Cyproterone in Gender-Affirming Care: An overview


Gender-affirming care encompasses a range of interventions aimed at aligning an individual’s physical characteristics with their gender identity. Hormonal transition, a fundamental aspect of this process, relies on medications like cyproterone acetate, recognized for its efficacy in suppressing endogenous hormone production and facilitating the desired hormonal changes.

Cyproterone Acetate and Androgen Suppression

For transgender women (assigned male at birth) undergoing hormone therapy, the suppression of testosterone is essential for achieving feminization. Cyproterone acetate, a synthetic progestin with anti-androgenic properties, plays a pivotal role in this process. By blocking the action of androgens at the receptor level and reducing testosterone production, cyproterone acetate helps diminish masculine secondary sexual characteristics such as body hair growth and muscle mass.

Facilitating Feminization

Cyproterone acetate serves as a cornerstone in the feminization process for transgender women, enabling the development of secondary sexual characteristics consistent with their gender identity. By creating a hormonal environment conducive to feminization, cyproterone acetate enhances gender affirmation and contributes to overall well-being, empowering individuals on their journey towards self-acceptance.

Androgenetic Alopecia Management

In addition to its role in hormone therapy, cyproterone acetate offers benefits in managing androgenetic alopecia, a common concern among transgender women. Hair loss can be distressing and may hinder the process of gender transition. Cyproterone acetate’s anti-androgenic properties help mitigate hair loss and promote hair regrowth, further supporting the feminization process and boosting self-confidence.

Dosage and Administration

Cyproterone acetate is typically administered orally, with dosages ranging from 12.5 mg to 50 mg per day, depending on the specific treatment protocol and individual response. Healthcare providers specializing in transgender care will tailor the dosage and frequency of administration to optimize hormone suppression while minimizing side effects.


Cyproterone acetate stands as a pillar of hormonal transition in gender-affirming care, offering precise and effective suppression of endogenous hormone production to align with an individual’s gender identity. By facilitating the development of secondary sexual characteristics consistent with the desired gender, cyproterone acetate plays a vital role in supporting transgender women on their journey towards self-affirmation, empowerment, and improved quality of life. As part of a comprehensive treatment approach, cyproterone acetate empowers individuals to embrace their authentic selves, fostering resilience, confidence, and overall well-being in their pursuit of gender affirmation.

Updated on April 2, 2024

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