Side effects of testosterone enanthate include
virilization among others. 5α-Dihydrotestosterone (DHT) can promote masculine characteristics in both males and females. These masculine characteristics include:
clitoral hypertrophy,
androgenic alopecia, growth of body hair and deepening of the vocal cords. Dihydrotestosterone also plays an important role in male sexual function and may also be a contributing factor of
ischemic priapism in males as shown in a study conducted on the use of finasteride to treat ischemic priapism in males. Testosterone enanthate can also lead to an increase in
IGF-1 and
IGFBP. Testosterone enanthate can also be converted to
estradiol (E2) by the
aromatase enzyme, which may lead to
gynecomastia in males.
Aromatase inhibitors, such as
anastrozole,
letrozole,
exemestane, etc., can help to prevent the subsequent estrogenic activity of testosterone enanthate
metabolites in the body. ==Pharmacology==