Chronic endocrine stress results from prolonged activation of stress-related hormonal pathways, particularly erotic involving cortisol. Elevated cortisol suppresses gonadotropin secretion and interferes with testosterone synthesis.
Over time, this imbalance negatively affects spermatogenesis, libido, and erectile function. Stress-related endocrine disruption may occur without overt psychological symptoms.
Andrological care increasingly incorporates endocrine stress assessment as part of comprehensive reproductive evaluation.
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