Male Hormone Imbalance

Male Hormone Imbalance – How do you know if you’re out of balance!

Male Hormone Imbalance

Male hormone imbalance is a growing problem, I am testing more and more men with less than optimal testosterone results, often combined with high estrogen

There are some simple diet, lifestyle and supplement options that you can do to help optimise your hormonal health, but the first thing I recommend doing is testing your hormones.

Signs and Symptoms of Excess Estrogen

You do not need to have all of these symptoms if you have excess estrogen, these are the most common symptoms that men experience with male hormone imbalance.

  • Low testosterone and excess estrogen can cause similar symptoms in men
  • Excess estrogen can cause excess weight, especially around the breasts, hips and abdomen and is the most common male hormone imbalance in overweight men.
  • Excess estrogen can lead to low libido, infertility and erectile dysfunction
  • Increased risk of stroke and heart attack because of an increased risk of clotting
  • Increased risk of prostate cancer

Signs and Symptoms of Low Testosterone

Low testosterone has many similar symptoms to excess estrogen, with more muscle weakness and fatigue being the main difference, whenever you think of male hormone imbalance you usually think low testosterone is the cause.

  • Similar to excess estrogen, low testosterone can cause low libido and erectile dysfunction.
  • Muscle weakness and poor recovery from exercise.
  • Fatigue and lack of energy, this can be caused by many things and low testosterone is one of them.
  • Mood changes and depression.
  • It can lead to weak bones and osteoporosis as you age.

What Causes Low Testosterone and Excess Estrogen

There are many different causes of male hormone imbalance and here is a list of the most common ones.

  • Stress can cause many different health problems and hormone problems are no different, adrenal fatigue will up-regulate an enzyme called aromatase leading to low testosterone and high estrogen.
  • Diets high in refined carbohydrates will lead to insulin resistance and problems with the sex hormones.
  • Excess weight leads to excess estrogen, many men with excess abdominal weight will be high in estrogen.
  • Personal care products can be high in chemicals which contain xenoestrogens.
  • Other chemicals in the environment and plastic containers also contain xenoestrogens leading to higher estrogen levels and lower testosterone levels.
  • Excessive amounts of cardio/ endurance exercise will lead to a drop in testosterone and higher estrogen, strength and high intensity interval training is a better option.
  • Excess alcohol will lead to lower testosterone.
  • EMF's in the environment, this does not mean you have to give up your smart phone but there are steps that you can take to mitigate the risks, this article on testosterone and EMF's gives a lot more details or check out the Faraday Boxer Shorts which can protect your balls from EMF exposure.


These are some of the supplements that I recommend and that I have seen client get good results with, the supplements that you need will depend on whether you have high estrogen levels or low testosterone. There are also different causes of the hormones going out of balance which is why I recommend the DUTCH hormone test to help identify exactly what is going wrong.

Supplements to increase testosterone

Test Worx this helps to boost testosterone and lower SHBG which leads to a boost in free testosterone

Vaso Worx

Nitric Oxide booster the nitric oxide boost can help with muscle growth, and for guys with performance problems can help to increase blood flow to improve erections.

DHT Block to improve the metabolism of testosterone, this can help prevent acne, hair loss, prostate cancer and mood swings

Supplements to increase testosterone

Estroblock Triple Strength using DIM and Indole-3-carbinol to help estrogen metabolism in the liver

Thorne Research Calcium d glucarate to help decrease beta-glucuronidase and improve estrogen metabolism through the intestines

Thorne Research Double Strength Zinc Zinc is important for so many functions in the body and can help to inhibit the aromatase enzyme as well as improve testosterone production.

How To Test Your Hormones

Hormones can be tested in blood, urine or saliva and I prefer to use  urine testing as it measures the free bioavailable hormones plus the levels of adrenal hormones throughout the day (which is not possible in a blood test).

Saliva testing is the cheaper option and is easy to do at home without going to a lab or having to visit a doctor, and for some people this will be the best option. I recommend a combination of adrenal and sex hormone testing, this test measures 4 different samples throughout the day to identify the natural diurnal rhythm of cortisol (cortisol levels change during the day) and the best option for this is the DUTCH Hormone Test, if you would like to find out more information then read the DUTCH hormone test review.

adrenal and sex hormone testing

Noteworthy:  Urine testing is also an easy option to do at home, it is more expensive but goes into more detail about the hormones and the hormone metabolites and this is my preferred option for testing hormones.

This extra information tells us about the precursors to the hormones which can help to identify the cause of the hormone imbalance.

This test is called the DUTCH hormone test and it stands for Dried Urine Test for Comprehensive Hormones.

It gives us your levels of free testosterone, and also the metabolites of testosterone which show if your metabolizing testosterone down the 5b-DHT pathway or the more potent 5a-DHT pathway.

It also tells us how the estrogen is being metabolized, there are 3 different pathways estrogen can be metabolized down and they are the 2, 4 or 16 hydroxyestrone pathways ..... the 2 hydroxyestrone pathway is the healthy pathway while the 4 and 16 pathways are associated with cancer and other health problems.

