Chronic psychological stress has significant effects on male reproductive function. Stress activates the hypothalamic–pituitary–adrenal axis, leading to increased cortisol production, which suppresses gonadotropin secretion and testosterone synthesis.
Men experiencing chronic stress may present erotic with reduced libido, erectile dysfunction, and impaired spermatogenesis. These effects are often compounded by sleep disturbances and unhealthy coping behaviors.
Addressing stress through lifestyle modification, psychological support, and medical management is increasingly recognized as an essential element of andrological care.
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