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. 2022 Jun 29;2022:6246867. doi: 10.1155/2022/6246867

Table 1.

Gender-affirming therapy Dosing Frequency Advantages Disadvantages
Intramuscular testosterone Every 1 or 2 weeks Better compliance than topical due to less frequent dosage Fluctuating testosterone levels, injection complications
Subcutaneous testosterone Bi-weekly or weekly Better compliance than topical, with a shorter needle than IM forms Fluctuating testosterone levels, not approved in USA
Testosterone gel Daily Ease of application, and less variation in testosterone levels Slower masculinization than IM or SC, potential transfer with contact
Testosterone patch Daily Ease of application, and less variation in testosterone levels Skin irritation, and lower testosterone levels than gel