Repeated intramuscular injections of testosterone undecanoate for substitution therapy in hypogonadal men
OBJECTIVE To investigate the suitability of intramuscular testosterone undecanoate (TU) injections for substitution therapy in hypogonadal men. STUDY DESIGN Clinical, open‐label, non‐randomized trial of 13 hypogonadal men receiving 4 intramuscular injections of 1000 mg TU in 4‐ml castor oil at 6‐wee...
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Published in | Clinical endocrinology (Oxford) Vol. 51; no. 6; pp. 757 - 763 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford BSL
Blackwell Science Ltd
01.12.1999
Blackwell Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Summary: | OBJECTIVE
To investigate the suitability of intramuscular testosterone undecanoate (TU) injections for substitution therapy in hypogonadal men.
STUDY DESIGN
Clinical, open‐label, non‐randomized trial of 13 hypogonadal men receiving 4 intramuscular injections of 1000 mg TU in 4‐ml castor oil at 6‐week intervals. General wellbeing, sexual parameters, clinical chemistry, hormone levels, prostate size and prostate‐specific antigen (PSA) were evaluated over 24 weeks and compared with baseline values.
RESULTS
Testosterone serum levels were never found below the lower limit of normal and only briefly after the 3rd and 4th injection above the upper limit of normal, while peak and trough values increased over the 24‐week observation period. Oestradiol and dihydrotestosterone followed this pattern, not exceeding the normal limits. No serious side‐effects were noted. Slight increases in body weight, haemoglobin, haematocrit, prostate volume and PSA, suppression of gonadotrophins as well as increased ejaculation frequency occurred as signs of adequate testosterone substitution.
CONCLUSION
Testosterone undecanoate is well tolerated by the patients. The injection intervals can be extended even beyond the 6‐week periods chosen in the present study. Altogether, intramuscular testosterone undecanoate appears to be well suited for long‐term substitution therapy in hypogonadism and hormonal male contraception. |
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Bibliography: | ArticleID:CEN881 istex:AB73C8A5733070D310F6B67F7F5C2CF4DA78ED99 ark:/67375/WNG-B596PF0X-0 ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
ISSN: | 0300-0664 1365-2265 |
DOI: | 10.1046/j.1365-2265.1999.00881.x |