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4 Minutes Read

Hormones and Sexual Function

Understanding hormones like estrogen and testosterone in sexual health.

"The human body is the best picture of the human soul."
– Ludwig Wittgenstein

Hormones play a pivotal role in regulating various aspects of sexual function, including reproductive processes, sexual performance, libido, and aspects of gender identity. Among these hormones, estrogen, testosterone, and progesterone are key players. Understanding their functions and interactions provides valuable insights into human sexuality and health.​

Estrogen: The Essential Female Hormone

Estrogen is primarily known as the female sex hormone, though it is present in all genders. It is crucial for the development and regulation of the female reproductive system and secondary sexual characteristics.​

  • Reproductive Function: Estrogen regulates the menstrual cycle by controlling the growth of the uterine lining during the first part of the cycle. It prepares the body for potential pregnancy by promoting the maturation of the ovarian follicles. PMC

  • Sexual Performance and Libido: Estrogen contributes to vaginal lubrication and elasticity, facilitating comfortable and pleasurable sexual intercourse. Fluctuations in estrogen levels can influence sexual desire; for instance, some women experience increased libido during ovulation when estrogen peaks. ​

  • Gender Identity: While estrogen influences physical characteristics typically associated with femininity, gender identity is a complex interplay of biological, environmental, and psychological factors. Estrogen therapy is a component of gender-affirming treatment for transgender women, aiding in the development of secondary sexual characteristics aligned with their gender identity. ​

Testosterone: Beyond Male Sexual Health

Testosterone is often labeled as the male sex hormone, but it plays significant roles in all genders.​

  • Reproductive Function: In males, testosterone is essential for the development of the testes and prostate, as well as the production of sperm. In females, it contributes to ovarian function and bone strength. ​

  • Sexual Performance and Libido: Testosterone is a critical factor in sexual arousal and desire in both men and women. Low levels can lead to decreased libido and sexual satisfaction. Testosterone therapy has been shown to improve sexual desire in postmenopausal women experiencing hypoactive sexual desire disorder (HSDD). ​

  • Gender Identity: For transgender men, testosterone therapy induces physical changes such as increased muscle mass, body hair, and deepening of the voice, aligning their physical appearance with their gender identity. Wikipedia

Progesterone: The Balancing Hormone

Progesterone is another vital hormone, particularly in the female reproductive system.​

  • Reproductive Function: Progesterone prepares the endometrium for potential implantation of an embryo and maintains pregnancy. It inhibits muscle contractions in the uterus that could cause the body to reject an egg. Medical News Today

  • Sexual Performance and Libido: The role of progesterone in sexual desire is complex. Some studies suggest that high levels of progesterone may be associated with decreased libido, while others indicate it has minimal impact. Medical News Today

  • Gender Identity: Progesterone's role in gender identity is not well-defined. However, it is sometimes included in hormone therapy regimens for transgender women, though its efficacy and impact are subjects of ongoing research. ​

Interplay of Hormones in Sexual Function

The balance and interaction among estrogen, testosterone, and progesterone are crucial for optimal sexual health. Disruptions in these hormones can lead to various sexual dysfunctions.​

  • Hypogonadism: A condition where the sex glands produce little or no hormones, leading to symptoms like low energy, decreased sex drive, and reproductive issues. Treatment often involves hormone replacement therapy (HRT) to restore hormone levels. ​

  • Menopause and Andropause: Natural declines in estrogen and testosterone during aging can affect libido and sexual performance. HRT can alleviate some of these symptoms but should be approached cautiously due to potential risks. Wikipedia

Hormones and Gender Identity

While hormones influence physical sexual characteristics, gender identity is a deeply personal experience that may not align with one's biological sex. Hormone therapy is a significant aspect of the transition process for many transgender individuals, helping to develop physical traits that correspond with their gender identity.​

  • Transgender Women (Male-to-Female): Estrogen therapy promotes breast development and redistributes body fat to a more typically feminine pattern. ​

  • Transgender Men (Female-to-Male): Testosterone therapy induces changes such as increased body hair, muscle mass, and a deeper voice. Wikipedia

It's important to note that while hormone therapy can assist in aligning physical appearance with gender identity, gender identity itself is not solely determined by hormone levels.​

