Percutaneous absorption of 5 alpha-dihydrotestosterone in man. I. Plasma androgen and gonadotrophin levels in normal adult men after percutaneous administration of 5 alpha-dihydrotestosterone

Int J Androl. 1982 Dec;5(6):586-94. doi: 10.1111/j.1365-2605.1982.tb00292.x.

Abstract

The distribution of 5 alpha-dihydrotestosterone to the blood following application of a solution of this androgen to the skin in a hydro-alcoholic gel was studied in order to evaluate the adequacy of the percutaneous route in correcting androgen deficiencies. In 14 adult men, daily percutaneous administration of 5 alpha-dihydrotestosterone (125 mg in 5 g gel) increases, on the average, 4 to 5 times its initial concentration in plasma. On the 14th day of treatment, repeated evaluations of plasma 5 alpha-dihydrotestosterone, between 2 and 21 h after final administration of gel, demonstrated the stability of diurnal 5 alpha-dihydrotestosterone levels and showed the regular distribution of the steroid from a presumably cutaneous reservoir. Plasma 5 alpha-androstane-3 alpha,17 beta-diol levels evolve parallel to those of 5 alpha-dihydrotestosterone. Plasma testosterone and luteinizing hormone, on the contrary, decrease considerably. No variation of follicle-stimulating-hormone is observed during treatment. The percutaneous absorption represents an interesting method for administration of a natural androgen in men, particularly because one avoids the deleterious effects of supra-physiological levels in the liver achieved with oral administration.

MeSH terms

  • Adult
  • Androgens / blood*
  • Androstane-3,17-diol / blood
  • Circadian Rhythm
  • Dihydrotestosterone / metabolism*
  • Dihydrotestosterone / pharmacology
  • Follicle Stimulating Hormone / blood
  • Gonadotropins / blood*
  • Humans
  • Kinetics
  • Luteinizing Hormone / blood
  • Male
  • Skin Absorption*
  • Testosterone / blood

Substances

  • Androgens
  • Gonadotropins
  • Dihydrotestosterone
  • Androstane-3,17-diol
  • Testosterone
  • Luteinizing Hormone
  • Follicle Stimulating Hormone