{"id":8166,"date":"2025-09-28T03:30:12","date_gmt":"2025-09-28T03:30:12","guid":{"rendered":"https:\/\/polikistikover.net\/yeni\/?page_id=8166"},"modified":"2025-11-25T01:44:59","modified_gmt":"2025-11-25T01:44:59","slug":"dihidrotestosteron-dht-ve-sex-hormon-binding-globulin-shbg-ile-cinsel-istek-ve-libido","status":"publish","type":"page","link":"https:\/\/polikistikover.net\/yeni\/dihidrotestosteron-dht-ve-sex-hormon-binding-globulin-shbg-ile-cinsel-istek-ve-libido\/","title":{"rendered":"Dihidrotestosteron (DHT) ve Sex Hormon Binding Globulin (SHBG) ile Cinsel \u0130stek ve Libido"},"content":{"rendered":"\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#5cfb0d\" class=\"has-inline-color\">1-<\/mark><\/strong>Polikistik Over Sendromu\u2019nda cinsel iste\u011fi erkeklik hormonlar\u0131 (testosteron gibi) ve \u00f6strojen (estradiol) hormonu belirlemektedir(5).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#7bf90d\" class=\"has-inline-color\">2-<\/mark><\/strong>Beyinde bulunan cinsel istek al\u0131c\u0131lar\u0131 (resept\u00f6r) testosteron taraf\u0131ndan uyar\u0131lmaktad\u0131r(6). <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#8af70e\" class=\"has-inline-color\">3-<\/mark><\/strong>Polikistik Over Sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda erkeklik hormonlar\u0131 fazla miktarda \u00fcretilmektedir. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#99f70b\" class=\"has-inline-color\">4-<\/mark><\/strong>Bir k\u0131sm\u0131nda ise erkeklik hormonu miktar\u0131 normal olmas\u0131na ra\u011fmen onlara ba\u011flanarak onlar\u0131 etkisiz hale getiren&nbsp;Sex Hormone Binding Globulin (SHBG)&nbsp;daha az miktarda \u00fcretilmektedir. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#9af90b\" class=\"has-inline-color\">5-<\/mark><\/strong>SHBG miktar\u0131n\u0131n az olmas\u0131 erkeklik hormonu miktar\u0131n\u0131n normal seviyede olmas\u0131na ra\u011fmen serbest dola\u015fan yani ba\u011flanmam\u0131\u015f olan erkeklik hormonlar\u0131n\u0131n miktar ve etkinli\u011finin artmas\u0131na neden olmaktad\u0131r(6,7). <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#78fd05\" class=\"has-inline-color\">6-<\/mark><\/strong>SHBG ye ba\u011flanmam\u0131\u015f testosteron&nbsp;erkeklik hormonlar\u0131n\u0131n en etkili formu olan&nbsp;dihidrotestosteron&nbsp;(DHT) hormonuna d\u00f6n\u00fc\u015fmektedir.<\/p>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Polikistik Over Cinsel \u0130stek Libido #polikistikover #polikistikoverlibido #erkeklikhormonlar\u0131 #pkos\" width=\"1320\" height=\"743\" src=\"https:\/\/www.youtube.com\/embed\/4G9EOJs7kh0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Cinsel istek erkeklik hormonlar\u0131 ve onlar\u0131n son \u00fcr\u00fcn\u00fc olan&nbsp;dihidrotestosteron&nbsp;miktar\u0131 ile do\u011fru orant\u0131l\u0131 olarak, SHBG miktar\u0131 ile ters orant\u0131l\u0131 olarak de\u011fi\u015fmektedir(10).<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-blue-color\">\u00d6rne\u011fin;&nbsp;<\/mark><\/strong>Do\u011fum kontrol hap\u0131 kullanan ki\u015filerde&nbsp;yumurtal\u0131klar bask\u0131land\u0131\u011f\u0131 i\u00e7in erkeklik hormonu \u00fcretimi azal\u0131r ve SHBG miktar\u0131 artar. Bunun sonucunda do\u011fum kontrol hap\u0131 kullanan ki\u015filerde zaman i\u00e7inde cinsel isteksizlik ortaya \u00e7\u0131kabilmektedir(8,9).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Polikistik over sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda erkeklik hormonlar\u0131n\u0131n fazla miktarda \u00fcretilmesi ve fazla miktarda \u00fcretilen erkeklik hormonlar\u0131n&nbsp;dihidrotestosteron&nbsp;hormonuna d\u00f6n\u00fc\u015fmesi nedeniyle cinsel istek (libido) art\u0131\u015f\u0131 ile birlikte&nbsp;agresif, sald\u0131rgan, gergin, sinirli ve \u00f6fkeli davran\u0131\u015f&nbsp;\u00f6zellikleri g\u00f6r\u00fclebilmektedir.<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#fa740a\" class=\"has-inline-color\">1-<\/mark><\/strong>Dihidrotestosteron (DHT) en g\u00fc\u00e7l\u00fc erkeklik hormonudur.