“…There is large augmentation of endogenous estradiol levels; consequently, estradiol/testosterone ratio was higher and may account for the deleterious effect of estradiol on the late steps of spermatogenesis, which do require testosterone [32]. If we take into account the testicular localization of the estrogen receptors (alpha and beta) that are present in both somatic cells and germ cells [37], the negative role of estradiol is conceivable. Since the testicular level of testosterone is high, it is postulated that this androgen could be further aromatized not only in Leydig cells [21] but also in Sertoli cells [17] as well as in germ cells, especially in sperm as shown in rodents [14,18,27] and in humans [24].…”