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Do castrated men live longer? Examining the historical evidence and biological theories

3 min read

A 2012 study of historical Korean eunuchs found they lived up to 19 years longer than their male counterparts, providing intriguing evidence that prompts the question: do castrated men live longer, and if so, what are the biological reasons?.

Quick Summary

Historical evidence from eunuch studies suggests a link between androgen deprivation and increased lifespan, possibly due to hormonal effects on health, though the mechanisms are complex and modern application is not advised.

Key Points

  • Historical Evidence: A 2012 study of Korean eunuchs found they lived 14 to 19 years longer on average than non-castrated men of similar status.

  • Hormonal Effects: The increased lifespan is theorized to be due to low testosterone, which reduces risks for certain diseases like coronary heart disease and decreases immune system suppression.

  • Epigenetic Delay: Recent animal studies suggest castration slows the rate of biological aging by altering epigenetic markers, resulting in a feminized aging profile.

  • Modern Context: Androgen Deprivation Therapy (ADT) used in medicine has significant negative side effects, highlighting that castration is not a viable or desirable modern longevity strategy.

  • Insight into Aging: The most valuable lesson is not to castrate, but to use these findings to research the underlying mechanisms of hormonal and epigenetic effects on aging, potentially leading to new, safer therapies.

In This Article

Historical Evidence: The Korean Eunuch Study

In 2012, researchers published a study in the journal Current Biology detailing their analysis of the genealogy records of 81 Korean eunuchs during the Chosun Dynasty (1392-1910). This study found these castrated men lived significantly longer than non-castrated men of similar status. The average difference was between 14.4 and 19.1 years. The study highlighted a striking number of centenarians among the eunuchs, a rate much higher than modern populations, suggesting a strong correlation between castration and extended lifespan. The researchers noted that while eunuchs often lived outside the palace, even royal family members residing within the palace had shorter lives than the eunuchs, indicating that palace life alone wasn't the primary factor.

Supporting Studies and Counterarguments

A study from a Kansas mental institution in the early 20th century also reported castrated patients living about 14 years longer than intact patients. However, a study of castrati opera singers did not find a similar lifespan increase, demonstrating inconsistencies in historical data and study designs. Critics also point out that historical studies may not have adequately controlled for factors like diet, stress, and physical activity, which could have influenced the results. Changes in behavior post-castration, such as reduced aggression, might also play a role in longevity by reducing risky behaviors.

The Role of Hormones and Genetics

A key theory for the potential link between castration and longevity involves male sex hormones, particularly testosterone. Higher testosterone levels have been associated with increased risk of certain conditions like coronary heart disease. Testosterone also suppresses the immune system, potentially increasing vulnerability to illness. Removing the testes significantly reduces testosterone, which is thought to mitigate these risks. This idea aligns with the theory of antagonistic pleiotropy, suggesting that genes beneficial for early life reproduction (like those for high testosterone) can be detrimental later in life. The longer lifespan of females, who have lower androgen levels, also supports this concept.

The Role of Epigenetics

Recent research explores the epigenetic effects of castration, which are heritable changes in gene expression not caused by changes in the DNA sequence. Studies in male sheep and mice have shown that castration leads to a slower rate of epigenetic aging. The reduction in androgens results in a “feminized” methylation pattern at specific gene sites regulated by androgens, providing a potential molecular mechanism for the observed lifespan extension in these animals.

Modern Androgen Deprivation and Health

It is crucial to differentiate historical castration from modern medical treatments like Androgen Deprivation Therapy (ADT). ADT is used for conditions such as prostate cancer to lower testosterone levels. However, ADT comes with significant side effects including hot flashes, decreased libido, osteoporosis, weight gain, depression, and increased cardiovascular risk. These adverse effects highlight that modern ADT is a medical intervention with risks, not a longevity strategy. Furthermore, studies show that naturally low testosterone in older men can be a marker of poor health and is associated with increased mortality.

Historical Eunuch vs. Modern Male Health

Feature Eunuchs in Historical Studies Intact Men (Historical/General)
Average Lifespan Significantly longer (e.g., ~15-19 years in Korean study) Shorter, with lower incidence of centenarians
Hormone Profile Very low testosterone and other androgens, especially if castrated early Normal testosterone levels
Immune System Potentially better resistance to certain infections due to non-suppression Suppressed by higher testosterone, potentially increasing susceptibility
Risk of Heart Disease Potentially lower due to lack of testosterone's effects Higher risk associated with normal testosterone levels
Epigenetic Aging Delayed or "feminized" pace of biological aging (based on animal studies) Faster pace of epigenetic aging compared to castrated males

Conclusion: The Modern Takeaway

The question of whether do castrated men live longer is answered with a complex and nuanced "yes," based on historical and animal studies, but with critical caveats. While historical data suggests a link between early castration and extended lifespan, likely mediated by hormonal and epigenetic changes, this is not a strategy for modern men seeking longevity. The side effects of hormonal deprivation are severe, and for older men, low testosterone is often a marker of declining health rather than a path to a longer life. The real value of this research lies not in replicating the practice, but in using it to understand the fundamental mechanisms of aging and sex-specific differences. Exploring the biological trade-offs and epigenetic changes related to androgen exposure offers a promising avenue for developing targeted, ethical, and safe longevity interventions in the future.

You can read the original Korean eunuch longevity study on the Cell Press website.

Frequently Asked Questions

While studies on Korean eunuchs and men in a Kansas mental hospital showed significantly longer lifespans for castrated males, critics note that controlling for all lifestyle and social factors in historical data is very difficult. The evidence suggests a strong correlation, but definitive proof remains elusive.

Testosterone appears to be a double-edged sword regarding longevity. While important for health, high levels are linked to increased cardiovascular disease and reduced immune function, potentially shortening lifespan. Conversely, very low levels can indicate poor overall health and are also associated with higher mortality.

The longer lifespan of females across many species, including humans, may be partly explained by the lower levels of androgens like testosterone and by protective effects of female hormones like estrogen. This aligns with theories suggesting a trade-off between reproduction and longevity that affects males more significantly.

Modern ADT, used primarily for prostate cancer, has numerous side effects, including osteoporosis (brittle bones), hot flashes, weight gain, muscle loss, and an increased risk of heart disease. These significant risks underscore that removing sex hormones is not a safe path to longer life.

The timing of androgen loss is crucial. Castration before puberty fundamentally alters development, potentially avoiding the negative long-term effects of hormones on aging. Late-life androgen deprivation or naturally low testosterone is often associated with existing diseases and has different health outcomes.

Some studies suggest that calorie restriction, a known life-extending intervention in animals, can modulate gene expression and potentially reduce testosterone levels, mimicking some of the effects seen in eunuchs. Healthy diet, exercise, and stress management are scientifically proven ways to promote longevity without extreme measures.

The most important takeaway is that understanding the biological pathways involved in hormonal and epigenetic aging is the key to future longevity research. Studying historical eunuchs helps pinpoint these pathways, but pursuing a healthy lifestyle through diet, exercise, and stress reduction is the safe and practical approach for everyone.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.