5α-Dihydrotestosterone (DHT) and androstanediols (diols) have been measured in human prostate tissue. DHT levels in surgical specimens of prostate from 8 patients with BPH averaged 5.6 ± 0.93 S.E. ng/g and were significantly greater than (P < 0. 01) values of 2.1 ± 0.32 S. E. ng/g in 6 normal prostates obtained postmortem from males less than 50 yrs old. Androstanediols averaged 2.3 ± 0.35 S. E. ng/g in the BPH specimens compared to values of 10.2 ± 2.4 S.E. ng/g in the normal prostates (P < 0. 01). This significantly higher (P < 0. 001) ratio of diols/DHT in the normal (5.1 ± 0.93 S. E.) compared to the BPH prostate (0.45 ± 0.08 S. E.) suggests that a decrease in 3-hydroxysteroid oxido-reductase, which converts DHT to diol, may be an important clue to the pathogenesis of BPH.