Noteworthy:  The saliva and urine tests are both available throughout the world and a test kit can be posted to your home, the kit is then sent back to the lab for analysis.

Once the results are in we can go through them via video consultation or phone and work out a treatment plan to optimize your results.

If you would like to order a test kit go the the DUTCH Hormone Test order page, you also have the option of scheduling a 30 minute consultation to make sure this is the right test for you, and I can help guide you on the right path to balance your hormones.

About the Author Michael

Michael is head consultant at Planet Naturopath - Functional Medicine and Nutrition Solutions. He is a registered naturopath with the Australian Natural Therapists Association (ANTA) and works with clients from all over the world via video or phone consultations. He is a degree qualified naturopath from the Endeavour College of Natural Medicine in Australia with 18 years of experience. He uses advanced testing methods, nutritional medicine, herbal medicine, and lifestyle advice to help you stay healthy. He is a Kalish Method-trained practitioner that keeps updating his education with Chris Kresser. Michael completed Dr. Terry Wahls practitioner training program, a 12-month program with ongoing training that helps understand the underlying cause and treatment of MS and autoimmune conditions. He keeps up to date with the latest research into health and natural medicine through the Metabolic Fitness Pro course with Dr. Bryan Walsh.

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Leave a Comment:

Osigwe says September 4, 2015

Matt, a testosterone (T) level of 479 is not a youhtful level. A T level in the high 400’s is normal for older men, but not necessarily optimal. Using the same (Lab Corp) range cited, a level exceeding 600 is associated with higher vitality, libido, and enthusiasm for life, according to doctors using bio-identical T therapy. The Life Extension Foundation recommends aiming for the top third of the 20-30 year-old T range, which I recall begins well into the 600’s. When T levels fall gradually, the resulting incremental nature of the physical and mental changes may not be perceived as losses in function.Higher intake of saturated fats, monosaturated fats, and especially Vitamin A (high-vitamin cod-liver oil and liver) is associated with higher T levels. Vitamin A is a requirement for the manufacture of T in the testes.

haider says June 4, 2016

Hello my age is 24 and my T level is 427. i have ED , low libido , depressed all the time. Sir my question is i do excessive exercise i.e body building. I do it 6 days a week and but i have weak errections and lathargic 24/7. What would you guide me sir ?

    michael says June 8, 2016

    Testosterone of 427 is only slightly low for your age, possible there is an emotional issue or adrenal dysfunction causing your symptoms

    Bs says July 1, 2017

    Sir for any hormones related problems whom should i cunsult

Wes says June 26, 2016

I have been diagnosed with low T in the past,this makes me wonder if the T was out of sync then maybe other harmones could be out of range.
Latest medical provider doesn’t think it’s a issue as I am extremely
Over weight and severely depressed,No energy.(he seems to think its
Thanks in advance for any advice

    Michael says July 25, 2016

    Hi Wes
    Getting a comprehensive hormone test assessing adrenal and sex hormones would be a good idea, along with inflammation and blood sugar markers, if you need help organising this contact

doug says September 4, 2016

I am 67; had prostrate, testicles, and part of my bladder removed almost 4 years ago due to cancer. I have one functioning kidney. I am working and still quite active. Life is good. Would like to know if it could be better with some hormone therapy.

    Michael says September 8, 2016

    Hi Doug

    The only way to know if hormone replacement therapy would help would be to test your hormones to see if you are deficient, hormone replacement therapy would be a last resort and I would consider natural options first

zohaib says September 4, 2016

sir since few days i have been experiencing some changes in my body like i m getting exhausted very soon, feeling weak from inside, body pains, my joints are paining, skin dryness and acne are this the symptoms of hormone imbalance do i need to examine myself.

    Michael says September 8, 2016

    This could be hormone imbalance but if you have only been experiencing this for a couple of days it may be a viral or bacterial infection …. doing some testing will take out the guess work

Michael says October 18, 2016

I would follow up with your doctor who can advise you on the best treatment options for cancer

Dominic says October 30, 2016

Sir can any of the above situations of hormonal imbalance cause hairfall?

    Michael says November 6, 2016

    yes low levels of nutrients such as zinc and high levels of 5a-DHT, these can be tested via Planet Naturopath

MIRZA says November 1, 2016

a trichologist sugestted me to use dutasteride for hairloss….i taken dutasteride for 14 days nd face serious side effects like lower libido nd erectile dysynfunction…how to cure it without side effects////.

    Michael says November 6, 2016

    You need to do some testing to find out the cause of the hair loss, is it due to low levels of nutrients or possible high levesl of 5-alpha dihydrotestosterone?
    You can test all of these through Planet Naturopath

Edgar Allan P. Sia says November 14, 2016

Sir I am 18 years old and I still haven’t a test yet but as I look to myself and see the signs, I can tell that I have Hormonal Imbalance. My hair is weak also I feel like losing strength. I also can’t see my Adam’s Apple and I also do have enlargement of breasts. Can I ask an opinion on how can I improve my testerone level naturally and lessen estrogen which causes imbalance in my body. Thanks in advance Sir.

