Sex Hormone Binding Globulin (SHBG) in Men: Functions, Symptoms of Imbalance, and Health Implications

Sex Hormone Binding Globulin (SHBG) is a protein produced primarily by the liver, which plays a crucial role in regulating the levels of sex hormones in both men and women. For men, SHBG primarily binds to testosterone and dihydrotestosterone (DHT), the main male sex hormones. By binding to these hormones, SHBG modulates their bioavailability and influences various physiological processes in the body. In this article, we will explore the functions of SHBG in men, the symptoms of low and high SHBG levels, and their potential health implications.

Functions of SHBG in Men

  1. Regulation of Sex Hormone Levels: SHBG helps to maintain the balance of sex hormones in the bloodstream. By binding to testosterone and DHT, SHBG ensures that only a small fraction of these hormones remain free and biologically active. The majority of the bound hormones are rendered inactive and serve as a reservoir that can be tapped into when the body needs more hormones.
  2. Modulation of Hormone Action: Apart from regulating the levels of sex hormones, SHBG also influences their action on target tissues. By binding to androgen receptors, SHBG modulates the action of testosterone and DHT, affecting various physiological processes like muscle development, fat distribution, and bone density.

Symptoms of Low SHBG Levels

Low SHBG levels can result in an excess of free and biologically active sex hormones. Men with low SHBG may experience the following symptoms:

  1. Increased Body Hair: Excess testosterone can stimulate the growth of body hair, leading to a condition called hirsutism.
  2. Acne: Elevated levels of androgens can cause overactivity of the sebaceous glands, leading to acne breakouts.
  3. Male Pattern Baldness: High levels of DHT can contribute to hair loss in genetically predisposed individuals.
  4. Insulin Resistance and Type 2 Diabetes: Low SHBG has been linked to insulin resistance and a higher risk of developing type 2 diabetes.
  5. Increased Risk of Cardiovascular Disease: Low SHBG levels have been associated with a higher risk of cardiovascular diseases, possibly due to the effect of excess androgens on cholesterol metabolism and inflammation.

Symptoms of High SHBG Levels

High SHBG levels can result in a decrease in the bioavailability of sex hormones. Men with high SHBG may experience the following symptoms:

  1. Low Libido: Reduced free testosterone levels can lead to a decreased sex drive.
  2. Erectile Dysfunction: Insufficient free testosterone may contribute to difficulties in achieving and maintaining erections.
  3. Fatigue: High SHBG levels can lead to low energy levels and general fatigue due to a lack of available testosterone.
  4. Decreased Muscle Mass and Strength: Reduced free testosterone can affect muscle development and maintenance, resulting in loss of muscle mass and strength.
  5. Osteoporosis: High SHBG levels can contribute to lower bone density, increasing the risk of osteoporosis.


Sex Hormone Binding Globulin plays a vital role in maintaining the balance of sex hormones in men. Both low and high SHBG levels can lead to various symptoms and health complications. It is essential to monitor SHBG levels and maintain a healthy lifestyle, including regular exercise and a balanced diet, to ensure optimal hormone balance and overall health.


If you suspect an imbalance in your SHBG levels, consult a healthcare professional for diagnosis and appropriate treatment options.


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