Hormones
High estrogen in men: signs, causes and natural balance
Men need some oestrogen for healthy bones, brain and sexual function, but too much relative to testosterone can cause problems. Here is what to know about high estrogen in men.
In short: High oestrogen in men can cause breast tissue growth, low sex drive, weaker erections, fatigue and weight gain. The most common cause is excess body fat, which converts testosterone into oestrogen. Other causes include heavy alcohol use, anabolic steroids, some medicines and liver disease. Losing belly fat and reducing alcohol are the most effective natural steps.
Why men need oestrogen
Testosterone is converted into oestradiol by an enzyme called aromatase. Men need some oestrogen for bone strength, brain health and even libido. Problems arise when the balance shifts too far.
Signs of high oestrogen in men
- Breast tissue growth or tenderness. See gynecomastia causes.
- Low sex drive
- Erectile difficulties
- Fatigue and low mood
- Increased body fat, especially around the hips and chest
- Reduced fertility
Common causes
Excess body fat
Fat tissue contains aromatase, so more belly fat means more testosterone converted to oestrogen. This is the most common cause.
Alcohol
Heavy drinking increases aromatase activity and affects liver processing of hormones. Beer also contains plant compounds from hops.
Anabolic steroids
Excess testosterone from steroids can be converted to oestrogen. See steroids and erectile dysfunction.
Medicines and conditions
Some medicines, liver disease, kidney disease and rare tumours can raise oestrogen.
Ageing
Aromatase activity tends to rise with age and weight gain.
Natural ways to rebalance
Lose belly fat
This is the most effective step. See weight loss and erectile dysfunction.
Cut back on alcohol
Strength train
Building muscle supports testosterone and body composition.
Eat cruciferous vegetables
Broccoli, cabbage and cauliflower contain compounds that support healthy oestrogen metabolism, although evidence in men is limited.
Get enough fibre
Fibre helps the body excrete oestrogen.
Sleep and stress
See lack of sleep and erectile dysfunction.
Getting tested
Only blood tests can confirm hormone levels. An appropriately registered medical professional can check testosterone, oestradiol and other markers. We do not test or prescribe hormones, but we support you naturally alongside medical care. Read low testosterone symptoms in men.
Why men choose our natural approach
Walk in or consult remotely
Walk in at Buccleuch, Sandton, with parking available, or consult by phone or video from anywhere in South Africa.
Natural and non-surgical
Herbal remedies and practical guidance, with no injections or surgery.
Faster appointments
Enquiries answered 24/7, with same-day appointments often available.
Transparent pricing
Consultations are R2,500, with any remedy costs confirmed before you commit.
Private self-check: 5 quick questions
Answer these honestly before you try anything new or book. They help you describe what is happening and get more from your first consultation.
- Has your interest in sex dropped noticeably over the past year?
- Do you feel tired most days, even after a full night in bed?
- Has your weight around the middle increased?
- Have stress, low mood or poor sleep become more common?
- Have you noticed weaker erections or fewer morning erections?
Two or more yes answers suggest that energy, sleep, stress or weight may be affecting your drive. These are areas where natural, practical support often makes a real difference, and a naturopath can help you work out where to start.
What happens at your first consultation
- Walk in or book online, call +27 10 205 9855 or WhatsApp +27 81 823 1313. In Gauteng, walk in at 199 Vanessa Street, Buccleuch, Sandton, where parking is available. Outside Gauteng, choose a confidential phone or video consultation. Enquiries are answered 24/7.
- Talk privately with a naturopath about your symptoms, health history, lifestyle and goals.
- Receive a personalised natural plan, with any remedy costs confirmed upfront.
- Follow up in person or remotely so your progress is reviewed and your plan adjusted.
Your health and safety
Our naturopaths use natural remedies and lifestyle support, and always check your health history and current medicines first. If anything needs medical attention we tell you honestly and refer you to an appropriately registered medical professional. Avoid unregistered “enhancement” products sold online or at markets, as SAHPRA has warned that some contain hidden ingredients.
Seek urgent medical care for chest pain, an erection lasting more than four hours, sudden weakness or other sudden symptoms.
Consultation price
A consultation is R2,500, in person or remote, and your naturopath confirms any further costs before you go ahead. See our men’s clinic prices for details.
Frequently asked questions
What causes high estrogen in men?
The most common cause is excess body fat. Alcohol, steroids, some medicines and liver disease can also contribute.
What are the signs of high estrogen in men?
Breast tissue growth, low sex drive, weaker erections, fatigue and weight gain are common signs.
How can men lower estrogen naturally?
Losing belly fat, cutting back on alcohol, strength training, and eating fibre and vegetables help.
Can high estrogen cause erectile dysfunction?
Yes. An imbalance between oestrogen and testosterone can affect libido and erections.
How much does a consultation cost?
A consultation is R2,500, and any remedy costs are confirmed with you before you go ahead.
Book your consultation today
Get personalised, natural support from a naturopath. Walk in at our Sandton practice, or book a remote consultation if you live outside Gauteng.
References and further reading
Reviewed by George Mulaudzi, Naturopath. This page is general information and does not replace a personal consultation. If you have chest pain, sudden symptoms or a medical emergency, seek urgent medical care.
