
Hormones play a major role in a man’s physical, emotional, and sexual health. While testosterone is commonly known as the primary male hormone, estrogen is also present in men and is essential in small amounts. The problem begins when estrogen levels become higher than normal. This hormonal imbalance can affect sexual performance, fertility, physical appearance, and emotional well-being.
In this detailed guide, we will explain why high estrogen happens in men, the symptoms to look out for, how it affects sexual health, and what treatment options are available. As Pakistan’s first and only American Board-Certified medical sexologist, Dr. Farooq Nasim Bhatti specializes in diagnosing and treating hormonal imbalance, sexual dysfunction, and male infertility. His experience of over 30 years allows him to identify the root cause of hormonal issues and provide personalized, clinically proven treatment solutions.
What is Estrogen and Why Do Men Need It?
Although estrogen is mainly considered a female hormone, men also produce it in small amounts. In the male body, estrogen plays several important roles:
Helps maintain healthy bones
Supports brain function and mood stability
Aids in sperm development and reproductive health
However, testosterone must remain the dominant hormone. When estrogen levels rise too high, the balance shifts and begins to interfere with male sexual function, metabolism, and psychological health.
This hormonal imbalance is one of the underlying causes behind problems like mardana kamzori, low libido, erectile dysfunction, and even infertility.
What Causes High Estrogen Levels in Men?
1. Natural Aging
As men age, testosterone levels gradually decline. When testosterone decreases, the body may convert more of it into estrogen, leading to an imbalance.
2. Excess Body Fat
Fat cells contain an enzyme known as aromatase, which converts testosterone into estrogen. This is why men with belly fat or obesity often experience lower testosterone and higher estrogen.
3. Alcohol Consumption
Excessive and long-term alcohol intake affects the liver and reduces its ability to break down estrogen, leading to elevated levels in the bloodstream.
4. Liver or Metabolic Health Problems
Since the liver is responsible for filtering and clearing estrogen, any liver dysfunction can contribute to high estrogen.
5. Medications and Steroid Use
Some medications, supplements, or anabolic steroids can interfere with hormone balance.
6. Environmental Exposure to Estrogen
Plastics, pesticides, and hormones found in processed foods may introduce estrogen-like chemicals into the body.
Whether the cause is lifestyle-related, medical, or age-related, high estrogen is treatable — but only when identified correctly and managed professionally.
Symptoms of High Estrogen in Men
High estrogen affects the body in multiple ways, including physical, sexual, and emotional symptoms. Many men misinterpret these signs as stress or weakness, but in reality, the root cause is often hormonal imbalance.
Physical Signs
Men may notice weight gain, especially around the belly and chest. Some experience gynecomastia (development of breast tissue), which can cause embarrassment or lowered self-confidence. Muscle mass may decrease, even for those who exercise regularly, and fatigue or low energy becomes common.
Sexual Symptoms
Sexual health is directly affected when estrogen rises and testosterone declines. Men often experience reduced sex drive, weakened erections, difficulty maintaining erections, or premature ejaculation. In many cases, high estrogen can hinder sperm production, leading to male infertility. This issue is especially important for couples who are trying to conceive but are struggling without understanding why.
Emotional and Mental Changes
Hormonal imbalance can also affect mood and cognitive functioning. Men may feel irritable, anxious, depressed, or emotionally sensitive. Motivation and confidence levels may drop, leading to withdrawal from intimacy and social interaction.
When these symptoms happen together, they often suggest a hormonal imbalance rather than an isolated physical or mental health issue.
How High Estrogen Affects Sexual & Reproductive Health
Sexual health depends heavily on a balanced testosterone-to-estrogen ratio. When estrogen becomes dominant, it disrupts the biological pathways responsible for:
Sexual desire
Erectile strength
Ejaculation control
Sperm development
Hormone-driven emotional stability
Men may feel physically capable but mentally disconnected from sexual intimacy. Others may feel desire but struggle with erections or timing during intercourse. For some, fertility becomes a major concern, especially when low sperm count or slow sperm movement is detected.
These changes are not a sign of “weakness” — they are a medical condition that can be treated effectively when handled by a qualified specialist.
Proper Diagnosis is Essential
Self-medication, herbal remedies, hormonal injections, and over-the-counter male boosters often make the condition worse. The correct way to diagnose high estrogen is through a detailed medical evaluation and laboratory hormone testing.
A hormone profile test typically evaluates:
Total Testosterone
Free Testosterone
Estrogen (Estradiol / E2)
LH and FSH (pituitary hormones affecting fertility)
Prolactin
Thyroid hormones
Only after understanding the hormonal pattern can an accurate treatment plan be developed. This is where expertise matters.
Treatment Options for High Estrogen in Men
The treatment depends on the cause, severity, and lifestyle factors of each patient. Dr. Farooq Nasim Bhatti creates a tailored treatment plan designed for each individual’s hormonal and sexual health needs.
Lifestyle Adjustments
Weight loss through a balanced diet and exercise helps reduce estrogen conversion. Reducing alcohol intake and avoiding processed foods is also essential.
Hormone Balancing Medical Therapy
In some cases, medications or hormonal treatments may be required to block excess estrogen or increase testosterone levels. These must only be taken under medical supervision to avoid dangerous side effects.
Sexual Dysfunction Treatment
If erectile dysfunction, premature ejaculation, or loss of libido is present, targeted therapies are included to restore sexual performance and confidence.
Infertility Support
For couples trying to conceive, treatment is adjusted to improve sperm count, motility, and reproductive health while restoring hormonal balance.
Why Consulting a Qualified Sexologist Matters
Hormonal imbalance is complex. Incorrect treatment — especially self-prescribed supplements or testosterone boosters — can permanently damage reproductive health.
Dr. Farooq Nasim Bhatti is:
MBBS
FAACS (USA)
Diplomate, American Board of Sexology (USA)
CST, HSC (Hong Kong)
CART (Malaysia & China)
He is Pakistan’s first and only internationally certified medical sexologist, with over 30 years of experience treating male sexual dysfunction, infertility, and hormonal imbalance.
His approach is evidence-based, medically safe, and tailored to each patient’s condition.
When Should You Seek Help?
You should consult a specialist if you are experiencing:
Ongoing sexual performance issues
Loss of sexual desire
Difficulty conceiving
Sudden mood changes
Unexplained weight or muscle changes
The sooner the hormonal imbalance is treated, the faster normal function can be restored.
Get Professional Help — Book Your Consultation
Whether you live in Lahore, Islamabad, Faisalabad, or any other city in Pakistan, including small towns and remote regions, you can access expert care through secure online consultations.
Your path to recovery starts with one step.
Call now or book online to speak directly with Dr. Farooq Nasim Bhatti and receive a confidential, respectful, and personalized treatment plan tailored to your health needs.

Dr. Farooq Nasim Bhatti (MBBS, FAACS – USA, Diplomate: American Board of Sexology, CST, HSC – Hong Kong, CART – Malaysia & China) is a qualified medical sexologist with 30+ years of experience. He has presented 21+ research papers internationally and treats sexual dysfunction through sex therapy, counseling, and pharmacotherapy to restore natural sexual function without temporary medication.

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