Acne on Testosterone Cypionate: Week-by-Week Timeline of What to Expect

At a glance

  • Acne on the cypionate label: Listed under skin and appendages with hirsutism, male-pattern baldness and seborrhea [2]
  • Frequency on that label: Not stated for acne [2]
  • Time frame: A 2017 review says most testosterone effects begin within several months [1]
  • Labeled dosing: 50 to 400 mg intramuscularly every 2 to 4 weeks [2]
  • Half-life: about 8 days after an intramuscular injection [2]
  • How it is given: The Depo-Testosterone label specifies deep gluteal intramuscular injection and states that the product is not for intravenous use [2]

Does testosterone cypionate cause acne?

Yes. The Depo-Testosterone label lists acne in its adverse reactions, on the same line as hirsutism, male-pattern baldness and seborrhea [2]. That list carries no frequencies, so the label does not say how often acne happens on cypionate.

Is there a week-by-week timeline?

No onset week or week-by-week schedule for acne after testosterone cypionate injections is given in the label or in the review above.

The nearest thing to a time frame is the 2017 review of testosterone therapy in transgender men. It lists acne among the undesired effects and notes that most effects of testosterone therapy start to develop within several months of starting, although facial hair and alopecia continue to develop after 1 year [1]. That review covers a different population from men treated for hypogonadism.

How the drug behaves between injections

After an intramuscular injection, testosterone cypionate has a half-life of about eight days [2]. The label lists dosing every two to four weeks, given deep into the gluteal muscle and never intravenously [2]. The label does not describe a relationship between dose, injection interval and acne.

Frequently asked questions

How soon can acne start after the first testosterone cypionate injection?
The label gives no onset time. A 2017 review of testosterone therapy in transgender men notes that most effects of testosterone begin within several months of starting [1].
How common is acne on testosterone cypionate?
The Depo-Testosterone label lists acne among the skin reactions reported with androgens and gives no frequency [2].
Does the acne clear up on its own?
The Depo-Testosterone label does not say how long acne lasts [2].
Does the dose or injection interval change acne risk?
The labeled range is 50 to 400 mg intramuscularly every 2 to 4 weeks, and the label does not describe a dose-acne relationship [2].
Does testosterone cypionate carry a boxed warning about skin reactions?
No. The intramuscular cypionate label has no boxed warning, and acne is listed in the adverse reactions section [2].

References

  1. Irwig MS. Testosterone therapy for transgender men. Lancet Diabetes Endocrinol. 2017;5(4):301-311. Testosterone therapy for transgender men
  2. U.S. National Library of Medicine, DailyMed. Depo-Testosterone (cypionate) intramuscular, Pharmacia & Upjohn/Pfizer (testosterone cypionate) prescribing information. Depo-Testosterone (cypionate) intramuscular, Pharmacia & Upjohn/Pfizer (testosterone cypionate) label
Evidence overview for Acne on Testosterone Cypionate: Week-by-Week Timeline of What to Expect