Sleep plays a critical role in hormonal regulation, particularly in testosterone secretion, which follows a circadian rhythm and peaks during nocturnal sleep. Sleep deprivation and sleep disorders disrupt this rhythm, leading to reduced testosterone production and impaired spermatogenesis.
Conditions such as obstructive sleep apnea are strongly associated with hypogonadism and erectile dysfunction. Chronic sleep disruption also increases cortisol levels, further suppressing reproductive hormones.
Andrological care increasingly incorporates sleep assessment as part of comprehensive reproductive and sexual erotic health evaluation.
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