Learn about the pregnenolone steal including why it happens, how it affects hormonal balance and health, and what you can do about it.

Pregnenolone Steal: Causes, Symptoms and Solutions

Pregnenolone steal refers to a situation where the body diverts pregnenolone, a key precursor hormone, away from producing vital sex and stress hormones. It uses it mostly to create cortisol, the body’s primary stress hormone.

Pregnenolone plays a crucial role in the production of hormones, serving as a building block for other hormones like DHEA, progesterone and estrogen.

When the body is under chronic stress, the demand for cortisol increases, causing pregnenolone to be redirected toward cortisol production, leaving fewer resources available for other essential hormones.

The imbalance can lead to a cascade of hormonal issues. The body sacrifices the production of sex hormones to keep up with stress demands, over time contributing to adrenal fatigue. Adrenal fatigue is when the adrenal glands are overworked and struggle to produce adequate cortisol levels.

Understanding pregnenolone steal can be important for managing hormone balance and mitigating the effects of prolonged stress on the body.

What is Pregnenolone Steal?

Pregnenolone steal refers to a process where this hormone is diverted to primarily produce cortisol. Pregnenolone is a versatile building block that contributes to the balance of hormones regulating energy, mood, stress and reproductive health.

When the body is dealing with chronic stress levels, cortisol production is prioritized to manage the immediate demands.

When stress worsens, the body’s need for cortisol increases, triggering pregnenolone to convert almost entirely into cortisol. As a result, other essential hormone production goes down, leading to an imbalance, which is called either the pregnenolone steal or the cortisol steal.

The impact of the imbalance can be significant.

When there’s less pregnenolone available to support sex hormone production, symptoms like fatigue, hormonal imbalance, reduced libido, mood disturbances and impaired immune function can happen.

Over time, the constant cortisol demand can also lead to adrenal fatigue, where the adrenal glands are exhausted and less efficient at regulating hormones. Adrenal fatigue further compounds the body’s stress response and hormonal dysfunction, decreasing adrenal androgen release.

The Pregnenolone Cortisol Connection

Since pregnenolone is a precursor hormone, it’s the foundation for producing other necessary hormones like cortisol, estrogen, progesterone and DHEA. The body uses pregnenolone to maintain balance across these hormone systems.

The connection between pregnenolone and the hormone cortisol is crucial to understanding how stress can throw off your hormone levels and lead to imbalance.

The adrenal glands release cortisol, the body’s main stress hormone. It helps manage the fight-or-flight response. When stress is temporary, the body can manage the increased demand for cortisol without major consequences.

However, when stress becomes chronic, the demand for cortisol soars. To meet the demand, the body starts diverting pregnenolone toward cortisol production, which is cortisol steal or pregnenolone steal.

The overproduction of cortisol depletes pregnenolone reserves, which can lead to hormonal imbalances.

Managing the imbalance is key to restoring overall health and hormonal equilibrium.

Symptoms and Effects of Pregnenolone Steal

Pregnenolone steal can lead to a range of symptoms as the body is struggling to maintain hormonal balance, including steroid hormones. 

One of the most common signs is persistent fatigue, even after adequate rest. This occurs because your energy-regulating hormones are depleted in favor of cortisol production.

Hormonal imbalances are also common, and symptoms such as weight gain, low libido and irregular menstrual cycles can occur because of disruptions in sex hormone levels like estrogen and progesterone.

As well as physical symptoms, emotional symptoms can include mood swings, anxiety and irritability. Elevated cortisol levels and low levels of mood-stabilizing hormones like DHEA or progesterone deficiency cause them.

The long-term effects of pregnenolone steal can be more concerning.

Along with adrenal fatigue, the constant demand for stress hormone production can leave the body less able to manage stress and recover from everyday challenges. In the long run, this can weaken the immune system, contribute to inflammation and increase the risk of chronic illnesses.

Cortisol Steal and the Link to Adrenal Fatigue

As has been touched on, cortisol steal can play a major role in adrenal fatigue.

The adrenal glands are key players in regulating the body’s stress response. They produce the hormone cortisol, which helps the body react to and recover from stressful situations.

While cortisol release is needed in short bursts, chronic stress causes continuous high cortisol levels, which puts a lot of strain on the adrenal glands. They can weaken over time, leaving the body in constant exhaustion.

The effects can be profound when the adrenal glands are overworked because of prolonged cortisol elevation. Your body may eventually experience ongoing tiredness, anxiety, brain fog and immune problems.

Addressing cortisol steal is important to support adrenal health, the health of the cortisol pathway and the restoration of hormonal balance, which is essential for well-being.

The Hypothalamic-Pituitary-Adrenal Axis and Its Role

The hypothalamic-pituitary-adrenal (HPA) axis is very important for controlling the body’s response to acute stress, hormone production, and overall balance regarding pregnenolone steal. 

Understanding the interaction between pregnenolone steal and the HPA axis is essential for grasping how stress impacts hormone levels, particularly cortisol and other vital hormones.

