Male Hormones Flashcards

1
Q
A
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2
Q

If morning cortisol is elevated; it could indicate:

A

infection, nocturnal hypoglycemia and or increased risk for a cardiovascular event

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3
Q

DHEA is the major precursors of what

A

androstenedione, testosterone and estrogens

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4
Q

cholesterol is metabolized into pregnenolone which is concerted to either _______ or _______ both of which are converted to testosterone

A

androstenediol or androstenedione

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5
Q

testosterone is primarily produced by the action of ___ on the ____ cells of the _____ although small amounts of testosterone can be secreted by the adrenal glands

A

LH, Leydig cells, Testis

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6
Q

The Leydig cells of the testis produce what

A

testosterone

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7
Q

what can testosterone be converted into

A

estradiol or dihydrotestosterone

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8
Q

Estradiol of dihydrotestosterone come from what

A

testosterone

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9
Q

5-alpha reductase is the enzyme that converts what to what

A

testosterone to DHT (5a-dihydro-testosterone)

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10
Q

what enzyme cnonverts: testosterone to DHT (5a-dihydro-testosterone)

A

5-alpha reductase

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11
Q

aromatase is the enzyme that converts what to what

A

testosterone to estradiol

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12
Q

what enzyme converts testosterone to estradiol

A

aromatase

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13
Q

what have high levels of testosterone been assocaited with

A

high cholesterol, prostate problems, atherosclerosis and aggression.

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14
Q

salivary vs serum testosterone testing

A

97-98% of plasma testosterone is bound to sex hormone-binding globulin (SHBG) and only 2-3% is free testosterone.
-total serum is useful to determine whether there is normal response of the Leydig cells to FHS and LH, saliva is the test to give true levels of the bioavailability of testosterone.

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15
Q

DHT is made how

A

from testosterone with the enzyme 5-alpha reductase

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16
Q

Increased production of DHT has been shown to cause:

A

prostate growth
male pattern baldness

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17
Q

what drugs are used to inhibit 5-alpha reductase in cases of prostate hyperplasia?

A

Propecia and Proscar

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18
Q

what two herbs function to limit 5-alpha reductase and when would you use them

A

-saw palmetto and Licorice (Glycyrrhiza Glabra)
-in cases of increased DHT (5a-dihydro-testosterone) to prevent prostate hyperplasia

19
Q

what can you use to treat prostate hyperplasia

A

-saw palmetto
-Licorice (Glycyrrhiza Glabra)

20
Q

Androstenedione is a weak androgen and a direct precursor to what

A

testosterone and estrone

21
Q

in men, excessive androstenedione results in

A

excessive estrone production

22
Q

in men after 30, there is a 1-2% decrease in production of testosterone from the testes. In hope of being converted to testosterone, the adrenals begin making more what

A

adrenals start making more androstenedione hoping it will get converted to testosterone

23
Q

when here is an increase of androstenedione without increasing levels of testosterone this represents a what

A

biochemical glitch

24
Q

what is the biochemical glitch with testosterone

A

when there is an increase in androstenedione without an increase in testosterone

25
Q

when there is increased androstenedione without an increase in testosterone what natural agents are recommended

A

Vitamin E
Lipoic Acid
Co-Enzyme Q10
Zin

26
Q

Vitamin E, Lipoic Acid, Co-Enzyme Q10 and Zinc are recommended for males when

A

there is an increase in androstenedione without an increase in testosterone

27
Q

progesterone is largely made from ______ in the ______ of males

A

pregnenolone in the adrenal glands

28
Q

where is progesterone made from in males

A

adrenal glands

29
Q

what is calming to the body and activates the GABA chloride channel to help the body shut down for rest and recovery

A

progesterone

30
Q

what acts to limit the conversion of testosterone to DHT

A

progesterone

31
Q

what is an antagonist to the effects of estrogens in the bodies of males

A

progesterone

32
Q

in men almost all estrone is converted from what

A

androstenedione

33
Q

where is estrone stored

A

in adipose tissue. the more adipose tissue, the higher the level of estrone

34
Q

excess estrone in males can lead to

A

weight gain (storage of fat) and prostate enlargement

35
Q

if low testoerone is reported than teh following should be ruled out

A
  1. conversion problem of androstenedione to testosterone
  2. Depressed DHEA/pregnenolone steal
  3. Depressed levels of androstenedione
36
Q

what herbs are good to increase testosterone when all other pathway problems are ruled out

A

-50-100mg/day oral capsule testosterone
-stinging nettle
-Damiana (Tunera Diffusa)
-Sarsaparilla

37
Q

what are good ways to decrease testosterone levels

A

-saw palmetto berries (anti-androgenic by inhibiting formation of DHT di-hydrotestoerone)
-Chaste tree berries
-Pygeum: decreases DHT synthesis and testosterone uptake by the prostate

38
Q

what helps with the estrogen metabolism and detoxification of steroids

A

DIM (diindolymethane) found in brassica plants

39
Q

what are part of the brassica genus and what do they help with

A

broccoli, cabbage, brusssel sprouts, cauliflower, kale
estrogen metabolism and detox of steroids

40
Q

testosterone concentration has been noted to drop as much as ___% from morning to evening.

A

50%

41
Q

medication conditions commonly responsible for lowering testosterone levels

A

DM
Liver disease
Hemochromatosis
Obesity (esp. abdominal fat)

42
Q

medications found to lower testosterone levels include

A

Ketoconazole
Cimetidine
Glucocorticoids
Smoking and C. alcohol use

43
Q
A