title: Effects of testosterone enanthate in normal men: experience from a multicenter contraceptive efficacy study. World Health Organization Task Force on Methods for the Regulation of Male Fertility.
abstract: OBJECTIVE
  To evaluate the secondary impact of a prototype androgen contraceptive regimen on physical, metabolic and behavioral variables.
  
  
  METHODS
  Prospective, open, noncomparative contraceptive efficacy study.
  
  
  METHODS
  International multicenter study comprising 10 centers in seven countries.
  
  
  METHODS
  Two hundred seventy-one healthy men, age 31.8 +/- 5.4 years (mean +/- SD), range 21 to 45 years.
  
  
  METHODS
  Weekly IM injections of 200 mg T enanthate.
  
  
  METHODS
  Adverse effects and discontinuations; biochemical and hematologic changes and interpopulation differences.
  
  
  RESULTS
  Chinese subjects were shorter and lighter and their baseline hemoglobin, plasma lipid, and liver enzyme levels were lower than in non-Chinese subjects. The most common side effects were painful injections, acne, fatigue, and weight gain. Gynecomastia and prostate problems were detected in 24 and 9 men, respectively, though no men stopped injections for such reasons. Testosterone enanthate increased body weight, hemoglobin, and urea but decreased testicular volume and creatinine. Plasma triglyceride, cholesterol, and low-density lipoprotein cholesterol were unchanged; high-density lipoprotein cholesterol decreased by 14% to 18% in non-Chinese but was unchanged in Chinese men. Liver transaminases were increased by 36% to 51% in Chinese but were unchanged in non-Chinese subjects. These T enanthate-induced effects were reversible within 6 months of stopping injections and were not related to the duration of T exposure.
  
  
  CONCLUSIONS
  Testosterone enanthate administration in a contraceptive trial produced significant but reversible effects on skin, muscle, liver, lipid metabolism, and hemopoietic functions that varied between population groups. These effects reflect the relatively high peak levels and fluctuations of plasma T produced by the weekly T enanthate regimen rather than an inherent feature of hormonal male contraception. The results highlight the need for long-acting preparations of T with more stable delivery kinetics.
authors.affiliation: University of Manchester, Manchester, United Kingdom.
authors.forename: F C
authors.initials: FC
authors.lastname: Wu
authors.forename: T M
authors.initials: TM
authors.lastname: Farley
authors.forename: A
authors.initials: A
authors.lastname: Peregoudov
authors.forename: G M
authors.initials: GM
authors.lastname: Waites
mesh_terms: D000328:Adult; D044466:Asian People; D002681:China / Q000208:ethnology; D003272:Contraceptive Agents, Male / Q000494:pharmacology*; D006410:Hematopoiesis / Q000187:drug effects; D006801:Humans; D050356:Lipid Metabolism; D008099:Liver / Q000378:metabolism; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000378:metabolism; D009994:Osmolar Concentration; D011446:Prospective Studies; D012016:Reference Values; D012867:Skin / Q000378:metabolism; D013739:Testosterone / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000097:blood / Q000494:pharmacology
chemical_list: D003272:Contraceptive Agents, Male; D013739:Testosterone; C004648:testosterone enanthate