Below rangeAbove range
Estradiol 0.06% gelmedian 396 (range not specified 233–681) pmol/L1.5 mg (1.5-2.25)46%27%27%

Estradiol 0.06% gel

Valuemedian 396 (range not specified 233–681) pmol/L
Median daily gel dose1.5 mg (1.5-2.25)
Within target range (250-600 pmol/L)46%
Below range27%
Above range27%
Correlation between gel dose and serum estradiol (weak positive), r
0.23, p = 0.04

Observational data: associations, not effects.

Original publication

Serum Estradiol Concentrations With Estradiol 0.06% Gel in Transgender and Gender‐Diverse Adults. Clin Endocrinol (Oxf). Published 14 February 2025. doi:10.1111/cen.15217

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