Sri says November 16, 2016

Sir Iam experiencing anxiety, mood changes badly,inferior,less sleeping efficiency…. actually I had took chronic stress and lack of rest I suffered a lot .. I will do exercise recklessly without excuse … too much cardio .. help me sir

Kyle Garrity says January 13, 2017

Hello, I had Gynocomastia surgery in February 2009 which was successful until about December 2011/January 2012. I regrew my man boobs, I then had an in office procedure to trim the fat around the chest which didn’t do much of anything. I then had full on gynocomastia surgery in February 2014 which again was great until 2 days ago when now I grew a boob only on my left chest/pec. I have spent about $12,000 on surgeries and am not sure what to do. I am going back to the surgeon who did my surgery in Feb 2014 to speak with him. I am not sure if I have a hormonal problem, I did have blood test before the surgeries that indicated I did not. I lift weights and do not use steroids, I use pre workouts and protein that I buy from vitamin shoppe and they have no hormones or testosterone. I take Amino Acids, multivitamin, vitamin C, biotin. All things that are purchased at GNC or Vitamin Shoppe. Nothing illegal, any idea or suggestions on something to forever cure this ?

    Michael says January 26, 2017

    A blood test only measures the levels of the hormones in your blood, I would recommend a DUTCH hormone test to identify not only the levels of your hormones but how your body is detoxifying the estrogens and testosterone. Poor detoxification or methylation of the hormones is going to lead to this problem reoccurring again.

    The DUTCH test also measures adrenal function, high cortisol can also lead to problems with the sex hormones and promote more estrogen.

    There is more info about the test here

Ali says February 14, 2017

Sir I am 22 years old my body looks like female and I haven’t the puberty yet is it hormone imbalamce and what should I do?

    Michael says February 17, 2017

    I would start with getting hormone testing done, this does sound like hormone imbalance

sunil kumar says April 5, 2017

Sir my younger brother troubling with high blood pressure from a long time 6 to 7 years.recently his b.p.goes up 200 .i just want to ask is there any harmonal imbalaces or we need to go for which harmonal test and what is the treatment.thannks

    Michael says May 1, 2017

    Hello Sunil there are many causes of high blood pressure, and sometimes high blood pressure can have no known cause. Hormones like cortisol can influence blood pressure but I would assess other causes first

Sahil says May 13, 2017

Sir i have some questions,, sir i have lack of sleep, mood changes, and have hair falls too,,
do you think this is Imblance Hormones problem,, Plz need your help
THank you

    Michael says May 19, 2017

    There could be a lot of causes to these symptoms, the best way is to test your hormones and take out the guesswork

Julius says June 2, 2017

Sir I’m 28 and i always experience acne Bt after I apply different types of anitifungal cream , it clears of in month or 2 then comes back again could this be a source of hormonal imbalance

    Michael says June 19, 2017

    It maybe hormones or it may be caused by a gut infection

jebon says July 20, 2017

Dear sir,
I have hormonal imblance, which kind of medical test I have to do, I am male 46+ age
i am suffering 1. hair loss problem 2. breast enlargment 3. fate in bally. 4. Erectile dysfunction 5. Low libido- 95% , muscle less & loose body, 6. weekness and less enargy., 7. premature ejaculation.

    Michael says July 27, 2017

    With those symptoms I would recommend a comprehensive blood test plus the DUTCH hormone test

Mudy says September 11, 2017

I like to know what causes hormone imbalance in men

    Michael says September 12, 2017

    The article explained the causes, further testing will help to identify your cause

Harmeet Saggu says September 12, 2017

Hello sir ,
I m facing problem to loss weight .sir i recently used steroid but now i don’t…. my test is down and estrogen high so plz sir help me ..which supplement i can take and how can take ……

Kiran says October 1, 2017

I’m suffering from past 3 years with no sex drive n always tired my right portion of body is not so active as first was please give me suggestions n must reply

    Michael says October 1, 2017

    It would be a good idea to do some testing to assess the underlying cause, this could be caused by a circulation issue, hormone problem or even an injury if you are having trouble with movement

JASWINDER says February 24, 2018

sir, my age is 38 years and weight is 98 kgs. Still i have no beard & mustache. i have consulted some doctors, through online chat, they have told me that my male hormones are imbalanced. sir, please provide me consultation and medicine to balance male hormone level.

Kelsick says July 28, 2018

Hello sir am a male age 30 and recently my left breast started growing. I am 30 years old and bearly have a few strands of beards. Over the pass years i am increasing in body weight. Me and my girlfriend have been trying to have a child for some years now but no luck can you give me some advice

    Michael says August 11, 2018

    The first step would be to get a full hormone assessment with your doctor or do the DUTCH hormone test

total tclinic says November 5, 2018

hi thanks for the post

Ryan says April 30, 2019

One of the ways of getting rid of hormonal imbalance is eating enough protein at every meal. Consuming an adequate amount of protein is extremely important. Also engaging in regular exercise also helps.

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