Figure 1.
Steroidogenic pathways to testosterone and dihydrotestosterone. Adrenal DHEA may be converted to testosterone and dihydrotestosterone via conversion through androstenedione or androstenediol as the initial step. Alternative, de novo steroidogenesis from cholesterol through the “backdoor pathway” may occur through progesterone → 17α-hydroxyprogesterone → 5α-pregnan-17α-ol-3,20-dione → 5α-pregnane-3α,17α-diol-20-one → androsterone → 5α-androstane-3α,17β-diol → dihydrotestosterone.