“…CMA (C 23 H 29 ClO 4 , ASKA Pharmaceutical Co., Ltd., Tokyo, Japan) is a widely used AA in Japan and has a steroidal structure. CMA works as a progestational AA that suppresses pituitary luteinizing hormone (LH), thus reducing testicular androgen production [6]. CMA is similar to cyproterone acetate (C 24 H 29 ClO 4 , Bayer PLC, Newbury, United Kingdom), an antiandrogen widely used in Europe, United States, Canada, Mexico, and other countries.…”