Conclusion

Estrogen, testosterone, and progesterone are integral to various facets of sexual function, from reproductive health to sexual desire and performance. Their roles are complex and interwoven, influencing not only physical processes but also aspects of identity and well-being. Ongoing research continues to unveil the depths of how these hormones affect our lives, underscoring the importance of a nuanced understanding of their functions.​

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07.16.2025

Eating and Living to Protect the Brain: Dementia, Alzheimer’s, and the Power of SHIELD

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Healing from Within: How Nutrition Supports PTSD Recovery

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Pretty remarkable:Brain scans showed ATP levels were protected compared to placebo.Cognitive testing improved in:Word recallReaction timeMental mathMood and fatigue ratingsThe effects were noticeable within hours of taking the supplement.Why this matters: Under stress—like sleep loss, emotional burnout, or chronic disease—your brain burns through ATP faster. Creatine seems to recharge your brain in real-time. Could this help caregivers, shift workers, or busy moms? Possibly.3. Meta-Analysis: Memory & Attention in Aging BrainsA 2023 scientific review analyzed over a dozen human trials and found modest, but consistent improvements in:Short-term memoryWorking memoryReaction timeAttention and focusThese effects were strongest in older adults, people under cognitive stress, and women—who may respond better due to lower baseline creatine levels.Why this matters: You don’t need to have a disease to benefit. If you’re aging (hello, all of us), your brain may just run better on a little creatineMuscle, Bone & Aging BenefitsWe’ve covered the brain—but creatine’s original reputation as a muscle enhancer still holds. And here’s the kicker: the benefits are even more profound as we age.4. Muscle Mass & Sarcopenia in Older AdultsMultiple studies (including meta-analyses) have shown that when adults over 50 take 3–5g of creatine daily + do resistance training, they see:Greater muscle strength and lean mass gainsReduced fall riskSlower loss of bone mineral densityLower levels of inflammatory markersEven without lifting weights, creatine helps preserve muscle—just at a slower pace.Why this matters: Sarcopenia (age-related muscle loss) is one of the strongest predictors of poor health, frailty, and even mortality. Creatine is a simple, safe intervention that slows the clock.What About That “No Difference” Study?One small 12-week study showed no muscle gain between creatine and placebo—but participants weren’t weight training, and the changes may have been masked by early water retention (a normal first effect of creatine). The total body of evidence still heavily favors creatine for muscle health.How Much Creatine Should You Take?GoalDoseNotesGeneral health3–5 g/daySafe long-term, even without loadingRapid saturation20 g/day split into 4 doses for 5–7 daysOptional “loading phase”Cognitive support (acute)0.3–0.35 g/kg (one-time)For sleep deprivation, brain fatigue, etc.Older adults3–5 g/day + resistance trainingHelps with sarcopenia, falls, brain energyAlzheimer’s/clinical use20 g/day (under supervision)Used in pilot studies—monitor with a providerTips for Getting the Most from CreatineUse creatine monohydrate – It’s the most researched and effective form.Take it with food, especially with carbs or protein to enhance absorption.Stay hydrated – Creatine draws water into your muscle cells.Be consistent – It takes time to saturate your cells. Daily dosing is key.Go slow if needed – Start with half doses to avoid GI issues.Functional Nutrition Final ThoughtsCreatine isn’t a performance enhancer. It’s a cellular fuel source—one that supports your brain, muscles, bones, and metabolic energy across your life span.Whether you’re navigating cognitive changes, battling midlife fatigue, or simply trying to age well and stay strong, creatine may be one of the most important tools in your toolkit.And with decades of data showing it’s safe, effective, and affordable, there’s never been a better time to make creatine part of your functional health strategy.ReferencesUniversity of Kansas Alzheimer’s Creatine Pilot Study (2024) – KUMC.eduRawson ES et al. “Creatine supplementation and brain performance.” Neurosci Biobehav Rev. 2023.Gualano B, et al. “Creatine supplementation in aging and neurodegenerative disorders.” JISSN (2022).Avgerinos K, et al. “Effects of creatine on cognitive function.” Frontiers in Neuroscience (2020).Kreider R, et al. “ISSN position stand: creatine supplementation and exercise.” JISSN (2017).Wallimann T. “Creatine: a new therapeutic target?” Aging Research Reviews (2016).

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