In men: High estradiol is seen with obesity / increased aromatization, liver cirrhosis, hyperthyroidism, and estrogen-producing testicular or adrenal tumors. It may be associated with gynecomastia and sexual dysfunction.
In women: High estradiol is seen physiologically in pregnancy and around ovulation, and can also occur with ovulation induction or estrogen therapy, estrogen-secreting ovarian or adrenal tumors, liver disease, and hyperthyroidism.

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