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Testosterone Injections ​

Overview ​

Injectable testosterone is the most common form of masculinising HRT. It is effective, affordable, and widely available.

Testosterone Esters ​

EsterHalf-LifeTypical DoseFrequency
T cypionate7–10 days50–100 mgWeekly
T enanthate7–10 days50–100 mgWeekly
T undecanoate~30 days750–1,000 mgEvery 10–14 weeks

Dosing ​

EsterTypical Weekly DoseTypical Biweekly Dose
T cypionate50–100 mg/week100–200 mg/every 2 weeks
T enanthate50–100 mg/week100–200 mg/every 2 weeks

Injection Technique ​

Equipment ​

  • T vial (typically 100 mg/mL or 200 mg/mL)
  • Syringe (1–3 mL, luer lock)
  • Drawing needle (18–23G)
  • Injection needle (25–27G)
  • Alcohol swabs
  • Sharps container

Injection Sites ​

SiteTypeNotes
Gluteal (buttock)IMMost common
VentroglutealIMLower pain
Thigh (vastus lateralis)IMEasy to self-inject
Abdomen (subcutaneous)SCIncreasingly popular; 27G half-inch needle

Pros & Cons ​

ProsCons
Effective and reliableRequires needles
AffordableT level peaks and troughs
Weekly/biweekly dosingInjection site pain possible
Easy to adjust dose

References ​

  1. UCSF Transgender Care. Masculinising hormone therapy.