What is Testosterone Enanthate?
Testosterone Enanthate (Test E) is testosterone with an attached enanthate ester. The ester slows release from the injection depot, so the compound enters the blood gradually over days. That makes Test E one of the longest-running and best-studied testosterone esters.
It is the classic base of almost every anabolic protocol, from low-dose substitution to the classic building cycle. This information is for research and educational purposes only. No medical advice.
Comparison
Short and long esters
The same compound at the same receptor with esters of different length, as stated in the TPD lexicon. Tap a card to open its entry.
How it works
Testosterone binds the androgen receptor in muscle and other tissues and increases protein synthesis, nitrogen retention and red blood cell formation. Part of it is converted to estradiol via aromatase, which is why estrogen management (e.g. an aromatase inhibitor) belongs in the picture at higher doses.
Where it acts
One receptor, several organs
Tap a point or a card. Grey = effect seen in trials.
- Hypothalamus and pituitary
LH and FSH suppressed, below 0.5 U/L after 4 weeks7
Observed in trials - Blood
Haemoglobin and haematocrit rose with the dose, more in older men5
Observed in trials - Liver and blood lipids
HDL cholesterol fell as testosterone levels rose2
Observed in trials - Skeletal muscle
Muscle size in arms and legs and strength increased, most with training1
Observed in trials - Fat tissue
Fat mass fell with higher doses, in the thigh mostly between the muscles4
Observed in trials - Testes
Sperm production suppressed, recovered within months after stopping6
Observed in trials
Targets in the ChEMBL database16
Compound CHEMBL1200335: one recorded mechanism, agonist with direct binding to the human receptor.
- Gene
- AR
- UniProt
- P10275
- ChEMBL
- CHEMBL1871
- Action
- Agonist, direct binding
How to use it
Dosing
Dosing
Dosing, titration and syringe
Loading the dosing information …
- Getting started and stepping up, drawn as a staircase
- Units on the U-100 syringe for every step
- How long one vial lasts
What the research shows
The famous Bhasin study (NEJM, 1996) showed that healthy men on 600mg testosterone enanthate per week for 10 weeks gained marked fat-free mass, muscle size and strength - even without training, more so with training. It remains one of the cleanest demonstrations of testosterone's anabolic effect.
Study results
What the trials measured
Interactive: switch tabs, tap points, show or hide arms. Arms are named relative to each other, no dosing advice.
Fat-free mass after 20 weeks2
Gain in kg in the three higher of five dose levels, the body's own production was switched off with medication
The two lowest levels are not shown here. Fat mass and HDL cholesterol fell as levels rose while haemoglobin went up.
Suppressed sperm production67
Share of men, trials on hormonal male contraception with weekly injections
After stopping, the WHO study saw a median of 3.7 months until at least 20 million sperm per ml returned and 6.7 months until baseline. Research data, not a contraceptive.
Subcutaneous use in trials121310
Share of participants, weekly injection under the skin
Target range defined differently per trial: 300 to 1,100 ng/dl on average (52 weeks), 300 to 650 ng/dl as trough (26 weeks) or the normal male range. Abstract values 92.7 and 83.2 percent, rounded in the chart. The clinic review used testosterone cypionate or enanthate.
Research status
Where the research stands
Registered trials with status, participants and results. As of 25 Oct 2026. 15
- Preclinical Release in an animal model (monkeys)
- Phase 1 5 trials, 5 completed
- Phase 2 13 trials, 9 completed
- Phase 3 5 trials, 4 completed
- Approval since 1953
Show all 18 phase 2 and 3 trials on a timelineHide timeline
NCT00260143 · 61 participants, started May 2003, primary endpoint reached Jun 2006.
Registry entry ↗ · Results not yet in PubMed
NCT00399165 · 20 participants, started Nov 2006, primary endpoint reached May 2007. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT00475501 · 60 participants, started Jan 2007, primary endpoint reached Mar 2012. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT02697188 · 12 participants, started Nov 2007, primary endpoint reached Apr 2008. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT00695110 · 29 participants, started Jun 2008, primary endpoint reached Dec 2008. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
RESTORE · NCT02090114 · 112 participants, started Aug 2014, primary endpoint reached Nov 2021.
Registry entry ↗ · Results not yet in PubMed
TRANSFORMER · NCT02286921 · 222 participants, started Jan 2015, primary endpoint reached Oct 2018. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT02777242 · 66 participants, started Jun 2016, primary endpoint reached Aug 2016.
Registry entry ↗ · Results not yet in PubMed
HiTeCH · NCT03522064 · 30 participants (planned), started Jul 2018, primary endpoint planned Sept 2026. Tests several agents.
NCT03516812 · 36 participants, started Aug 2018, primary endpoint reached Mar 2021. Tests several agents.
Registry entry ↗ · Results not yet in PubMed
NCT04363164 · 150 participants (planned), started Aug 2020, primary endpoint planned Jul 2027. Tests several agents.
NCT04460872 · 21 participants (planned), started Jan 2021, primary endpoint planned Jan 2026.
WOMBAT · NCT06594926 · 69 participants (planned), started Aug 2024, primary endpoint planned Dec 2026.
NCT00161304 · 44 participants, started Apr 2003, primary endpoint reached Aug 2004.
Registry entry ↗ · Results not yet in PubMed
OPTIMen · NCT01275365 · 92 participants, started May 2011, primary endpoint reached Jan 2017.
Registry entry ↗ · Results not yet in PubMed
STEADY · NCT02159469 · 150 participants, started Jul 2014, primary endpoint reached Feb 2015.
Registry entry ↗ · Results not yet in PubMed
NCT02504541 · 133 participants, started Jul 2015, primary endpoint reached Jun 2016.
Registry entry ↗ · Results: Gittelman et al., Journal of Sexual Medicine, 2019
NCT06689085 · 100 participants (planned), started Mar 2025, primary endpoint planned Mar 2028.
Bar: start to primary endpoint (planned for running trials). Green = completed, blue = progress until 25 Oct 2026. Phase 1: 5 trials on safety and pharmacokinetics, not shown as bars.
Side effects
- Estrogen-related: water retention, gyno risk with high aromatization.
- Hematocrit: can rise, monitor blood thickness.
- HPTA suppression: natural production is suppressed, mind the PCT topic.
- Androgenic: acne, hair loss in predisposed individuals.
Tolerability
Frequency in the 26-week trial (subcutaneous)
Out of 100 participants, how many had the event over 26 weeks. One group, no placebo.
| Event | Subcutaneous, all participants |
|---|---|
| Any adverse drug reaction13 | 26% |
| Raised haematocrit (52% or more)13 | 8% |
| Bleeding at the injection site13 | 5% |
| Bruising at the injection site13 | 3% |
| Raised PSA13 | 3% |
Abstract values 25.6, 7.5, 4.5, 3.0 and 3.0 percent, rounded in the chart. One group without placebo. Blood pressure rose slightly on average. In the 52-week trial 30 of 150 men stopped because of raised haematocrit, high blood pressure or PSA.1312
Storage
Store the oil solution at room temperature, protected from light - no fridge needed. Keep original container closed, out of reach of children.