Androgen Deprivation Therapy Increases Risk of Thrombosis

Jinzang

Member
While lawyers and others argue whether testosterone augmentation increases the risk of thrombosis, there's new evidence that decreasing testosterone to combat prostate cancer significantly increases the risk. The news article says:

ADT (e.g. gonadotropin-releasing hormone agonists, antiandrogens) without estrogen increased the risk for thromboembolic events by a significant 43% in exposed versus unexposed patients, according to a meta-analysis of 10 studies including more than 250,000 men. The researchers found 10% and 58% greater risks among patients with localized and metastatic PCa, respectively. Nonsignificant results suggested that men who received ADT for more than a year were the most at risk. Investigators found no significant differences in risk between recipients of continuous and intermittent ADT.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Normal range: 300-1000 ng/dL

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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