“…Furthermore, the effect of sexual hormones in prostate development should consider the evaluation of its receptors expression and activation, since it has been widely established that androgen receptor (AR) promotes prostate growth and reduces apoptosis (Izumi, Mizokami, Lin, Lai, & Chang, 2013), as like oestrogen receptor-a (ERa), while oestrogen receptor-b (ERb) activation arrests cell cycle and promotes apoptosis (McPherson et al, 2010;Paterni, Granchi, Katzenellenbogen, & Minutolo, 2014), thus maintaining prostate size. According to Fano et al (2017), Red Maca would exert its effects through a differential synthesis and activation of AR, ERa and ERb, restoring the expression of the last two by an oestrogenic effect, without affecting the expression of AR (Fano et al, 2017;Tafuri et al, 2019). In a same way, testosterone has been associated with different effects indicating that a testosterone supplementation, thus increasing its levels, could prevent metabolic syndrome BPH (Vignozzi et al, 2013).…”