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The Zero to Finals Medical Revision Podcast

Testosterone

The Zero to Finals Medical Revision Podcast

Thomas Watchman

Life Sciences, Education, Medical Finals, Medicine, Surgery, Health & Fitness, Paediatrics, Medical Student, Medical Education, Medical Exams, Medical School, Medical Revision, Science, Learn Medicine, Finals Revision, Obstetrics And Gynaecology

4.8678 Ratings

🗓️ 28 August 2024

⏱️ 18 minutes

🧾️ Download transcript

Summary

This episode covers the testosterone and androgens. Written notes can be found at https://zerotofinals.com/physiology/endocrine/testosterone/ or in the endocrinology section of the 2nd edition of the Zero to Finals Medicine book. The audio in the episode was expertly edited by Harry Watchman.

Transcript

Click on a timestamp to play from that location

0:00.0

Hi, this is Tom from zero to finals.com. In this video, I'm going to be going through testosterone,

0:07.2

and you can find written notes on this topic at zero to finals.com slash testosterone or in the zero to finals

0:16.3

endocrine system book. And you can find flashcards and questions to train your knowledge on this content

0:23.7

and help you remember the information for longer at members.0.0.com.

0:30.2

So let's jump straight in.

0:32.8

Testosterone is the primary male sex hormone.

0:37.4

Testosterone is an androgen, meaning a male sex hormone, that acts on the androgen receptors.

0:45.1

It's a steroid hormone, and it's anabolic hormone, meaning a building hormone.

0:52.5

Testosterone can be converted to dihydrotestosterone or dhattie in the tissues by an enzyme

1:00.8

called 5 alpha reductase, particularly in the liver, prostate and skin.

1:08.3

Dihydro testosterone is a particularly potent androgen hormone with stronger effects than

1:15.2

testosterone. Let's talk about the production of testosterone. The lay dig cells in the testes

1:23.7

produce more than 95% of the testosterone in males. Testosterone is also produced in smaller quantities

1:32.2

by the adrenal cortex or the outer part of the adrenal glands and the ovaries in females.

1:41.6

Cholesterol is the starting point for most steroid hormones. Cholesterol is the starting point for most steroid hormones.

1:46.8

Cholesterol is converted through various different precursor molecules with the help of specific enzymes

1:53.8

to become a variety of steroid hormones, including testosterone, progesterone, estrogen, cortisol, and aldosterone.

2:06.6

Some clinical relevance for you. Congenital adrenal hyperplasia is a genetic condition caused by a

2:13.8

congenital deficiency of the 21 hydroxylase enzyme.

2:19.9

21 hydroxylase is the enzyme responsible for an essential step in the creation of aldosterone and

2:27.0

cortisol.

2:29.0

Deficiency in the 21 hydroxylase enzyme means that precursor molecules, specifically 17 hydroxyprogesterone and

...

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