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">&nbsp;<strong><mark style=\"background-color:#f37109\" class=\"has-inline-color\">2-<\/mark><\/strong>Kad\u0131nlarda ciltte ya\u011f bezlerinde, ter bezlerinde, sa\u00e7l\u0131 deride ve k\u0131l k\u00f6klerinde \u00fcretilmektedir(1).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#fb4f0e\" class=\"has-inline-color\">3-<\/mark><\/strong>Sadece testosteron hormonu&nbsp;5&nbsp;\u03b1- red\u00fcktaz enzimi ile DHT hormonuna d\u00f6n\u00fc\u015fmektedir(2).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#f98408\" class=\"has-inline-color\">4-<\/mark><\/strong>Di\u011fer erkeklik hormonlar\u0131 (Androstenedione, DHEA, DHEAS) DHT hormonuna d\u00f6n\u00fc\u015fmeden \u00f6nce testosteron hormonuna d\u00f6n\u00fc\u015fmek zorundad\u0131r. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#f96207\" class=\"has-inline-color\">5-<\/mark><\/strong>Sonu\u00e7 olarak b\u00fct\u00fcn erkeklik hormonlar\u0131 \u00f6nce testosteron hormonuna sonra da DHT hormonuna d\u00f6n\u00fc\u015febilmektedir.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#f4a209\" class=\"has-inline-color\">6-<\/mark><\/strong>Erkeklik hormonlar\u0131n\u0131n etkili olabilmesi i\u00e7in al\u0131c\u0131lara (reseptor) tutunmas\u0131 gerekmektedir(2).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#fa7d0a\" class=\"has-inline-color\">7-<\/mark><\/strong>Testosteron ve DHT d\u0131\u015f\u0131ndaki erkeklik hormonlar\u0131n\u0131n al\u0131c\u0131lara tutunma \u00f6zelli\u011fi yoktur. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#f87804\" class=\"has-inline-color\">8-<\/mark><\/strong>Bu nedenle testosteron ve DHT d\u0131\u015f\u0131ndaki erkeklik hormonlar\u0131&nbsp;sadece testosteron ve DHT hormonlar\u0131n\u0131n \u00fcretiminde kullan\u0131lan ham maddelerdir. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:#ed7e09\" class=\"has-inline-color\">9-<\/mark><\/strong>5&nbsp;\u03b1- red\u00fcktaz enziminin bulundu\u011fu yerlerde DHT, bulunmayan yerlerde testosteron etkili olmaktad\u0131r(3).<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">Polikistik over sendromu\u2019nda g\u00f6r\u00fcld\u00fc\u011f\u00fc&nbsp;gibi erkeklik hormonlar\u0131n\u0131n \u00fcretiminin artmas\u0131 ve\/veya SHBG (sex hormon binding globulin) \u00fcretiminin azalmas\u0131na ba\u011fl\u0131 olarak&nbsp;t\u00fcylenme art\u0131\u015f\u0131,&nbsp;erkek tipi sa\u00e7 d\u00f6k\u00fclmesi,&nbsp;ciltte ya\u011flanma ve sivilcelenme&nbsp;ortaya \u00e7\u0131kmaktad\u0131r.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">Bu \u015fikayetlere ciltte ya\u011flanmay\u0131 sa\u011flayan ya\u011f bezlerinde, ter bezlerinde, sa\u00e7l\u0131 deride ve di\u011fer k\u0131l k\u00f6klerinde testosteron hormonuna iki hidrojen atomu eklenmesiyle olu\u015fan DHT neden olmaktad\u0131r. <\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-pink-color\">DHT hormonu \u00fcretimini sadece kanda bulunan testosteron hormonunun miktar\u0131 belirlememektedir.<\/mark><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">Testosteron hormonunun DHT ye d\u00f6n\u00fc\u015febilmesi i\u00e7in \u00f6ncelikle ciltte ya\u011f bezlerinde, ter bezlerinde, sa\u00e7l\u0131 deride ve k\u0131l k\u00f6klerinde bulunan al\u0131c\u0131lara tutunmas\u0131 gerekmektedir. <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">Daha sonra al\u0131c\u0131lara tutunan testosteron hormonu al\u0131c\u0131lar\u0131n \u00fczerinde bulunan&nbsp;5&nbsp;\u03b1- red\u00fcktaz enzimi ile DHT ye d\u00f6n\u00fc\u015fmektedir.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">Bu nedenle DHT miktar\u0131n\u0131 al\u0131c\u0131lar\u0131n say\u0131s\u0131 &nbsp;ve&nbsp;5&nbsp;\u03b1- red\u00fcktaz enziminin duyarl\u0131l\u0131\u011f\u0131 da etkilemektedir.