“In women, dehydroepiandrosterone is an important source
of oestrogens in the body – it provides about 75%
of oestrogens before the menopause, and 100%…”.1

Umbrella
What may the DHEA Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Dehydroepiandrosterone (DHEA)
  • Prasterone
  • Synthetic Versions – Fidelin, Fluasterone, Prastera and Prasterone

Definition

What is dehydroepiandrosterone (DHEA)?

DotS the definition of DHEA may vary. In Dehydroepiandrosterone: What Is Dehydroepiandrosterone? the (United States) You and Your Hormones, an education resource from the Society for Endocrinology’s (NCCIH), definition is:

“Dehydroepiandrosterone is a precursor hormone, which means it has little biological effect on its own, but has powerful effects when converted into other hormones such as testosterone and oestradiol”.2

Oestrogen

What is the association between DHEA and oestrogen?

In Dehydroepiandrosterone: What Is Dehydroepiandrosterone? You and Your Hormones explain:

“In women, dehydroepiandrosterone is an important source of oestrogens in the body – it provides about 75% of oestrogens before the menopause, and 100% of oestrogens in the body after menopause”.3

Women

What is the association between DHEA and women?

In Dehydroepiandrosterone: What happens If I Have Too Little Dehydroepiandrosterone? You and Your Hormones note:

“In women, low levels of dehydroepiandrosterone are associated with low libido, reduced bone mineral density and osteoporosis. However, supplementation with commercially available dehydroepiandrosterone is not recommended as there is concern about numerous possible side-effects”.4

Aging

Is there an association between aging and DHEA?

In Menopausal Symptoms: In Depth – What the Science Says About Complementary Approaches for Menopause Symptoms: Natural Products – DHEA the (United States) National Center for Complimentary and Integrative Health (NCCIH) elaborate on:

“DHEA production decreases as people grow older, but the significance of this change, including whether it affects aging and menopause symptoms, is unclear”.5

In DHEA: Evidence the Mayo Clinic also note:

  • “Aging. In theory, taking DHEA supplements to maintain DHEA levels could slow the aging process, possibly improving well-being, cognitive function and body composition. But so far research hasn’t proved this to be true. More studies are needed to better understand whether DHEA supplementation can counteract some of the effects of aging. A small study suggested that taking DHEA supplements might improve skin hydration and firmness, and decrease aging spots in elderly adults”.6

Menopause

Is there an association between menopause and DHEA?

In Hormone Therapy Help Desk: ET, EPT, and More the North American Menopause Society (NAMS) explain:

“Androgens – – Often called “male hormones,” androgens are also produced in the female body as testosterone and dehydroepiandrosterone (DHEA), among others, but in much lower quantities than in men. Insufficient androgen levels at any age are thought to contribute to fatigue, mood changes, and lowered sex drive. There is no dramatic change in androgen levels at menopause; androgen production seems to be affected more by aging, although women who have their ovaries removed (surgical menopause) sometimes experience a sharper drop in their levels of testosterone. Interestingly, testosterone has been found to increase again in older women”.7

Menopause Symptoms

How effective is DHEA for the treatment of menopause symptoms?

The NCCIH note:

  • “It’s uncertain whether DHEA is useful in treating menopause symptoms”.8

Vaginal Atrophy

How effective is DHEA for the treatment of vaginal atrophy?

In DHEA: Evidence the Mayo Clinic note:

  • “Vaginal atrophy. Limited research suggests that DHEA might improve vaginal dryness in postmenopausal women”.9

On page two in Vaginal Dryness: Treatment Options – Other Prescription Therapies the NAMS explain:

  • “Dehydroepiandrasterone (DHEA; Prasterone) is a hormone-containing insert placed in the vagina nightly that reduces vaginal dryness and discomfort with sexual activity”.10

In DHEA: How Effective Is It? the (United States) MedlinePlus note the effectiveness rating is:

“Likely Effective for…

  • Thinning of vaginal tissue (vaginal atrophy). Using vaginal inserts containing DHEA can reduce pain during sex by up to 15% after menopause. A prescription DHEA product is available for this condition”.11

Dietary Supplement

Is DHEA available as a dietary supplement?

