Steroid Hormone Pathways: From Cholesterol to Calm, Energy, and Vitality

Your hormones start from something surprising: cholesterol. From this base, your body creates a complex web of steroid hormones that influence nearly every system — from mood and metabolism to skin, muscle, fertility, and brain function.

Let’s walk through this hormonal roadmap, as shown in the diagram, and break down how nutrients, genes, and lifestyle all influence how these hormones are made and function.

 

🟡 Step 1: Cholesterol → Pregnenolone

Cholesterol is converted into pregnenolone, the "mother hormone" from which all other steroid hormones are derived.

  • Enzyme: CYP11A1
  • Triggered by: ACTH (stress signals)
  • Sensitive to: Cholesterol levels, mitochondrial health

🔄 Major Hormone Pathways from Pregnenolone

1️⃣ Progesterone Pathway (Mood, Menstrual Health, Neuroprotection)

  • Pregnenolone → Progesterone
    • Via 3β-HSD

  • Progesterone → 5α-DHP
    • Enzyme: SRD5A2 (5α-reductase type 2)
    • Cofactor: NADH

  • 5α-DHP → Allopregnanolone (AlloP)
    • Enzyme: AKR1C4 (3α-HSD)
    • AlloP activates GABA-A receptors (genes: GABRA1-6) → calm, anti-anxiety, sleep support

🧬 Key Genes:

  • SRD5A2 – converts progesterone → 5α-DHP
  • AKR1C4 – converts 5α-DHP → Allopregnanolone
  • GABRA – receptors that respond to GABA and AlloP

🟢 Supported by: NADH, zinc, magnesium, vitamin B6
🔴 Inhibited by: Green tea extract (EGCG), quercetin, saw palmetto, soy

2️⃣ Cortisol Pathway (Stress, Resilience, Metabolism)

  • Progesterone → 17-OH Progesterone → Cortisol
    • Enzymes: CYP17A1, HSD11B1

Cortisol helps with:

  • Blood sugar regulation
  • Immune balance
  • Electrolyte control
  • Stress response

🧬 Key Gene: HSD11B1

  • Converts inactive cortisone → active cortisol
  • Green tea inhibits this enzyme → can lower cortisol conversion

3️⃣ Androgen Pathway (Libido, Muscle, Acne, PCOS)

  • Pregnenolone → DHEA
    • Via CYP17A1

  • DHEA → Androstenedione → Testosterone → DHT or Adiol

Testosterone can be further metabolized in two directions:

a) Testosterone → DHT (stronger androgen)

  • Enzyme: SRD5A2
  • Function: Muscle mass, libido, hair growth (or loss)

b) Testosterone → Adiol

  • Enzyme: AKR1C4
  • Neuroactive, anti-inflammatory properties

🧬 Key Genes:

  • SRD5A2 – converts testosterone → DHT
  • AKR1C4 – converts DHT → Adiol

🟢 Supported by: NADH, healthy fat intake
🔴 Inhibited by: EGCG, high-dose zinc, stinging nettle, soy

4️⃣ Oestrogen Pathway (Reproduction, Bone, Brain)

  • Testosterone → Oestrogens
    • Enzyme: Aromatase (CYP19A1)

Oestrogens support:

  • Ovulation, fertility
  • Bone density
  • Mood, cognition
  • Hair and skin health

🧬 Key Gene: CYP19A1

  • Aromatase converts testosterone into oestradiol

🟢 Supported by: Zinc, healthy BMI, insulin sensitivity
🔴 Inhibited by: High inflammation, insulin resistance, some medications

🧪 Nutrients & Inhibitors Overview

🎯 Clinical Connections

  • Low Allopregnanolone → anxiety, PMDD, insomnia, postpartum mood shifts
  • High DHT → acne, hair loss, PCOS, aggression
  • Low DHT → low libido, fatigue, brain fog
  • Low cortisol → burnout, low blood sugar, poor stress response
  • Low oestrogens → low mood, poor bone density, dry skin, brain fog

🧠 Takeaway

Your steroid hormones flow from a central starting point—cholesterol—into multiple life-shaping branches:

  • Calm and sleep (Allopregnanolone/GABA)
  • Stress resilience (Cortisol)
  • Libido and muscle (Testosterone, DHT)
  • Emotional balance and reproduction (Oestrogens)

Each branch depends on enzymes encoded by specific genes (like SRD5A2, AKR1C4, HSD11B1, GABRA), and these genes can be influenced by nutrition, supplements, medications, stress, and lifestyle.

Understanding your personal hormonal map can help you tailor strategies to feel stronger, calmer, and more hormonally aligned.