Hormone Therapy and LH Suppression - Males vs Females

S1W

Well-Known Member
I frequently think (worry?) about the consequences of long-term HPTA suppression from TRT. In a recent conversation with my wife, I was discussing some of my concerns and she asked, "What is so different about TRT, which is basically just taking hormones, that it could affect you much more negatively than all of the millions of women that are also taking hormones for birth control and basically don't have any problems with it?"

I didn't really have a response.

I read a bit about it and female birth control, which is far more common among women than TRT is for men, does indeed seem to shut down LH. Women have been doing this for a long time, and although I have heard of some women suffering a few mild side effects, I have not heard of any women having any lasting or serious issues because of hormonal birth control use.

Does anyone know enough about this to speak to how the male/female HPTA might be different, and the different role that LH plays in men vs women?

Because long-term HPTA suppression in women, at least at a glance, seems to be a non-issue.
 
I frequently think (worry?) about the consequences of long-term HPTA suppression from TRT. In a recent conversation with my wife, I was discussing some of my concerns and she asked, "What is so different about TRT, which is basically just taking hormones, that it could affect you much more negatively than all of the millions of women that are also taking hormones for birth control and basically don't have any problems with it?"

I didn't really have a response.

I read a bit about it and female birth control, which is far more common among women than TRT is for men, does indeed seem to shut down LH. Women have been doing this for a long time, and although I have heard of some women suffering a few mild side effects, I have not heard of any women having any lasting or serious issues because of hormonal birth control use.

Does anyone know enough about this to speak to how the male/female HPTA might be different, and the different role that LH plays in men vs women?

Because long-term HPTA suppression in women, at least at a glance, seems to be a non-issue.
First off, you are making the assumption that long term TRT causes problems. You have zero evidence. What you have is a very small sample of anecdotal information. If you ask a bad question you're going to get bad answers.
 
First off, you are making the assumption that long term TRT causes problems. You have zero evidence. What you have is a very small sample of anecdotal information. If you ask a bad question you're going to get bad answers.

Where did I assert that long-term TRT definitively causes problems? I stated that it is something I am personally concerned about. I have also noted that many other forum users are curious about the subject, too.

Beyond my personal concerns however, I thought it would be an interesting subject for discussion.
 
Where did I assert that long-term TRT definitively causes problems? I stated that it is something I am personally concerned about. I have also noted that many other forum users are curious about the subject, too.

Beyond my personal concerns however, I thought it would be an interesting subject for discussion.
I apologize, it appears to me that the premise of your concern/question is that there is a problem with long term TRT that doesn't appear to be a problem in women. Maybe I'm wrong, but that is how I understood the post. As you know, issues like ED are rampant among men as they age. A large study would be needed to see if TRT is a culprit.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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