Features of Steroidogenesis and Arterial Hypertension in Men in Different Types of Physiological Male Hyperandrogenism

    May 2023 in “ Problems of Endocrinology
    Varvara Filatova, Р. В. Роживанов, I. Z. Bondarenko, В. А. Иоутси, Е. Н. Андреева, G. А. Melnichenko, Н. Г. Мокрышева
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    Studysummary This study observed that "physiological" hyperandrogenism due to elevated total testosterone was associated with a 23.5% incidence of arterial hypertension, unlike hyperandrogenism due to elevated DHT levels. Our plain-language summary of this paper — not a Tressless recommendation.
    The study investigated steroidogenesis and arterial hypertension in men with "physiological" hyperandrogenism, comparing those with elevated total testosterone (n=34) and elevated dihydrotestosterone (DHT) (n=66). It found that no cases of arterial hypertension were observed in men with elevated DHT levels, while 23.5% of men with elevated total testosterone had arterial hypertension, characterized by increased blood pressure in the early morning. Men with testosterone hyperandrogenism showed increased levels of 17-hydroxypregnenolone, 17-hydroxyprogesterone, and androstenedione, and those with arterial hypertension had lower estradiol levels compared to those without hypertension.
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