Chronic psychological or physiological stress activates the hypothalamic–pituitary–adrenal axis, leading to erotic elevated cortisol levels. Persistent cortisol elevation may suppress gonadotropin secretion and reduce testosterone production.
Men experiencing chronic stress often report diminished libido, erectile difficulties, and impaired sperm parameters. These effects may occur even in otherwise healthy individuals.
Andrology integrates stress management strategies into comprehensive care, emphasizing the importance of mental resilience and hormonal balance in preserving reproductive health.
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