High-Estrogen in Men: Causes, Symptom, and Treatment

High estrogen in men can provide insight into testosterone regulation.

high estrogen men

Signs of high estrogen symptoms in men can therefore be difficult to differentiate from low testosterone symptoms.

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Estrogen in men  plays an important role in the regulation of testosterone, several brain functions, bone health, skin health, sexual function/libido, cardiovascular function, and cholesterol regulation. Normally in men, testosterone and estrogen are maintained in the correct balance. When estrogen levels in men increase, testosterone levels tend to decrease, so symptoms of high estrogen in men tend to occur along with symptoms of low testosterone.

Symptoms of High Estrogen in Men

Signs of high estrogen symptoms in men can therefore be difficult to differentiate from low testosterone symptoms. However, the most common symptoms of high estrogen include these eight:

  1. Sexual dysfunction (low libido, decreased morning erections, decreased erectile function)
  2. Enlarged breasts
  3. Lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH)
  4. Increased abdominal fat (can also be a symptom of low estrogen)
  5. Feeling tired
  6. Loss of muscle mass
  7. Emotional disturbances, especially depression
  8. Type 2 diabetes

Men with too much estrogen aren’t just at risk for non-serious symptoms like decreased sexual function and enlarged breasts. They are also at high risk for more serious problems such as type 2 diabetes.

Common Causes

A number of factors can throw the estrogen/testosterone balance out of whack in males, leading to high estrogen symptoms. Some of these factors include:

Aging. Advancing age is associated with an increase in aromatase, the enzyme that converts testosterone to estrogen. Older men actually have higher estrogen levels than postmenopausal women.

Increased fat relative to muscle. A loss of lean muscle tissue and an increase in fat tissue also typically occurs with advancing age, as well as with metabolic disorders such as obesity and type 2 diabetes. Fat tissue contains aromatase and thus converts testosterone to estrogen. Fat also serves as a reservoir for storing estradiol. Both these factors lead to increased estrogen levels in men.

Testosterone therapy. Males who are treated with injectable forms of synthetic testosterone almost always make too much estrogen. Bioidentical (natural) testosterone therapy can also lead to high estrogen levels in men, especially when used in excess or used in men with obesity.

Faulty feedback. Once a man has too much estrogen in his system, a vicious cycle can ensue in which the high estrogen levels lead to a faulty feedback system, tricking the brain and testes into producing even less testosterone. This can lead to even higher levels of estrogen and more severe estrogen dominance, magnifying the high estrogen symptoms. 

Symptoms of Estrogen Deficiencies in Men

Males can also have too little estrogen and suffer from symptoms of estrogen deficiency. Some of these symptoms are the same as those of estrogen excess. A recent study examining the important role of estrogen in the regulation of body fat and sexual function in men found that the most severe effects of estrogen deficiency in men were on sexual desire, with estrogen deficient men reporting dramatic declines in arousal and erectile function.

Additionally, the men with decreased estrogen showed higher levels of the type of inner abdominal fat known to increase the risk of cardiovascular disease, diabetes, and metabolic syndrome. Men with estrogen deficiency also have decreased bone strength and are at increased risk for fractures.

Treatment for Causes of High Estrogen in Men

The important lesson may be that hormonal balance of estrogen with testosterone is key, rather than absolute levels of estrogen itself. Fortunately, a number of diet, lifestyle, and natural therapies have been found to keep estrogen levels balanced. The best-researched treatments for how to reduce estrogen levels in males and improving estrogen balance are:

  • Eat cruciferous vegetables multiple times per week. Cruciferous vegetables, such as broccoli, cauliflower, cabbage, Brussels sprouts, bok choy, and turnip greens, contain high amounts of glucosinolates, which the body transforms into bioactive compounds that help to decrease estrogen activity and increase estrogen detoxification.
  • Supplement with indole-3-carbinol (I3C) and 3,3′-diindolylmethane (DIM). Cruciferous vegetable intake can be supplemented with their most beneficial compounds, I3C (200 mg per day) and DIM (100 mg per day), in supplement form.
  • Get enough vitamin B12, folate, betaine, and choline. These nutrients, known as methyl donors, help to improve the biochemical process known as methylation, which is an important function in estrogen metabolism and detoxification. Good dietary sources include meat, fish, shellfish, eggs, spinach, beets, and quinoa.
  • Increasing fiber, exercising, and reducing weight are also important natural treatments for reducing high estrogen symptoms in men.

If the high estrogen levels and/or low testosterone doesn’t provide any relief within a few months of implementing these natural therapies, it’s important to see a healthcare practitioner who can evaluate these symptoms and test hormone levels. Hormone replacement therapy and/or a more intensive natural treatment regimen may  be beneficial.

Originally published in 2016, this post is regularly updated.

As a service to our readers, University Health News offers a vast archive of free digital content. Please note the date published or last update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

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  • I am a personal trainer that focuses on Fat loss/ Lean muscle gain and general fitness with Nutritional advice and monitoring as a core of my training. If you need guidance please dont hesitate to contact me via email! Thanks

  • Estoy en terapia de reemplazo de testosterona por 3 meses y mi estradiol es 99 pg ¿ hay alguna forma de bajarlo?

  • My estrogen is twice as high as it should be and my testosterone is low. The condition that affects me is being homozygous for the MTHFR. My liver pretty much missing the step where it takes b12 into a usable form.

  • 69 year old male…for two years I have been fighting insomnia and fatigue…T levels are Free T = 4.7…Total is 304………..FSH is 13.6……….everything else is OK. I have had about 12 blood test, of all types, during the last two years. I have had 14 doctor visits with 10 doctors in two states, and about the same number of nutritionist. My SHBG is 52.6. I have tried AndroGel: bad results. I tried injections – horrible results…even glandular T, lowered my T scores. I am now beyond frustrated.

  • Im a boy 17 years old I hame man boobs since I was 12 and it is terribel for my age to have this problem and I need a solution please somewon tell me how to get rid of man boobs

  • @arsel
    A percentage of boys will get that during puberty and usually it goes away in late teens when your hormones balance out in early 20s.

    It’s called gynecomastia.

    What you need to do is loose weight starting now which means running, jogging, start boxing etc. If you’re overweight it will usually be dramatically worse. I train kids at a boxing gym so I see a lot of kids your age without shirts on all the time and no lean kids have it (gynecomastia).

    In order to not spend your teen years afraid to take your shirt off or be embarrassed about it you need to eat healthy, stay away from soda (drink only water if you can) and sign up for a sport like boxing, mma, bike racing etc where intense cardio is just part of the routine. I say sign up for it because it obligates you to stick with it and you become part of a group doing the same thing. Not many people can maintain a hardcore workout schedule on thier own. When you have a place to go everyday it makes it so much easier.

    You can also tell your doctor you want a hormone panel done. Testosterone, estrogen are the key hormones here because high estrogen is usually the culprit with gynecomastia and there is medication you can take to reduce it. There may be a problem with your endocrine system as well.

    Your Dr will probably tell you to ride it out and wait until you’re past puberty but I don’t advise that.

    You don’t want to be embarrassed of your body through your prime years as it can cause serious self esteem issues into adulthood amongst other problems.
    That’s no way to live. You want to be and stay in terrific shape physically because over time that builds self confidence, a sense of well being and great acceptance amongst your peers, male and female, which is critical at your age. This is very important because you will get much more out of life being proud of who you are and what you look like opposed to being embarrassed and self-conscious.

  • Since iv’e been on medication for in large prostrate i have very big man boobs layers of fat from my waist ,the fat around my groin is so big i can pick it up with both hands and pull it over my penis and testicles ,where my penis starts there a indent i can easily put two fingers in . I’m on lots of medication had Kidney failure 12 years ago that also left me with nerve damage to my left leg and drop foot also over the years have developed arthritis and narrowing of the spine .Six years ago had a Heart attack and stent fitted . You can imagine very depressed tired all the time and worst since PIP stopped my money nearly a year ago , my depression has been worst even suicidal. I am 63 in November but before all this i still felt in my twenties now i can hardly get around . I know the prostrate meds effect hormones but i don’t know about the other drugs..

  • I have high estrogen levels for the last few years. I am 65 years old, struggle with tiredness, a bit of depressed mood, and most of the other symptoms. My internist suggests more and more vitamins, hasn’t down any good. Last blood test showed B12 within range but a bit on the low side. Maybe if I took more vitamin b and d and lots of broccoli I could improve the situation

  • My T is 96.91 and E is 70.7 – I feel and see my breast enlarging plus I am gaining a crazy amount of weight increase fat around my midsection and on my thighs. Its very difficult to get erections and when I do its soft and when I ejaculate very little comes out and what come out is very clear. Plus I am tired and hungry all of the time. thank you

  • I am male, 66, skinny all my life (6′ and 130 lb) and very healthy, with a set of inflammation symptoms onset 2 years ago. I have tested twice for estradiol levels 3x upper normal range, and low testosterone due to the aromotase conversion. This is concurrent with inflammation symptoms including peripheral neuropathy in hands and feet, some periodic swelling of fingers or other joints, and fluctuating distorted taste. Anastrozole over-corrected, but months later, after stopping it, the imbalance is back. I don’t fit the profile, being underweight and no belly fat. Eliminated gluten and other food proteins, with no resolution. Added dairy and eggs,back with no change, but still suspect gluten and other gut issues. Taking good probiotic and many high quality supplements, with a fairly clean, mostly organic diet. Puzzled by the whole thing. RA factor only appeared once. Extensive blood monitoring doesn’t indicate other clues.

  • I’ve got a T level of 5.7 and NO one, I repeat no one, not even a Urologist will tell me what that means! I have a Estrogen level of 239.8 which is high. I have all the signs of estrogen dominance but diabetes. I want to bring down the Estrogen and lose about 10 lbs of belly fat. I am against HRT unless it is 100% natural. i do NOT want to become dependent on it, I am looking for something that encourages natural T production.

  • I am 58 years old, am on ADT (androgen deprivation therapy) for almost 2 years. My testosterone level is below 50 and my estradiol is 714. Go figure that one out!

  • They failed to mention the number one cause of high estrogen levels in males. GMO soy which is in 90% of all soy products in the US and Canada. Europe had banned it because it was feminizing the males. It is even worse in children and young males who eat a lot of GMO Soy which is in nearly every packaged and processed food they eat. It causes weight gain and feminization & fatigue especially in young males. But older males are suffering from the weight gain and other symptoms as well. They are trying to convince males that the estrogen levels are low. They are not low. However, even if the levels were low it is in nearly every product you eat so your levels increase with each bite. So it is in your breakfast cereals, buns, toast, croissants, etc. and again at lunch in your sandwich bread, buns, burgers, oil, etc. and then again at supper in your pasta, pizza, cheese, ice cream, you name it. Plus your snacks. Even crackers. Not only are we being overdosed on Estrogen and GMO corn which is why the diabetes is running rampant due to corn products and corn syrup in everything, we are also being overdosed with vitamin additives in everything we eat. Not to mention the fact that the GMO Soy and GMO corn and GMO rice also have roundup weed killer on them which isn’t washed off. It is also in your food because they spray the crops with it just a day or two before harvest. They call these roundup ready products and claim they are at safe levels… only because our gov’t keeps raising the safe levels so the products can stay under the line. Not to mention the Cesium 137 and 134 from Japan in the seafood. But don’t take my word for it. Read every label on every food you eat and see how much soy and corn and vitamins are in your diet. Include snacks as well. You will be shocked when you realize just how much you are consuming. Soy is also called Lecithin when in Ice Cream. Breyers does not have it. Amy’s brand uses healthy foods & great soups. Ann’s brand salad dressings. You can also cook from scratch to eliminate these additives. Also, every fast food usually has the contents of their foods on their websites. Some also have lists at their locations. One of the best things to eat is a vegetable stew you cook at home. Also watch out for hormones in your milk and in your meat products. Once you start reading labels and eliminating Soy and corn and excess vitamins and bovine hormones from your diet, I think you will start feeling better with more energy which will also naturally help you lose weight. Children are also gaining weight and girls are having early puberty from the growth hormones in milk and beef. If your spouse wont help, try to do the grocery shopping and learn to cook meals from scratch. Vegetable stew is really easy to make. If you also cut out the GMO corn, it will help with your blood sugar as well. You don’t have to give up any foods. You can still eat what you want as long as you buy the brands which don’t contain these additives or cook from scratch. Buy wheat bread and wheat pasta without soy. Avoid foods which say low fat because they usually contain a lot of soy. Also avoid sugar free products. Artificial sweeteners are not healthy. Buy distilled water. 0% milk without hormones. Even if you are a young male, you can learn to cook. So can the older males. Go to the grocery store with your parent or spouse and read the labels and make a list of things you would like to cook. Just remember not to cook at high temperatures. Use moderation & read directions. I think all of you would feel better once you get the GMO products, estrogen, excess vitamins and growth hormones & antibiotics out of all your foods. Remember, read the labels on everything. Use olive oil from Italy. Check to see where the food and produce are grown. The US is buying food from Japan near the reactors which their own farmers wont eat. I would avoid seafood as well due to the Cesium found in it. They also give antibiotics and growth hormones to poultry so look for those labels which say there are no growth hormones, etc. in their products. Cage free poultry and eggs, etc. Once you get accustomed to reading labels it will be easier because you will know what not to buy. I know it sounds like nearly everything is tainted. It is. But shop wisely, cook from scratch if you can or at least buy brands without the undesirable contents I mentioned. Stews and pasta meals are very easy to cook. Cage free eggs or sandwiches on wheat bread, salads with balsamic vinaigrette & olive oil, hard boiled eggs or deviled eggs, etc. Also, don’t avoid dairy. You need calcium & vitamin D3 to avoid osteoporosis. I promise this will help all of you and your moods and self confidence will improve as your levels of additives return to normal. It will take a little time to undo the damage but you will be healthier just eliminating the additives in your foods.

  • I have a high estrogen level, that I have known about since 2006.My current level, not taking testosterone, is 57. I can’t a doctor that will treat my high estrogen. Very frustrating.

  • Hello, you have asked for comments, but I don’t see a lot of responses from you, so I’m not clear how you respond to questions. Nonetheless my question has to do with the effects of female hormone supplementation on my male partner. I have been prescribed vaginal estrogen cream twice a week which is absorbed through the skin. It seems logical to me that my partner would also be absorbing the cream. What precautions should we be taking to assure he is not being improperly medicated? Thank you.

  • Hello TIM. I wanted to chime in on your struggles finding a doctor to work with your situation. Any mainstream doctor will overlook this and try to mask the situation with prescription meds. You need to find a Functional Medicine Doctor in your area. They work at the root cause and really focus on hormones as well as other underlying issues. You can find a list on the Institute for Functional Medicine website: https://www.ifm.org/find-a-practitioner/

    I found a great one in Wisconsin and has helped me immensely!! Good luck!

  • Im looking for something to take over the counter to get my estrogen levels high to help me grow breasts right now its up cause my nipples are burning and hurting and i fill very feminine but i am a sissy man that just wants breast any help

  • I take 1.5 tablets of aromisan (25mg/tab) 2x per week. Cured my erectile dysfunction. P.S. if viagra no longer works for you this is a sure sign your estriodol to test is out of wack.

  • um… i’m 14 and i want to increase (A LOT) of estrogen in my body. i’m having 3 puerera mirifica pills per day (average) and i’m keeping a healthy diet, and doing exercises regularly (donkey kick, flutter kick, hip bridge, hip extention, reverse lunges, ETC.)
    do i still have a chance of having type 2 diabetes? or any of the serious ones? i’m trying to become a trap for an anime event, BTW

    • Thank you for your comment! Unfortunately, we can’t provide personalized advice, so it’s best to contact your doctor.

  • I have a question if possible..
    Im taing clomid 25mg daily since one month.

    my baseline testosterone level was 19.63nmol/L and no baseline estradiol level.

    now my testosterone level is 79.51 and estradiol level is 543pmol/L

    what should I do next؟؟
    is it normal to have those numbers and do I need to continue clomid؟

  • I’m 25 and I’m having the male boobs … have always had a puppy nipples since I was 16 . I don’t know if it would ever just go down ..

  • Often overlooked are SHBG levels. This steals free T while also driving up bad estrogen which cannot be offset with DIM. Need Aromasin (NOT arimidex) and proviron. Expect fewer to zero morning erections, weak erections, diminished libido, and emo moods. Unchecked SHBG behavior makes fat gain swifter which generates more bad estrogens.

    If TRT by genetics then must hcg. Use either esterized T, or T pellets. Do NOT use androgel or hormone-like-drugs. A delicate addition of HGH is warranted.

    The rate of undiagnosed Klinefelter is alarming. Low T with high LH FSH. Catching in tweens/teens is undescended testicle or no increase in testes volume, or no scrotal tissue changes. PCR for karyotype to confirm. Oft accompanied by Kallman syndrome, a reduced sense of smell always or intermittently.

    Low T symptoms like difficulty adding muscle, or erect pens length shorter than 5 inches by 17 especially smaller testes should be considered for Klinefelter testing to correct before before puberty completes.

  • Listen to The ATP Project’s podcasts on Estrogen and Testosterone, and use their products Alpha Mars or Alpha Prime, plus focus on strict diet (reduce/remove processed foods and grains, sugars) and exercise. You can control this, but it’s hard in our modern world!

  • Dave’s comments above along with the ‘clean” diet (also above) are perfect for men of any age. Also look at ashwaganda supplements. There is some good research behind them boosting testosterone levels. Consumerlabs and the People’s Pharmacy are good resources to get reliable supplement and natural assistance to complement anything you are currently doing.

  • Estrogen doesn’t cause Type 2 Diabetes. There is enough evidence that proves Estrogen protects the body from Diabetes Type 2. Insuline resistance causes it and can have more problem sources than one, some of which can involve Estrogen imbalance. But Estrogens themselves specifically anticipate Diabetes Type 2 by improving insuline activity in the body.

    PS : Vitamin A (reverses Estrogenic effects), Vitamin D (promotes testosterone) and especially Vitamin E (inhibits Estrogens) all help to shift the balance back to normal in males.

  • I was treated for testicular cancer and since doing chemotherapy i think i have now got gynecomastia…. Does it go away on its on? And if not should moffit cancer center (where i was treated with chemotherapy) fix the issue? Please let me know. Thanks

  • Iam 23 yr old male
    I have boobs. Ist very difficulty to face public.. using overcoat dress for hidden this.
    Another problm I interested on ladies dress.
    I cant controle…
    What I do plz healp me..

  • I’ve felt terrible for years now. I looks like low e could be my problem. I have terrible tinnitus and I’m realizing that it may be linked to the shortage of estradiol. Has anyone else had this lowE tinnitus issue.

  • same here bro.. i dont know why… maybe it fitting me perfect. sometimes i wear my moms bra perfectly…. i dont know why im so interested to wear women dress. maybe its because of estrogen. if this is a free society, that we can wear anything we like, im happy to wear woman dress if that what i like. but it is not. other peoples may abuse you. i got a big boobs. im using a overcoat. my college times is worst (with gynocema).

  • im a male, straight and i got man boobs. as a male there are so many things we can do to enjoy our life. tripping (traveling), jumping into lakes, playing at beach (without shirt), staying at hostel with friends, running, swimming……. all these will lost if you have man boobs (gynocema), believe me, been there done there. sometimes i think that other boys are lucky to not have man boobs, others dont know how does it feel when having a man boobs and they dont know how lucky they are. man boobs take your self esteem, confidence, character and give depression, suicidal mind, sad. for me, man boobs takes interest in wearing bras. but as a male, wearing bra in public… some peoples might abuse you, make fun out of you. so thats not an option. there are so many things to say, but im stopping here. an advice from me: man boobs might give you depression and fat then try to destroy you slowly. dont shake. fight back. determination, focus. thats the only way. fight to yourself… destroy it. show who you are to you. show your real strength. all the best.

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