Testosterone cyclopentylpropionate

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Testosterone Cyclopentylpropionate is a synthetic ester of the primary male androgen, testosterone. It is one of several esterified forms of testosterone used in the treatment of hypogonadism in males, delayed puberty, and in hormone therapy for transgender men. This compound combines testosterone with a cyclopentylpropionate ester to prolong its duration of action, allowing for less frequent injections compared to testosterone itself.

Chemistry[edit | edit source]

Testosterone cyclopentylpropionate is a derivative of testosterone, where a cyclopentylpropionate ester is attached to the 17-beta hydroxyl group of the testosterone molecule. This modification makes the compound more lipophilic, which slows its release into the bloodstream after intramuscular injection.

Pharmacology[edit | edit source]

The pharmacological action of testosterone cyclopentylpropionate is primarily that of testosterone. Once in the bloodstream, esterases cleave the ester group, releasing active testosterone. Testosterone then exerts its effects by binding to and activating the androgen receptor, influencing gene expression and resulting in the development and maintenance of male secondary sexual characteristics, anabolic effects, and influences on mood and behavior.

Clinical Uses[edit | edit source]

Testosterone cyclopentylpropionate is used in the management of:

  • Hypogonadism in males, where the body does not produce enough testosterone.
  • Delayed puberty in boys.
  • Part of hormone therapy in transgender men to induce masculinization.

Administration[edit | edit source]

This medication is administered via intramuscular injection. The duration of action and dosing frequency depend on the individual's response and the specific formulation used. It is typically administered every 1 to 4 weeks.

Side Effects[edit | edit source]

As with other forms of testosterone therapy, testosterone cyclopentylpropionate can cause side effects, including:

  • Acne
  • Increased body hair
  • Mood swings
  • Changes in cholesterol levels
  • Liver function alterations

Patients are monitored for these potential side effects and for changes in hematocrit, lipid profiles, and liver function tests during treatment.

Contraindications[edit | edit source]

Testosterone cyclopentylpropionate should not be used in individuals with:

  • Known hypersensitivity to testosterone or any component of the formulation.
  • Prostate or breast cancer.
  • Severe cardiac, hepatic, or renal disease.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD