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If no other drugs are used with Testosterone Propionate, however, side effects such as gynecomastia are fairly likely. Prostate enlargement, worsening of acne, and acceleration of male pattern baldness (for those genetically susceptible to it) are particularly severe because of the effectively-higher androgen levels seen in these tissues as a result of local conversion to the more-potent DHT. Synthetics which do not convert to DHT give only the same effective level of androgen in these tissues as in the body as a whole, rather than effectively three times the level. This is a significant advantage.
Testosterone, once in the body, can be converted to both estrogen (via a process known as aromatization) as well as DHT. Estrogen is the main culprit for many side effects such as gynocomastia, water retention, etc. While DHT is often blamed for hair loss and prostate enlargement. Naturally there are ways to combat this, such as using an anti-estrogenic compound along with testosterone, or even an estrogen blocker.
However, if you are not prone to hair loss, they may be wholly unnecessary. Male Pattern Baldness (MPB) is carried by the X chromosome, so if your mother´s family boasts men with full heads of hair, then you are probably safe (unless those full heads of hair are all mullets). Naturally, as with most other testosterones, your lipid profile is going to suffer a bit while on testosterone as is your blood pressure. This, of course is nothing that can´t be controlled by watching your diet and doing your cardio.
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