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The Role of Estrogen in Men

Portrait of a Man

How Do Men Make Estradiol?

Aromatase is the enzyme that converts testosterone to estrogen. Estrogen receptors are abundant in the brain, penis and testis.

Brain

Estrogen receptors in the pre-optic area and anterior hypothalamus have high levels of aromatase and estrogen receptors which regulate libido.

 

Penis

The penile vasculature and urothelium are lined with estrogen receptors. In the mature penis, estradiol modulates testosterone with the overall effect being detrimental to erectile function.

Testis

Leydig, Sertoli and Germ cells all produce estrogen at various stages of testes development leading to testosterone modulation. An inappropriate increase in estradiol leads to a decrease in testicular size and sperm production.

Medical Case Studies: The Impact of Estradiol on Cardiovascular Disease in Men

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