ArticleInternational journal of impotence research2013
Effects of long-term high dose testosterone administration on vaginal epithelium structure and estrogen receptor-α and -β expression of young women.
Article in International journal of impotence research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.
- Transmasculine pregnancy-Occurrence, associations, and outcomes: A quantitative systematic review.Acta obstetricia et gynecologica Scandinavica · 2026Pooled it
- Cancer screening attendance rates in transgender and gender-diverse patients: a systematic review and meta-analysis.BMJ evidence-based medicine · 2024Pooled it
- "I don't know how to treat you": Testosterone and gynecological care for transmasculine and gender diverse adults.Social science & medicine (1982) · 2026Article
- Vaginal microbiomes and their pertinent social context: a microbial ecological review proffering AMR-STI acquisition and emergence.Biology of sex differences · 2026Review
- The neovaginal microbiota, symptoms, and local immune correlates in transfeminine individuals with penile inversion vaginoplasty.Cell reports · 2025Article
- Seasonal Host Shifts for Legionella Within an Industrial Water-Cooling System.Environmental microbiology reports · 2025Article
- Robotic assisted hysterectomy and colpectomy as gender affirming surgery in trans men: an instructional video and perioperative considerations.Frontiers in surgery · 2025Article
- The vaginal microbiome of transgender men receiving gender-affirming hormonal therapy in comparison to that of cisgender women.Scientific reports · 2024Article
- Improving the forensic genital examination for trans and gender diverse sexual assault complainants: three case reports.International journal of legal medicine · 2024Review
- Harnessing the power within: engineering the microbiome for enhanced gynecologic health.Reproduction & fertility · 2024Review
- Vaginal Cuff Dehiscence in Transgender Patients After Minimally Invasive Hysterectomy.Journal of minimally invasive gynecology · 2024Article
- Testosterone use and sexual function among transgender men and gender diverse people assigned female at birth.American journal of obstetrics and gynecology · 2023Article
- Preservation of Fertility in Transgender Men on Long-Term Testosterone Therapy: A Systematic Review of Oocyte Retrieval Outcomes During and After Exogenous Androgen Exposure.Transgender health · 2023Review
- Factors Associated with Unsatisfactory Pap Tests Among Sexually Active Trans Masculine Adults.LGBT health · 2023Article
- Female reproductive tract-organ axes.Frontiers in immunology · 2023Review
- The impact of biological sex on diseases of the urinary tract.Mucosal immunology · 2022Review
- A physiologically relevant, estradiol-17β [E2]-responsive in vitro tissue-engineered model of the vaginal epithelium for vaginal tissue research.Neurourology and urodynamics · 2022Article
- Attitudes of transgender men and non-binary people to cervical screening: a cross-sectional mixed-methods study in the UK.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- The Effect of Gender-Affirming Medical Care on the Vaginal and Neovaginal Microbiomes of Transgender and Gender-Diverse People.Frontiers in cellular and infection microbiology · 2021Review
- Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model.Translational andrology and urology · 2020Review
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To date, the effects of long-term testosterone (T) administration on the human vagina are not completely understood. Thus, the aim of this study was to investigate the effects of long-term T treatment on vaginal tissue histology, estrogen receptor alpha (ERα) and beta (ERβ) expression and proliferation in female to male transsexual subjects (FtM). We compared vaginal samples from FtM subjects with those of premenopausal women (PrM) and postmenopausal women (M) not receiving any hormonal treatment for at least 2 years. Vaginal tissue samples from 16 FtM subjects treated with T (intramuscular injections of 100 mg Testoviron Depot/7-10 days for at least 1 year), undergoing sex reassignment surgery, and 16 PrM and 16 M subjects undergoing a vaginal hysterectomy for prolapse, were collected. For each sample, morphology, glycogen content, proliferation (ki-67), ERα and ERβ expression were evaluated. Vaginal samples from FtM showed a loss of normal architecture of the epithelium, intermediate and superficial layers were completely lost, and glycogen content was depleted. T administration resulted in a strong proliferation reduction when compared with both M and PrM subjects. Stromal and epithelial ERα as well as ERβ were significantly decreased in FtM when compared with PrM subjects. In conclusion, our data suggests that systemic T administration at supraphysiological dosage, determines profound changes in histomorphology and reduces ERs expression and proliferation of vaginal epithelium.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.