hormone imbalance in men

The Hidden Struggle: Male Hormone Imbalances and Their Health Effects

Male hormone imbalance is an often under-discussed topic, but it can have a significant impact on men's health and well-being.

For men, as for women, hormones are very important for the functioning of the body. They regulate all processes in our body, from energy production and consumption to the functioning of the reproductive system. We will help you understand the functions of male hormones, the most common causes and consequences of hormone imbalance, as well as how to diagnose and treat it.

Understanding male hormones and their functions

Hormones are chemicals that act as signals between body cells and organs. They regulate all processes in our body, from growth and reproduction to energy production and consumption.

Male hormones are divided into two main groups: androgens and estrogens. It is important to note that estrogen and testosterone are not opposites of each other - their relationship is more complex.

Androgens, such as testosterone, are the main male hormones and are responsible for male genital development, body hair, muscle growth, fat loss, red blood cell production and sex drive.
Testosterone is produced primarily in the testicles and is involved in major body functions, including the maintenance of bone density, fat metabolism and distribution, muscle mass and strength, red blood cell production, sperm production, and sex drive.

Estrogens, although predominantly female hormones, also have important functions in men and are essential for male sexual development and overall optimal health.

Hormonal imbalances can affect overall health without even realizing the underlying cause, especially since male hormone imbalance symptoms often go unnoticed.


Estrogen also plays an important role in maintaining the healthy function of nearly every system in the body, including neurological, cardiovascular, musculoskeletal, and immune. Men usually produce estrogen by breaking down testosterone with the enzyme aromatase (also called estrogen synthase or estrogen synthesis). Aromatases are found in adipose tissue, adrenal glands, brain and testes.

Therefore, it is often said that a man is full of estrogen when he has a lot of fat.

It is well known that hormonal changes in men in their 20s lead to an increased libido.

Men in their thirties often experience a decrease in libido as a normal part of the aging process.

However, for many men, hormonal imbalances may be the real culprit.

Men and hormones

The most common male hormone imbalance problems

Male hormone imbalance can manifest itself in many ways. The most common problems are related to changes in the levels of androgens, especially testosterone, and estrogen.

Testosterone deficiency (hypogonadism) can cause:

  • decreased sexual desire
  • lack of energy
  • loss of muscle mass
  • decrease in bone density.

Estrogen excess can cause:

  • gynecomastia (breast growth)
  • fat accumulation
  • emotional changes.
Estrogen for men

Causes of hormonal imbalance in men

Given the strong relationship between testosterone and estrogen, it shouldn't surprise us that one of the main causes of imbalance is low testosterone. And one of the main causes of low testosterone in men is hypogonadism, a condition in which the testicles do not produce enough testosterone, which in turn can lead to male hormone imbalances related to the production and levels of estrogen and other hormones.

It can be said that there are two types of male hypogonadism: primary and secondary.

Primary - indicates that the problem lies in the testicles. The testes do not produce enough testosterone.
Secondary - indicates that the problem is in the part of the brain (specifically the hypothalamus or pituitary gland) that signals the testicles to produce testosterone. Normally, the hypothalamus produces gonadotropin-releasing hormone, which signals the pituitary gland to produce follicle-stimulating hormone and luteinizing hormone. Luteinizing hormone signals the testicles to produce testosterone.

Primary or secondary hypogonadism can be caused by congenital factors or by life events such as trauma, infection, or the natural aging process. It is certainly possible for both types to occur at the same time.

Other common causes of imbalance in men include:

  • Obesity or weight gain
  • Stress
  • Medicines (antibiotics, antipsychotics)

Some of the most serious aspects of male hormone imbalance are not the symptoms themselves, but what they can cause if left untreated. Among them is an increased risk of having

  • Diabetes
  • Formation of blood clots
  • A stroke
  • Posts cancer

The causes of hormonal imbalance in Vyram can be various. It is most often caused by natural changes in hormone levels with age, but can also be caused by stress, diet, medical conditions, lifestyle or even genetic factors.

