Androstenedione
OTHER NAME(S): 4-Androstene 3, 17-dione, 4-Androstenedione, Andro, Androstene, Androsténédione, 4-androstene-3,17-dione, Androst-4-ene-3,17-dione, Androstenediona, Androstènedione
Overview
Androstenedione is a type of chemical known as an anabolic steroid. It is converted in the body to other sex hormones, including testosterone and estrogen.
Androstenedione is naturally made in the body. Most androstenedione comes from the testes, ovaries, and adrenal glands. The body begins to make less androstenedione after the age of 30.
People use androstenedione for muscle strength, athletic performance, erectile dysfunction, fatigue, and many other conditions, but there is no good scientific evidence to support these uses. It might also be unsafe.
In the US, androstenedione is a schedule III controlled substance that is not legal for use in supplements. But it is still found in some supplement products, especially those marketed for muscle strength and athletic performance. It is also banned by the National Collegiate Athletic Association (NCAA). Don't confuse androstenedione with other compounds, including 1-androsterone, 4-androsterone, androstenediol, androstenetrione, androsterone, 1-epiandrosterone, and epiandrosterone. These are not the same.
Uses
Likely InEffective for
- Muscle strength. Taking androstenedione by mouth while resistance training does not seem to improve muscle strength or size in healthy males.
There is interest in using androstenedione for a number of other purposes, but there isn't enough reliable information to say whether it might be helpful.
Side Effects
When taken by mouth: Androstenedione is possibly unsafe. It's been linked with serious side effects, including increased risk of breast, pancreatic, and prostate cancer. There is also some concern that the strength and purity of androstenedione products may not match the product labeling.
Precautions
When taken by mouth: Androstenedione is possibly unsafe. It's been linked with serious side effects, including increased risk of breast, pancreatic, and prostate cancer. There is also some concern that the strength and purity of androstenedione products may not match the product labeling.
Pregnancy: Androstenedione is likely unsafe when taken by mouth during pregnancy. It might bring on labor and cause a miscarriage.
Breast-feeding: There isn't enough reliable information to know if androstenedione is safe to use when breast-feeding. Stay on the safe side and avoid use.
Children: Androstenedione is likely unsafe when taken by mouth in children. It might stop bone growth and lead to shorter adult height. It might also cause early onset of puberty.
Depression: Androstenedione supplements might make depression worse in females. Females with severe major depression seem to have naturally high levels of androstenedione. But it is not known if taking androstenedione supplements causes depression.
Hormone-sensitive cancers and conditions: Androstenedione is the steroid hormone used by the body to make testosterone and estrogen. Patients with hormone sensitive conditions should avoid androstenedione. Some of these conditions include breast, uterine, ovarian, and prostate cancer; endometriosis; and uterine fibroids.
Liver disease: Androstenedione might harm the liver. Don't take androstenedione if you have any type of liver disease. Even if you don't have liver disease, it's best to get liver function tests if you take androstenedione.
Polycystic ovary syndrome (PCOS): Androstenedione supplements might worsen symptoms of PCOS. Patients with PCOS have naturally high levels of androstenedione. But it is not known if taking androstenedione supplements actually worsens symptoms of PCOS.
Prostate cancer: Androstenedione might increase the chances of developing prostate cancer. Don't use androstenedione if you have prostate cancer.
Interactions
Moderate Interaction
Be cautious with this combination
- Estrogens interacts with AndrostenedioneAndrostenedione seems to increase estrogen levels in the body. Taking androstenedione along with estrogen might increase the effects and side effects of estrogen.
Dosing
There isn't enough reliable information to know what an appropriate dose of androstenedione might be. Keep in mind that natural products are not always necessarily safe and dosages can be important. Be sure to follow relevant directions on product labels and consult a healthcare professional before using.
References
- van Weerden WM, van Kreuningen A, Elissen NM, et al. Effects of adrenal androgens on the transplantable human prostate tumor PC-82. Endocrinol 1992;131:2909-13.
- Mecenas CA, Giussani DA, Owiny JR, et al. Production of premature delivery in pregnant rhesus monkeys by androstenedione infusion. Nat Med 1996;2:443-8.
- Anon. Creatine and androstenedione, two dietary supplements. Med Lett Drugs Ther 1998;40:105-6.