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"> Al\u0131c\u0131 (resept\u00f6r) say\u0131lar\u0131 do\u011fu\u015ftan (genetik) \u0131rksal, ailesel ve ki\u015fisel olarak de\u011fi\u015fiklik g\u00f6stermektedir(4). <\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-blue-color\">\u00d6rne\u011fin;&nbsp;<\/mark><\/strong>kanda dola\u015fan testosteron hormonu ve di\u011fer erkeklik hormonlar\u0131 fazla miktarda bile olsa \u00f6rne\u011fin \u00c7inlilerde ve Japonlarda oldu\u011fu gibi al\u0131c\u0131 say\u0131lar\u0131 d\u00fc\u015f\u00fck olan ki\u015filerde t\u00fcylenme art\u0131\u015f\u0131, sa\u00e7 d\u00f6k\u00fclmesi ve sivilce g\u00f6r\u00fclmemektedir. Bazen tam tersi de olmaktad\u0131r yani kanda dola\u015fan erkeklik hormonlar\u0131 az veya normal miktarda olsa bile al\u0131c\u0131 say\u0131s\u0131 ve 5&nbsp;\u03b1- red\u00fcktaz enziminin aktivitesi fazla olan ki\u015filerde t\u00fcylenme art\u0131\u015f\u0131, sa\u00e7 d\u00f6k\u00fclmesi ve sivilce g\u00f6r\u00fclebilmektedir.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\"><strong>Kaynaklar<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">1-Sexual hormones in human skin.&nbsp;Zouboulis CC, Chen WC, Thornton MJ, Qin K, Rosenfield R.&nbsp;Horm Metab Res. 2007 Feb;39(2):85-95.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">2-Evidence of heterogeneity and quantitative differences of the type 1 5alpha-reductase expression in cultured human skin cells\u2013evidence of its presence in melanocytes.&nbsp;Chen W, Zouboulis CC, Fritsch M, Blume-Peytavi U, Kodelja V, Goerdt S, Luu-The V, Orfanos CE. J Invest Dermatol.&nbsp;1998 Jan;110(1):84-9.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-embed-aspect-16-9 wp-has-aspect-ratio\">3-Idiopathic hirsutism.&nbsp;Azziz R, Carmina E, Sawaya ME.&nbsp;Endocr Rev. 2000 Aug;21(4):347-62.<\/p>\n\n\n\n<p>4-The role&nbsp;of androgen receptor&nbsp;in skin related disorders. Lai JJ, Chang P, Lai KP, Chen L, Chang C. Arch Dermatol Res. 2012 Sep;304(7):499-510.<\/p>\n\n\n\n<p>5-Neurosteroids: a novel function of the brain.&nbsp;Baulieu EE&nbsp;Psychoneuroendocrinology. 1998&nbsp;&nbsp;Nov;23(8):963-87.<\/p>\n\n\n\n<p>6-Hormone receptors&nbsp;and sexuality in the human female.&nbsp;DeCherney AH.&nbsp;J Womens Health Gend Based Med. 2000;9 Suppl 1:S9-13.<\/p>\n\n\n\n<p>7-Implications of hormonal influences on sexual behavior for demographic models of reproduction.&nbsp;Campbell BC, Udry JR.&nbsp;Ann N Y Acad Sci. 1994 Feb 18;709:117-27.<\/p>\n\n\n\n<p>8-Hormonal contraception and sexual desire: A questionnaire-based study of young Swedish women.&nbsp;Malmborg A, Persson E, Brynhildsen J, Hammar M.&nbsp;Eur J Contracept Reprod Health Care. 2016;21(2):158-67.<\/p>\n\n\n\n<p>9-Oral contraceptives, androgens, and the sexuality of young women: II. The role of androgens.&nbsp;Bancroft J&nbsp;, Sherwin BB, Alexander GM, Davidson DW, Walker A.&nbsp;Arch Sex Behav. 1991&nbsp;&nbsp;Apr;20(2):121-35.<\/p>\n\n\n\n<p>10-Controlled studies on women presenting with sexual drive disorder: I. Endocrine status.&nbsp;Riley A, Riley E.&nbsp;J Sex&nbsp;Marital Ther. 2000 Jul-Sep;26(3):269-83.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1-Polikistik Over Sendromu\u2019nda cinsel iste\u011fi erkeklik hormonlar\u0131 (testosteron gibi) ve \u00f6strojen (estradiol) hormonu belirlemektedir(5). 2-Beyinde bulunan cinsel istek al\u0131c\u0131lar\u0131 (resept\u00f6r) testosteron taraf\u0131ndan uyar\u0131lmaktad\u0131r(6). 3-Polikistik Over Sendromu olan kad\u0131nlar\u0131n bir k\u0131sm\u0131nda erkeklik hormonlar\u0131 fazla miktarda \u00fcretilmektedir. 4-Bir k\u0131sm\u0131nda ise erkeklik hormonu miktar\u0131 normal olmas\u0131na ra\u011fmen onlara ba\u011flanarak onlar\u0131 etkisiz hale getiren&nbsp;Sex Hormone Binding Globulin (SHBG)&nbsp;daha az [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8166","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/comments?post=8166"}],"version-history":[{"count":11,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8166\/revisions"}],"predecessor-version":[{"id":12940,"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/pages\/8166\/revisions\/12940"}],"wp:attachment":[{"href":"https:\/\/polikistikover.net\/yeni\/wp-json\/wp\/v2\/media?parent=8166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}