Evidence mapPaperPMID 40062147Full record

ArticleCureus2025

Leukocytosis Associated With Medroxyprogesterone in Gender-Affirming and Fertility Treatments.

Salman Syed, Garry G Lachhar, Fatimah Spall, Alexandros Konstantinidis, David Chu

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Salman SyedInternal Medicine, Northwell Health, New York City, USA.
Garry G LachharHematology and Oncology, Northwell Health, New York City, USA.
Fatimah SpallInternal Medicine, Northwell Health, New York City, USA.
Alexandros KonstantinidisInternal Medicine, Northwell Health, New York City, USA.
David ChuHematology and Oncology, Mather Hospital, New York City, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leukocytosis, defined as an elevated white blood cell (WBC) count, can arise from physiological, infectious, neoplastic, or medication-related causes. While leukocytosis has been well-documented in conditions such as infections and malignancies, drug-induced leukocytosis is relatively rare, particularly in individuals undergoing gender transition therapies. Medroxyprogesterone, a progestin used in both fertility treatments and gender-affirming care, has been associated with hematologic changes, though its role in sustained leukocytosis remains underexplored. This case suggests a possible link between medroxyprogesterone and leukocytosis in gender-affirming therapy. It emphasizes the importance of thoroughly reviewing medication history to avoid unnecessary testing and procedures while highlighting the need for further research into the mechanism of progestin-induced hematologic changes.

Indexed as

gender-affirming carehematology laboratoryinternal medicine and endocrinologypathology work up for targeted therapypersistent leukocytosis

Identifiers

PMID40062147
PMCPMC11890443

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.