- Wallace MB, Lim J, Cutler A, Bucci L. Effects of dehydroepiandrosterone vs androstenedione supplementation in men. Med Sci Sports Exerc 1999;31:1788-92.
- Broeder CE, Quindry J, Brittingham K, et al. The Andro Project: physiological and hormonal influences of androstenedione supplementation in men 35 to 65 years old participating in a high-intensity resistance training program. Arch Intern Med 2000;160:3093-104.
- Catlin DH, Leder BZ, Ahrens B, et al. Trace contamination of over-the-counter androstenedione and positive urine test results for a nandrolone metabolite. JAMA 2000;284:2618-21.
- Leder BZ, Longcope C, Catlin DH, et al. Oral androstenedione administration and serum testosterone concentrations in young men. JAMA 2000;283:779-82.
- Rasmussen BB, Volpi E, Gore DC, Wolfe RR. Androstenedione does not stimulate muscle anabolism in young healthy men. J Clin Endocrinol Metab 2000;85:55-9.
- Kachhi PN, Henderson SO. Priapism after androstenedione intake for athletic performance enhancement. Ann Emerg Med 2000;35:391-3.
- King DS, Sharp RL, Vukovich MD, et al. Effect of oral androstenedione on serum testosterone and adaptations to resistance training in young men. A randomized controlled trial. JAMA 1999;281:2020-8.
- Weber B, Lewicka S, Deuschle M, et al. Testosterone, androstenedione and dihydrotestosterone concentrations are elevated in female patients with major depression. Psychoneuroendocrinology 2000;25:765-71.
- Brown GA, Vukovich MD, Martini ER, et al. Endocrine responses to chronic androstenedione intake in 30- to 56-year-old men. J Clin Endocrinol Metab 2000;85:4074-80.
- Brown GA, Vukovich MD, Reifenrath TA, et al. Effects of anabolic precursors on serum testosterone concentrations and adaptations to resistance training in young men. Int J Sport Nutr Exerc Metab 2000;10:340-59.
- Brown GA, Vukovich MD, Martini ER, et al. Effects of androstenedione-herbal supplementation on serum sex hormone concentrations in 30- to 59-year-old men. Int J Vitam Nutr Res 2001;71:293-301.
- Anabolic Steroid Act, Public Law No. 108-358, 2004.
- Green GA, Catlin DH, Starcevic B. Analysis of over-the-counter dietary supplements. Clin J Sport Med 2001;11:254-9..
- Beckham SG, Earnest CP. Four weeks of androstenedione supplementation diminishes the treatment response in middle aged men. Br J Sports Med 2003;37:212-8..
- Health and Human Services. HHS launches crackdown on products containing Andro. March, 2004.
- National Collegiate Athletic Association. NCAA Banned-Drug Classes 2005-2006. Available at: https://www1.ncaa.org/membership/ed_outreach/health-safety/drug_testing/banned_drug_classes.pdf.
- Vierck JL, Icenoggle DL, Bucci L, Dodson MV. The effects of ergogenic compounds on myogenic satellite cells. Med Sci Sports Exerc 2003;35:769-76.
- Leder, B. Z., Leblanc, K. M., Longcope, C., Lee, H., Catlin, D. H., and Finkelstein, J. S. Effects of oral androstenedione administration on serum testosterone and estradiol levels in postmenopausal women. J Clin Endocrinol Metab 2002;87(12):5449-5454.
- Kicman, A. T., Bassindale, T., Cowan, D. A., Dale, S., Hutt, A. J., and Leeds, A. R. Effect of androstenedione ingestion on plasma testosterone in young women; a dietary supplement with potential health risks. Clin Chem 2003;49(1):167-169.
- Broeder, C. E. Oral andro-related prohormone supplementation: do the potential risks outweigh the benefits? Can J Appl Physiol 2003;28(1):102-116.
- Brown, G. A., Vukovich, M., and King, D. S. Testosterone prohormone supplements. Med Sci Sports Exerc 2006;38(8):1451-1461.
- Cauley, J. A., Lucas, F. L., Kuller, L. H., Stone, K., Browner, W., and Cummings, S. R. Elevated serum estradiol and testosterone concentrations are associated with a high risk for breast cancer. Study of Osteoporotic Fractures Research Group. Ann Intern Med 2-16-1999;130(4 Pt 1):270-277.
