Testosterone Effects, Low Testosterone Causes and Symptoms

Testosterone Effects

Testosterone:

  • In puberty helps a boy in growth of the penis and testes, growth of facial and pubic hair, deepening of the voice, increase in muscle mass and strength, and increase in height.
  • In adult man maintains sex drive, sperm production, male hair patterns, muscle mass, and bone mass
  • Lowers blood sugar
  • Increases bone mineral density in elderly men (1)

Testosterone Conversion

Testosterone converts to (5, page 24):

  • Dihidrotestosterone (in testis, liver, brain, prostate, external genitalia)
  • Androsterone
  • Androstenedione
  • Estradiol (in testis, liver, brain)
  • Glucuronide
  • Etiocholonolone

What Affects Steroid Production?

Below is the scheme of synthesis of steroid hormones (click image to enlarge it).

 

Substances and enzymes affecting steroidogenesis (5):

  • Hydrogene peroxide (H2O2) (blocks conversion of pregnenolone to progesterone)
  • Nitrous oxide  (NO) (blocks steroid production)
  • StAR (Steroid Acute Regulator) gene codes StAR protein that transfer cholesterol into mitochondria. Growth hormone, estradiol, calcium, and IGF-1 upregulate StAR gene, thus enhancing steroid production.
  • Enzyme P450SCC converts cholesterol into pregnenolone (in mitochondria)
  • Enzyme 3ßHSD converts pregnenolone to progesterone, and DHEA to androstenedione (3ß-HSD is stimulated by FSH, via LH)
  • 5? reductase converts testosterone to dihydrotestosterone (DHT)
  • Aromatase converts testosterone to estradiol 
  • Substances affecting steroidogenesis (5, pages 34-35)
  • Dioxine (fatty meats, dairy) > low testosterone, and limited prostate growth
  • Aminoglutethimide > low testosterone
  • Lead, cadmium > low testosterone

What Affects Testosterone Blood Levels?

The following (1):

  • Gonadotropin Releasing Hormone (GnRH) from hypothalamus stimulates secretion of LH
  • LH  from pituitary gland stimulates secretion of testosteron from testes
  • Testosterone suppresses the release of GnRH from the hypothalamus (negative feedback)
  • Low testosterone production:
    • Chronic illness
    • Delayed puberty
    • Hypopituitarism
    • Prolactinoma
    • Testicular failure
  • Steroid Hormone Binding Protein (SHGB) binds testosterone in blood. Increased SHGB lowers free testosterone in blood.
  • Obesity – enzyme aromatase in fat tissue converts testosterone in estradiol thus lowering testosterone
  • Zinc increases  testosterone level
  • A bioflavonoid called chrysin (in honey) has shown potential as a natural aromatase inhibitor. The Life Extension Foundation has identified a novel supplement called piperine that increases the bioavailability of chrysin
  • Carnitine
  • Muira puama
  • Quercetin in red wine inhibits aromatase thus elevating testosterone
  • Antioxidants (vitamin A, and E, zinc, and selenium) all support testosterone production 

Low Testosterone (Androgen Deficiency)

Symptoms of low testosterone (2,3):

  • Decreased sex drive (libido)
  • Inadequate erections
  • Increased breast size and tenderness
  • Afternoon fatigue
  • Symptoms similar to menopause in women (e.g., hot flashes, increased irritability, inability to concentrate, depression)
  • SEVERE ANDROGENE DEFICIENCY:
  • Loss of body hair
  • Loss of muscle mass
  • Fragile bones
  • Smal and soft testes

Lab Results in Low Testosterone (4)

  • Decreased bone density by dexa scan 
  • Loss in height of more than 1 inch.
  • High blood pressure and heart enlargement with associated chest pain
  • Increase in abdominal girth with 40” as maximum for men and waist size of in excess of 34 inches in women
  • Low Free Testosterone, occasionally low total testosterone, and low normal bioavailable testosterone
  • Loss of penile reflexes and decreased penis sensitivity
  • Lowered sperm count and fertility
  • Insulin resistance
  • High blood glucose
  • Below normal HDL
  • Low SHBG

References:

  1. Testosterone increases bone density in elderly men  (lef.org)
  2. Symptoms of low testosterone  (hormone.org)
  3. Symptoms in severely lowered testosterone  (nlm.nih.gov/medlineplus)
  4. Lab results in low testosterone  (wellnessmd.com)
  5. Steroidogenesis of sex hormones  (epa.gov/endo)

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