MENT
Also known as: Trestolone, Trestolone Acetate, MENT Acetate, 7-alpha-methyl-19-nortestosterone
19-Nor Anabolic Steroid | Experimental TRT Alternative
Overview
MENT (7-alpha-methyl-19-nortestosterone), also known as trestolone, is an experimental synthetic anabolic-androgenic steroid that belongs to the 19-nor (nandrolone) family. It was originally developed by the Population Council as a potential male hormonal contraceptive and androgen replacement therapy. MENT is estimated to be roughly 10 times more potent than testosterone on a milligram-per-milligram basis, which allows for effective use at very low doses. Unlike nandrolone, MENT does not cause the characteristic sexual dysfunction ('deca dick') associated with other 19-nor compounds, because it maintains sufficient androgenic activity in the central nervous system and sexual tissues. This property has generated significant interest in MENT as a potential standalone replacement for testosterone -- a compound that could serve as both the anabolic and androgenic base in hormone replacement protocols. MENT aromatizes, but its aromatization product is 7-alpha-methyl-estradiol rather than standard estradiol. This methylated estrogen behaves differently from estradiol in some respects, and aromatase inhibitors like anastrozole have reduced efficacy against it. Estrogen management on MENT is therefore considered more challenging than with testosterone. The acetate ester is the most widely available formulation and has an extremely short half-life of approximately 40 minutes, necessitating daily or twice-daily injections for stable blood levels. Research into longer-acting esters and delivery systems (including subdermal implants) is ongoing. MENT remains an investigational compound with no current FDA approval, though Phase 2 clinical trials for male contraception have been conducted.
Key benefits
- Approximately 10x more potent than testosterone, allowing effective results at very low doses (5-25 mg/day)
- Does not cause the sexual dysfunction associated with other 19-nor compounds like nandrolone
- Can potentially serve as a standalone base, replacing testosterone in hormone replacement protocols
- Rapid clearance of the acetate ester allows quick dose adjustments and fast resolution of side effects upon discontinuation
- Powerful lean mass accretion and strength gains relative to dose
- Under investigation as a reversible male hormonal contraceptive
- Resistance to 5-alpha reductase means it does not convert to DHT, potentially sparing hair follicles from direct DHT-mediated damage
- Robust suppression of gonadotropins (LH/FSH), which is therapeutically useful in contraceptive applications
Mechanism of action
MENT binds to the androgen receptor with high affinity, estimated at roughly 10 times the potency of testosterone, driving robust activation of AR-dependent gene transcription pathways responsible for protein synthesis, nitrogen retention, and satellite cell proliferation in skeletal muscle. Its 7-alpha methyl group renders it resistant to 5-alpha reductase, meaning it is not converted to a reduced metabolite in androgen-sensitive tissues the way testosterone is converted to DHT or nandrolone is converted to DHN. MENT itself acts directly on androgen receptors throughout the body, including the brain, prostate, and sexual tissues, which is why it maintains libido and sexual function unlike nandrolone. MENT aromatizes via the aromatase enzyme, but the product is 7-alpha-methyl-estradiol rather than estradiol. This methylated estrogen retains estrogenic activity and binds to estrogen receptors, but conventional aromatase inhibitors (anastrozole, letrozole) have diminished ability to block its formation. The mechanism behind this reduced AI efficacy appears related to the 7-alpha methyl group altering the substrate's interaction with the aromatase active site. MENT powerfully suppresses the hypothalamic-pituitary-gonadal (HPG) axis, reducing LH and FSH to near-undetectable levels at relatively low doses. This profound gonadotropin suppression is the basis for its investigation as a male contraceptive, as it can reduce sperm production to azoospermia or severe oligospermia in most men. Despite its 19-nor classification, MENT does not appear to have the significant progestogenic activity that nandrolone exhibits, though some degree of progesterone receptor interaction has been reported in preclinical studies.
Molecular data
- Type
- 7-alpha-methyl-19-nortestosterone (C19H28O2)
- Half-life
- ~40 minutes (acetate ester)
Indications
What the research community uses this compound for, with self-reported effectiveness.
Hormonal / Endocrine
Body Composition
Sexual Health
Dosing protocols
Common protocols by delivery method. Adjust the curve below to model accumulation in your own cycle.
Delivery method
| Protocol | Dose | Frequency | Duration |
|---|---|---|---|
| — | 5-10 mg/day | Daily (or split into 2 injections per day) | — |
| — | 10-15 mg/day | Split into 2 injections per day | — |
| — | 15-25 mg/day | Split into 2 injections per day | — |
Safety
Reported adverse effects, contraindications, and what to monitor on cycle.
Common side effects
- Estrogen management difficulty -- 7-alpha-methyl-estradiol is harder to control with conventional aromatase inhibitors
- Water retention and bloating, particularly at doses above 10 mg/day
- Elevated blood pressure, often linked to water retention and estrogenic load
- Mood changes including irritability, emotional sensitivity, or anxiety (frequently estrogen-related)
- Profoundly suppressive of the HPG axis -- LH and FSH driven to near-zero even at low doses
- Injection frequency burden (daily or twice-daily with acetate ester)
- Mild acne and oily skin
- Increased appetite
Rare side effects
- Gynecomastia from 7-alpha-methyl-estradiol (may be more difficult to manage than testosterone-derived estrogen)
- Significant adverse lipid changes (HDL suppression, LDL elevation)
- Left ventricular hypertrophy with prolonged supraphysiological use
- Insomnia and night sweats, particularly at higher doses
- Hair thinning (though MENT does not convert to DHT, the parent compound still has androgenic activity at hair follicles)
- Depression or anxiety, particularly at high doses or with poorly managed estrogen
- Elevated prolactin in some individuals (less common than with nandrolone)
Contraindications
- Prostate cancer (active or history of hormone-sensitive prostate cancer)
- Breast cancer in males or females
- Pregnancy or potential for pregnancy
- Severe hepatic impairment
- Polycythemia (hematocrit above 54% at baseline)
- Uncontrolled hypertension or severe cardiovascular disease
- Uncontrolled heart failure
- Known hypersensitivity to trestolone or any formulation components
Monitoring
- Total and free testosterone: baseline and every 4-6 weeks (will be suppressed if MENT is used standalone)
- Estradiol (sensitive assay): at each blood draw -- note that standard assays may not fully detect 7-alpha-methyl-estradiol
- Complete blood count with hematocrit: baseline, 4-6 weeks, then every 2-3 months
- Comprehensive metabolic panel and lipid panel: baseline and every 6-8 weeks
- Liver function tests: baseline and periodic monitoring
- Blood pressure: regular monitoring throughout use, ideally daily during dose adjustment periods
- Prolactin: baseline and if symptoms of elevation appear
- PSA (prostate-specific antigen): baseline and every 6 months for men over 40
- LH and FSH: baseline and periodic checks to assess degree of HPG axis suppression
References
Primary literature and clinical-trial data informing this entry.