Effect:

• Masculinizing effect (Virilization)

Conditions:

1. Menopause
   • Low sex drive in women
2. Gender Affirming Care
   • Masculizing Hormone Therapy for trans man.
3. Hypogonadism
   • in man

CI:

• Prostate cancer → Stimulate growth
• Breast cancer → Convert to estrogen, stimulate growth
• Erythrocytosis → hematopoiesis
• HF - Heart Failure (Class III, IV of HF - NYHA Classification (1-4) ) → sodium and water retention
• Severe untreated OSA - Obstructive Sleep Apnea → central mechanism

Side effects (biological male)

• Androgenic Alopecia (Hair Loss)
• Decreased testicular size
• Infertility
  • Oligospermia (decrease sperm count)
• Erythrocytosis
  • Monitor CBC
• Liver function
  • Monitor Liver Enzymes
• Bone health