DotC (Depending on the Country) DHEA may be available as a dietary supplement. In Healthy Aging: In-Depth – DHEA: Evidence for Anti-Aging Claims Is Weak – What Is DHEA? the (United States) Mayo Clinic explain:

DHEA“Manufactured versions of DHEA are available as a tablet, capsule and powder, as well as in creams and gels placed on the skin. DHEA is sold as a dietary supplement in the United States. Studies have shown quality control of the supplement to often be low”.12

Safe or Not

Are DHEA supplements safe?

According to the NCCIH:

  • “The long-term safety of taking DHEA supplements is unknown. Some evidence suggests that even short-term use of these supplements may have harmful effects, including liver damage”.13

In DHEA: Safety and Side Effects the Mayo Clinic explain the safety and side effects of DHEA and elaborate on possible drug interactions.

Health Care Provider

What if I choose to use DHEA supplements?

If you choose to use DHEA supplements it may be in your best interest to also choose to talk to your health care provider about this. The Mayo Clinic note:

“If you’re considering taking DHEA, get the facts. Research doesn’t necessarily support the supplement’s anti-aging claims”.14

Health Topics A-Z

Where may I find Health Topics related to DHEA?

In Health Topics A-Z you may find:

Links

Where may I find Links related to DHEA?

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Dehydroepiandrosterone: What Is Dehydroepiandrosterone? Last Reviewed: June 2020. You and Your Hormones https://www.yourhormones.info/hormones/dehydroepiandrosterone/ Accessed: 06 April 2023
  2. Dehydroepiandrosterone: What Is Dehydroepiandrosterone? Last Reviewed: June 2020. You and Your Hormones https://www.yourhormones.info/hormones/dehydroepiandrosterone/ Accessed: 06 April 2023
  3. Dehydroepiandrosterone: What Is Dehydroepiandrosterone? Last Reviewed: June 2020. You and Your Hormones https://www.yourhormones.info/hormones/dehydroepiandrosterone/ Accessed: 06 April 2023
  4. Dehydroepiandrosterone: What happens If I Have Too Little Dehydroepiandrosterone? Last Reviewed: June 2022. You and Your Hormones https://www.yourhormones.info/hormones/dehydroepiandrosterone/ Accessed: 06 April 2023
  5. Menopausal Symptoms: In Depth – What the Science Says About Complementary Approaches for Menopause Symptoms: Natural Products – DHEA. Last Updated: May 2017. National Center for Complimentary and Integrative Health https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth Accessed: 06 April 2023
  6. DHEA: Evidence. 12 February 2021. Mayo Clinic https://www.mayoclinic.org/drugs-supplements-dhea/art-20364199 Accessed: 06 April 2023
  7. Hormone Therapy Help Desk: ET, EPT, and More. North American Menopause Society https://www.menopause.org/for-women/menopauseflashes/menopause-symptoms-and-treatments/hormone-help-desk-et-ept-and-more Accessed: 06 April 2023
  8. Menopausal Symptoms: In Depth – What the Science Says About Complementary Approaches for Menopause Symptoms: Natural Products – DHEA. Last Updated: May 2017. National Center for Complimentary and Integrative Health https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth Accessed: 06 April 2023
  9. DHEA: Evidence. 12 February 2021. Mayo Clinic https://www.mayoclinic.org/drugs-supplements-dhea/art-20364199 Accessed: 06 April 2023
  10. Vaginal Dryness: Treatment Options – Other Prescription Therapies. 2022:2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/mn-vaginal-dryness.pdf Accessed: 06 April 2023
  11. Menopausal Symptoms: In Depth – What the Science Says About Complementary Approaches for Menopause Symptoms: Natural Products – DHEA. Last Updated: May 2017. National Center for Complimentary and Integrative Health https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth Accessed: 06 April 2023
  12. DHEA: How Effective Is It? Last Reviewed: 02 April 2022. MedlinePlus https://medlineplus.gov/druginfo/natural/331.html Accessed: 06 April 2023
  13. Menopausal Symptoms: In Depth – What the Science Says About Complementary Approaches for Menopause Symptoms: Natural Products – DHEA. Last Updated: May 2017. National Center for Complimentary and Integrative Health https://www.nccih.nih.gov/health/menopausal-symptoms-in-depth Accessed: 06 April 2023
  14. DHEA: Evidence. 12 February 2021. Mayo Clinic https://www.mayoclinic.org/drugs-supplements-dhea/art-20364199 Accessed: 06 April 2023
Topic Last Updated: 06 April 2023 – Topic Last Reviewed: 06 April 2023

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