The HPA axis is a complex communication network between three key areas of the body:

  • Hypothalamus: A small region in the brain responsible for regulating hormones and many bodily functions.
  • Pituitary Gland: A gland located at the base of the brain that produces various hormones in response to signals from the hypothalamus.
  • Adrenal Glands: Small glands on top of the kidneys responsible for producing cortisol, DHEA, and androgens.

When the body encounters stress, the HPA axis is activated:

  1. The hypothalamus releases corticotropin-releasing hormone (CRH), signaling the pituitary gland.
  2. The pituitary gland responds by releasing adrenocorticotropic hormone (ACTH), which travels through the bloodstream to the adrenal glands.
  3. The adrenal glands then release cortisol, the body’s primary stress hormone, to help manage the stressor.

Pregnenolone Steal and Its Interaction with the HPA Axis

Chronic or excessive stress constantly activates the HPA axis, leading to a sustained demand for cortisol. This is where pregnenolone steal comes into play:

  • Pregnenolone is a precursor hormone that the adrenal glands use to produce cortisol and other important hormones, such as DHEA, progesterone, and sex hormones like estrogen and testosterone.
  • Under normal circumstances, pregnenolone is distributed across multiple hormone pathways to maintain balance. However, when the HPA axis is over-activated due to chronic stress, the body prioritizes cortisol production. As a result, pregnenolone is “stolen” or redirected almost exclusively toward cortisol synthesis, leaving insufficient amounts for the production of other hormones. This is the pregnenolone steal.

Impact on the Body and the HPA Axis

  • Hormonal Imbalance: With pregnenolone being channeled toward cortisol, other hormone pathways (like those producing DHEA, progesterone, and sex hormones) are under-resourced, causing hormonal imbalances. This can lead to symptoms like fatigue, low libido, mood swings, and more.
  • Adrenal Fatigue: Constant activation of the HPA axis, where the overworked adrenals can lead to adrenal fatigue. Over time, the adrenal glands may struggle to keep up with the demand for cortisol, resulting in low cortisol levels and poor stress management, exacerbating the symptoms of pregnenolone steal.
  • Dysregulated HPA Axis: Chronic stress not only causes pregnenolone steal but also leads to dysregulation of the entire HPA axis. This dysregulation can make it difficult for the body to respond appropriately to stress, leaving individuals more susceptible to anxiety, depression, and hormonal dysfunction.

How to Address Pregnenolone Steal

Addressing pregnenolone steal requires a multifaceted approach combining both natural and sometimes medical strategies to restore hormonal balance and support your overall health.

One of the most effective ways to combat pregnenolone steal is through supplementation.

Taking pregnenolone supplements can help replenish hormone levels and improve symptoms associated with hormone imbalance.

Common dosages include pregnenolone 25 mg, 20 mg, 50 mg or 90 mg, with the right dosage depending on individual needs and specific hormone deficiencies.

Beyond dietary supplements, other ways to prevent pregnenolone steal include:

  • Stress management
  • Meditation
  • Yoga
  • Deep breathing exercises
  • Mindfulness

All of these are ways to lower cortisol levels, reducing the strain being put on your pregnenolone production.

Regular physical activity can also help manage stress since it helps balance hormones and improve mood.

Improving sleep quality helps, too, as a lack of sleep increases cortisol production.

Finally, diet plays a role in addressing pregnenolone steal. A nutrient-rich diet with lean proteins, healthy fats and whole grains can support hormone production.

Foods rich in omega-3 fatty acids, such as nuts, fish and seeds, can promote adrenal health. Avoiding processed sugars and refined carbs helps maintain stable blood sugar levels, further reducing cortisol levels.

Bovine adrenal supplements, often marketed as adrenal glandular or adrenal gland, are derived from cows’ adrenal glands and are sometimes used in alternative medicine to support adrenal function. 

These supplements have bovine adrenal cortex and bovine adrenal cells and provide nutrients, including small amounts of hormones, to support adrenal health, potentially helping people experiencing adrenal fatigue or hormone imbalances like pregnenolone steal.

Conclusion

In conclusion, pregnenolone steal occurs when chronic stress causes the body to take pregnenolone away from the production of important hormones, instead prioritizing cortisol production. The imbalance can lead to a range of symptoms, including fatigue, mood swings and dysfunction of different hormones.

When something happens to increase cortisol production, it can continue to strain the adrenal glands, resulting in adrenal fatigue, further compounding the issue.

Managing pregnenolone steal requires a combination of approaches, including supplementation with dosages like pregnenolone 25 mg 50 mg or more, along with lifestyle changes.

Since hormone levels vary so much between individuals, seeking professional medical advice before starting treatment or supplementation is important. You can also find a salivary cortisol test online to help you understand levels of this and perhaps other steroid hormones. 

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Ashley Sutphin Watkins
Ashley Sutphin Watkins is a graduate of the University of North Carolina at Chapel Hill. She's a medical content writer, journalist and an avid researcher of all things related to health and wellness. Ashley lives near the Smoky Mountains in East Tennessee with her family.
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