Androstanolone ester

From WikiMD's Food, Medicine & Wellness Encyclopedia

Androstanolone ester refers to a chemical compound that is a synthetic ester derivative of androstanolone, which is also known as dihydrotestosterone (DHT). Androstanolone esters are used in medicine for their androgenic properties. They are primarily utilized in the treatment of male hypogonadism, a condition characterized by low levels of testosterone leading to various health issues such as decreased muscle mass, energy, and libido, as well as increased body fat and bone loss.

Chemical Structure and Properties[edit | edit source]

Androstanolone, the base hormone, is a potent androgen that does not convert to estrogen because it is already a reduced form of testosterone. The esterification of androstanolone at the 17-beta hydroxyl group modifies its solubility and half-life, allowing for its use in long-acting injectable formulations. Common esters of androstanolone include androstanolone enanthate and androstanolone propionate. These modifications do not change the androgenic activity but affect the drug's metabolism, distribution, and excretion, thereby altering its duration of action.

Pharmacology[edit | edit source]

The pharmacological action of androstanolone esters is similar to that of natural androgens. They bind to and activate androgen receptors in target tissues, such as muscles, skin, and the prostate, exerting their effects by promoting protein synthesis, which leads to increased muscle mass and strength, and the development of male secondary sexual characteristics. However, due to their potent androgenic effects, they can also cause side effects such as acne, hair loss, and an increased risk of benign prostatic hyperplasia (BPH) and prostate cancer in predisposed individuals.

Clinical Uses[edit | edit source]

Androstanolone esters are used in the treatment of conditions caused by androgen deficiency, such as male hypogonadism. They may also be used in certain cases of breast cancer, as androgens have been shown to have an inhibitory effect on the growth of some types of breast cancer cells. However, their use is limited by the potential for androgenic side effects, and they are typically not the first choice of treatment for these conditions.

Side Effects and Contraindications[edit | edit source]

The use of androstanolone esters can lead to several side effects, most of which are related to their androgenic activity. These include acne, increased body and facial hair, scalp hair loss, and an increased risk of developing prostate abnormalities. They are contraindicated in patients with known or suspected prostate or breast cancer and should be used with caution in those with liver disease, heart disease, or a history of thromboembolic disease.

Conclusion[edit | edit source]

Androstanolone esters are powerful androgenic agents with specific clinical applications in the treatment of androgen deficiency and certain types of breast cancer. Their use must be carefully considered against the potential for androgenic side effects and contraindications.


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Contributors: Prab R. Tumpati, MD