- Uralets, V. P. and Gillette, P. A. Over-the-counter anabolic steroids 4-androsten-3,17-dione; 4-androsten-3beta,17beta-diol; and 19-nor-4-androsten-3,17-dione: excretion studies in men. J Anal Toxicol 1999;23(5):357-366.
- van, Gammeren D., Falk, D., and Antonio, J. The effects of supplementation with 19-nor-4-androstene-3,17-dione and 19-nor-4-androstene-3,17-diol on body composition and athletic performance in previously weight-trained male athletes. Eur J Appl Physiol 2001;84(5):426-431.
- Leder, B. Z., Catlin, D. H., Longcope, C., Ahrens, B., Schoenfeld, D. A., and Finkelstein, J. S. Metabolism of orally administered androstenedione in young men. J Clin Endocrinol Metab 2001;86(8):3654-3658.
- Catlin, D. H., Leder, B. Z., Ahrens, B. D., Hatton, C. K., and Finkelstein, J. S. Effects of androstenedione administration on epitestosterone metabolism in men. Steroids 2002;67(7):559-564.
- van, Gammeren D., Falk, D., and Antonio, J. Effects of norandrostenedione and norandrostenediol in resistance-trained men. Nutrition 2002;18(9):734-737.
- Kohut, M. L., Thompson, J. R., Campbell, J., Brown, G. A., Vukovich, M. D., Jackson, D. A., and King, D. S. Ingestion of a dietary supplement containing dehydroepiandrosterone (DHEA) and androstenedione has minimal effect on immune function in middle-aged men. J Am Coll Nutr 2003;22(5):363-371.
- Barrett-Connor, E., Garland, C., McPhillips, J. B., Khaw, K. T., and Wingard, D. L. A prospective, population-based study of androstenedione, estrogens, and prostatic cancer. Cancer Res 1-1-1990;50(1):169-173.
- Horton, R. and Tait, J. F. Androstenedione production and interconversion rates measured in peripheral blood and studies on the possible site of its conversion to testosterone. J Clin Invest 1966;45(3):301-313.
- Fyssas, I., Syrigos, K. N., Konstandoulakis, M. M., Papadopoulos, S., Milingos, N., Anapliotou, M., Waxman, J., and Golematis, B. C. Sex hormone levels in the serum of patients with pancreatic adenocarcinoma. Horm Metab Res 1997;29(3):115-118.
- Hoque A, Yao S, Till C, et al. Effect of finasteride on serum androstenedione and risk of prostate cancer within the prostate cancer prevention trial: differential effect on high- and low-grade disease. Urology. 2015;85(3):616-20.
- Sathyapalan T, Smith KA, Coady AM, Kilpatrick ES, Atkin SL. Atorvastatin therapy decreases androstenedione and dehydroepiandrosterone sulphate concentrations in patients with polycystic ovary syndrome: randomized controlled study. Ann Clin Biochem. 2012;49(Pt 1):80-5.
- Roth MY, Page ST, Lin K, et al. The effect of gonadotropin withdrawal and stimulation with human chorionic gonadotropin on intratesticular androstenedione and DHEA in normal men. J Clin Endocrinol Metab. 2011;96(4):1175-81.
- Ritter RH, Cryar AK, Hermans MR. Oral androstenedione-induced impotence and severe oligospermia. Fertil Steril. 2005;84(1):217.
- Judge LW, Bellar DM, Hoover DL, Biggs D, Leitzelar BN, Craig BW. Effects of acute androstenedione supplementation on testosterone levels in older men. Aging Male. 2016;19(3):161-167.
- Badawy MT, Sobeh M, Xiao J, Farag MA. Androstenedione (a natural steroid and a drug supplement): a comprehensive review of its consumption, metabolism, health effects, and toxicity with sex differences. Molecules 2021;26(20):6210.
- Alaedini S, Amirahmadi M, Kobarfard F, Rastegar H, Nasirahmadi S, Shoeibi S. Survey of protein-based sport supplements for illegally added anabolic steroids methyltestosterone and 4-androstenedione by UPLC-MS/MS. Steroids 2021;165:108758.
- Pang Q, Jia A, Al Masri MK, Varkaneh HK, Abu-Zaid A, Gao X. The effect of androstenedione supplementation on testosterone, estradiol, body composition, and lipid profile: a systematic review and meta-analysis of randomized controlled trials. Hormones (Athens) 2022.
