Addition of testosterone to endocrine care for transgender women: a dose-finding and feasibility trial (Q30091)

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  • Addition of testosterone to endocrine care for transgender women: a dose-finding and feasibility trial.
  • Addition of testosterone to endocrine care for transgender women
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English
Addition of testosterone to endocrine care for transgender women: a dose-finding and feasibility trial
No description defined
  • Addition of testosterone to endocrine care for transgender women: a dose-finding and feasibility trial.
  • Addition of testosterone to endocrine care for transgender women

Statements

Addition of testosterone to endocrine care for transgender women: a dose-finding and feasibility trial. (English)
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Transgender women who underwent gonadectomy have lower serum testosterone concentrations than cisgender women. (English)
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There is uncertainty regarding the dosing and side effects of supplementation of testosterone in transgender women. (English)
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This study aimed to assess the feasibility of dosing testosterone to the cisgender female physiological range in transgender women. (English)
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In addition, we explored changes in cardiovascular parameters, virilizing side effects, and clinical symptoms. (English)
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This is an open-label, single-arm feasibility study. (English)
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Participants initially went through a dose-titration phase with 2-week intervals of 0.07-0.09-0.13 mL (277-318-403 μg bioavailable testosterone) testosterone 2% gel to establish a dose leading to serum testosterone concentrations between 1.5 and 2.5 nmol/L. (English)
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This dose was then continued for 8 weeks. (English)
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Participants applied daily transdermal testosterone 2% gel (Tostran®) at the prescribed dosage. (English)
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Testosterone was measured every 2-4 weeks. (English)
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Laboratory analyses, side effects, and clinical symptoms were evaluated. (English)
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In total, 12 participants were included. (English)
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Most participants required a dose of 0.07 mL (277 μg bioavailable testosterone) or 0.09 mL (318 μg bioavailable testosterone) to reach serum testosterone concentrations of 1.5-2.5 nmol/L. (English)
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Continuing this dose, testosterone concentrations remained stable throughout the study. (English)
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Changes in clinical outcomes were in the desired direction, and side effects were mild. (English)
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The use of testosterone supplementation in transgender women seems feasible and safe in the short term. (English)
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Although dosing requires personalized titration, stable testosterone levels can be established. (English)
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A blinded, placebo-controlled, randomized clinical trial is needed to study the clinical benefit. (English)
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30 August 2024
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30 August 2024
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191
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3
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279-287
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279
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287
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unknown value
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Conflict of interest: None declared. (English)
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