Low estradiol in men

Covers what low estradiol (E2) means for men, including common causes like overuse of aromatase inhibitors, low body fat, or disrupted hormone balance on TRT. Learn how low E2 can impact libido, mood, joints, and performance, plus practical testing and adjustment strategies to restore healthy levels.

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Estrogen in men: Low Estradiol can ruin your TRT therapy

Estrogen in men: Low Estradiol can ruin your TRT therapy

Dr. Susan Carter, MD avatar
Dr. Susan Carter, MD: Endocrinologist & Longevity Expert
Oct 26, 2025 · 13 min read

Low estradiol can derail TRT even when testosterone looks “normal,” because aromatase converts testosterone into estradiol and symptoms often appear when estradiol falls below about 20 pg/mL. Learn the key signs, the right lab test to order, and how to fix low E2 without crashing your hormones. “Men often think estrogen is the enemy, but ...

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