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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.

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Brain

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

 

Penis

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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.

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Testis

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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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