Testosterone decreases with age

Symptoms of male hormone imbalance

Symptoms of male hormone imbalance can be very diverse and depend on which hormones are affected and in what proportions. Some common symptoms include:

  • decreased libido
  • erectile dysfunction
  • night sweats
  • fatigue
  • loss of muscle mass
  • decrease in bone density
  • fat accumulation
  • emotional changes
  • depression
  • anxiety
  • cardiovascular problems

Effects of hormone imbalance on men's health

Hormonal imbalances can have a major impact on men's health. Testosterone deficiency can cause not only sexual disorders, but also problems with internal organs, muscles, bones, cardiovascular system.

Excess estrogen can cause breast growth, fat storage, emotional changes, and can increase the risk of cardiovascular disease. Hormonal imbalances can also affect male reproductive function, such as reducing sperm quality and quantity.

How hormones change with age

Male hormone levels naturally fluctuate with age. Testosterone levels begin to decline from age 30 and continue to decline throughout life.

Estrogen levels can also fluctuate, usually due to the accumulation of body fat, which can increase estrogen production. It is important to understand that these changes are natural and do not mean that drastic measures should be taken.

Normal levels of estrogen in men depend on age and developmental stages. Hormonal changes in men in their 20s are different from those in their 30s, 40s, and beyond. The tables below, obtained from Mayo Medical Laboratories, provide a general reference range for estrone and estradiol in men.

However, if the hormonal imbalance causes serious health problems, a doctor should be consulted.

Estrogen reference limits for men

AgeEstrone Estradiol
0 - 9 yearsNot Detectable - 16 pg/mLNot Detectable - 13 pg/mL
9-11 yearsNot Detectable - 22 pg/mLNot Detectable - 16 pg/mL
11 – 12.5 years10 - 25 pg/mL10 - 26 pg/mL
12.5 – 14 years10 to 46 pg/mL10 to 38 pg/mL
14 - 18 years10 - 60 pg/mL10 - 40 pg/mL
Adults10 - 60 pg/mL10 - 40 pg/mL

Diagnosis of hormone imbalance in men

Diagnosing hormone imbalance in men begins with a careful patient history and evaluation of clinical symptoms. Blood tests to determine hormone levels and other diagnostic procedures may also be performed, depending on individual symptoms and health status. Treatment may include hormone therapy to restore normal hormone levels.

What to do if the testosterone level is low

Men often suffer from low testosterone levels. Lifestyle has the main influence on this factor.
It is recommended to increase testosterone levels naturally before resorting to medication. The main steps are given in the article – 8 Ways to Increase Testosterone Naturally.

Treatment of male hormone imbalances

Hormone imbalances in men can be treated in several ways, including medication, lifestyle changes, nutritional supplements, or a combination of these.

Medicines - in case of increased estrogen levels, a group of drugs called "aromatase inhibitors" can be chosen. These drugs prevent aromatase hormones from converting androgen hormones into estrogens, thereby reducing estrogen levels.

Testosterone replacement therapy can help maintain overall estrogen balance by improving the testosterone-to-estrogen ratio.

Diet and lifestyle – practical dietary and lifestyle changes for men can help balance estrogen levels:

  • Avoid foods high in saturated fat.
  • Avoid meat products from animals that have been treated with synthetic hormones.
  • Eat cruciferous vegetables (such as broccoli, Brussels sprouts, and daikon radish) because they contain phytochemicals that improve estrogen metabolism.
  • Eat shiitake and portobello mushrooms as they naturally lower aromatase levels.
  • Drink green tea, which is rich in polyphenol antioxidants. Polyphenols can bind to estrogen receptors α (ERα) and β (ERβ) and potentially mimic or inhibit the action of endogenous estrogens – even at low concentrations.
  • Avoid plastic packaging or plastic food containers - some plastics contain chemicals that can get into food and act as estrogen in the body.
  • Avoid personal care products (shampoos, conditioners, deodorants and lotions) that contain parabens, as parabens act like exogenous estrogens when ingested.
  • Be physically active and exercise to help maintain a healthy estrogen balance. Include daily physical activity in your routine and be consistent. Consider combining cardio with weight training. Even a simple 30-minute workout every day is a good starting point to start with.

what to do

Men who notice unusual symptoms that may be related to a hormonal imbalance should consult a health care professional. Most men with hormone imbalances can be treated once the cause of the imbalance is identified

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