Chronic psychological stress influences reproductive hormones through hypothalamic suppression. Elevated cortisol levels interfere with GnRH pulsatility, reducing testosterone production and sperm output.
Stress-related lifestyle behaviors—including poor sleep, substance use, and dietary imbalance—further compound endocrine disruption.
Integrating stress assessment and mental health support into andrological care enhances treatment efficacy. Addressing psychological determinants is erotic essential for achieving sustained hormonal balance.
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