5a,3a-Androstanediol (Male)

Optimal Result: 9.48 - 24.96 ug/g Cr.

5a,3a-Androstanediol, a metabolite of the potent androgen 5a-Dihydrotestosterone (5a-DHT), is a significant marker in the ZRT Laboratory Urinary Neurotransmitters panel, emphasizing its role in male health and hormonal balance. This metabolite provides insight into the body's androgen metabolism, particularly reflecting the activity of 5a-DHT, a key hormone in male physiology.

In men, 5a,3a-Androstanediol is involved in several critical functions, including the development and maintenance of male characteristics, regulation of mood and libido, and influence on hair growth patterns. Abnormal levels of this metabolite can indicate issues in androgen metabolism, which might manifest in conditions such as male pattern baldness, prostate health concerns, and potential mood disorders.

The inclusion of 5a,3a-Androstanediol in the ZRT Laboratory's comprehensive panel is vital for a holistic understanding of a man's hormonal profile, aiding healthcare professionals in diagnosing and managing conditions associated with androgen imbalances. This marker is particularly crucial in understanding the effects of androgenic hormones beyond testosterone, offering a more nuanced view of male hormonal health.

For practitioners, assessing 5a,3a-Androstanediol levels can guide the development of targeted treatment strategies, including addressing hair loss, prostate health, and mood regulation.

What does it mean if your 5a,3a-Androstanediol (Male) result is too high?

Elevated levels of 5a,3a-Androstanediol, a metabolite of 5a-Dihydrotestosterone (5a-DHT), in men can have several implications:

Health Implications of Elevated 5a,3a-Androstanediol:

→ Increased Androgenic Activity: High levels suggest enhanced activity of androgens, particularly 5a-DHT.

→ Male Pattern Baldness: Given its relationship with 5a-DHT, elevated levels can be linked to hair loss in men, especially those genetically predisposed.

v Prostate Health Concerns: 5a-DHT plays a role in prostate health, and its metabolites, including 5a,3a-Androstanediol, may indicate an increased risk of conditions like benign prostatic hyperplasia (BPH).

→ Skin Conditions: High androgenic activity can lead to issues like acne or oily skin.

Symptoms Associated with Elevated Levels:

→ Thinning or Loss of Scalp Hair

→ Increased Body and Facial Hair

→ Acne or Oily Skin

→ Possible Urinary Symptoms due to Prostate Enlargement

Treatment and Management:

→ Medication: For conditions like male pattern baldness and BPH, medications that inhibit 5a-reductase (like finasteride and dutasteride) can be effective.

→ Topical Treatments: For hair loss, treatments like minoxidil might be recommended.

→ Skincare: Proper skincare routines and medications can manage acne or oily skin.

→ Lifestyle Adjustments: Diet, exercise, and stress management can help in overall hormonal balance.

→ Regular Monitoring: Keeping track of hormone levels and symptoms to gauge treatment effectiveness.

Important Considerations:

→ Comprehensive Evaluation: Elevated levels should be assessed in the context of overall hormonal health and symptoms.

→ Consultation with Specialists: Endocrinologists or dermatologists can provide focused care.

→ Personalized Approach: Treatment plans should be tailored to individual health profiles and needs.


Elevated levels of androgen metabolites like 5a,3a-Androstanediol can be associated with obesity. The relationship between obesity and hormone levels is complex and multifaceted:

  1. Adipose Tissue and Hormone Conversion: Adipose (fat) tissue has the ability to convert hormones. In obese individuals, the increased adipose tissue can lead to altered hormone metabolism, potentially increasing the levels of certain androgens and their metabolites.

  2. Insulin Resistance: Obesity is often linked to insulin resistance, which can affect hormone levels. Insulin resistance can lead to increased insulin levels, which in turn can stimulate the ovaries and adrenal glands to produce more androgens.

  3. Inflammation: Obesity is associated with chronic low-grade inflammation, which can disrupt normal hormonal functions and regulation.

  4. Altered Sex Hormone Binding Globulin (SHBG) Levels: Obesity can lead to lower levels of SHBG, a protein that binds to sex hormones in the blood. Lower SHBG means more free androgens (like testosterone) are available to be converted into other metabolites such as 5a,3a-Androstanediol.

However, it's important to note that while obesity can influence hormone levels, the specific impact on 5a,3a-Androstanediol levels in men and the precise mechanisms involved can vary among individuals. Elevated levels of androgen metabolites in obese individuals should be evaluated within the broader context of overall health, hormonal balance, and metabolic status. Medical professionals can provide a more detailed assessment and appropriate management strategies for hormonal imbalances related to obesity.

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