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Why are SHBG levels higher in women compared to men?
Why are SHBG levels higher in women compared to men?-February 2024
Feb 13, 2026 5:38 AM

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Why are SHBG levels higher in women compared to men?

Sex hormone-binding globulin (SHBG) is a glycoprotein that binds to sex hormones, including testosterone and estrogen, in the bloodstream. It plays a crucial role in regulating the availability and activity of these hormones in the body.

1. Hormonal differences

One of the primary reasons for higher SHBG levels in women compared to men is the hormonal differences between the two sexes. Estrogen, the primary female sex hormone, stimulates the liver to produce more SHBG. As women naturally have higher levels of estrogen, it leads to increased SHBG production and subsequently higher levels in their bloodstream.

2. Feedback mechanisms

Feedback mechanisms within the body also contribute to the higher SHBG levels in women. Estrogen inhibits the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) in the pituitary gland. LH and FSH are responsible for stimulating the production of testosterone in men. As a result, lower testosterone levels in women lead to increased SHBG production to bind the available testosterone.

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3. Genetic factors

Genetic factors also play a role in the differences in SHBG levels between men and women. Certain genetic variations can influence the production and regulation of SHBG. Studies have shown that specific genetic polymorphisms are associated with higher SHBG levels in women.

4. Age-related changes

SHBG levels can also vary with age. In women, SHBG levels tend to increase with age, particularly during menopause. This increase is thought to be influenced by hormonal changes associated with menopause, such as declining estrogen levels.

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5. Health conditions and medications

Certain health conditions and medications can also affect SHBG levels. For example, conditions like polycystic ovary syndrome (PCOS) and obesity are associated with higher SHBG levels in women. Additionally, medications such as hormonal contraceptives and hormone replacement therapy can influence SHBG production and levels.

In summary, higher SHBG levels in women compared to men can be attributed to hormonal differences, feedback mechanisms, genetic factors, age-related changes, and certain health conditions or medications. Understanding these factors is important for studying the role of SHBG in various physiological processes and its potential implications for health and longevity.

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Keywords: levels, higher, production, hormone, estrogen, hormonal, genetic, testosterone, differences

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