Dimethandrolone Undecanoate
Dimethandrolone undecanoate (DMAU) is an orally active, long-chain ester of dimethandrolone (7alpha,11beta-dimethyl-19-nortestosterone) under clinical development as a once-daily male hormonal contraceptive. It combines androgenic and progestogenic activity to suppress gonadotropins, is non-aromatising, and — unusually for an oral androgen — has been evaluated in modern controlled human trials with a comparatively favourable liver profile.
01 Overview
DMAU is one of the leading investigational male oral contraceptives. The undecanoate ester and 11-beta methyl allow meaningful oral bioavailability (taken with food) without a 17-alpha methyl group, so it avoids the classic 17-alpha hepatotoxicity while still profoundly suppressing LH/FSH and testosterone. Phase 1 studies showed marked gonadotropin suppression with generally mild adverse effects (weight gain, acne, modest lipid changes).
It is progestogenic and androgenic, non-aromatising, and not intended for muscle-building; its inclusion here reflects its status as a genuinely studied oral 19-nor androgen. Because suppression is the therapeutic goal, endogenous testosterone recovery after cessation is a key monitored endpoint.
02 Mechanism
Prodrug ester of dimethandrolone, a dual androgen/progestin 19-nor steroid; 11-beta and 7-alpha methyl groups permit oral activity without 17-alpha-alkylation; suppresses gonadotropins.
03 Dosing
| Tier | Dose | Route | Notes |
|---|---|---|---|
| Trial contraceptive dosing | 100–400 mg/day | Oral | Once daily with food in phase 1 studies. |
Ester comparison
| Ester | Half-life | Injection freq. | Testosterone by mass |
|---|
04 Effects
| Effect | Magnitude | Evidence | |
|---|---|---|---|
| Gonadotropin/testosterone suppressionSuppresses LH/FSH and testosterone — the contraceptive mechanism. | marked | Clinical | |
| Androgenic maintenanceIts own androgenic activity offsets low testosterone during use. | sufficient to avoid hypogonadal symptoms | Clinical |
05 Side effects
| Effect | Severity | Frequency | Evidence | Countermeasures |
|---|---|---|---|---|
| Weight gain and acneModest weight gain and acne reported in phase 1. | Mild | Common in trials | Clinical | |
| Adverse lipid changesReduced HDL cholesterol observed in trials. | Moderate | Common | Clinical | |
| HPTA suppression (intended)Profound suppression of endogenous testosterone and spermatogenesis. | Severe | Universal (the goal) | Clinical |