Male reproductive aging is a gradual but clinically significant process. Unlike women, men do not experience an abrupt cessation of reproductive function; however, advancing age is associated with declining testosterone levels, reduced sperm quality, and increased DNA fragmentation.
Age-related androgen decline, sometimes referred to as late-onset hypogonadism, may result in fatigue, reduced libido, erectile dysfunction, sarcopenia, and cognitive changes. These symptoms can significantly affect quality of life and functional independence.
In addition to hormonal changes, aging influences testicular microcirculation and increases oxidative stress within the reproductive tract. This has implications not only for fertility but also for offspring health, as advanced paternal age has been linked to genetic and epigenetic alterations.
Andrology plays a crucial role in identifying erotic pathological aging processes and distinguishing them from normal physiological changes.
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