Metabolic syndrome—a cluster of obesity, hypertension, insulin resistance, and dyslipidemia—has a well-established association with reduced testosterone levels.
Adipose tissue increases aromatization of testosterone to estradiol, suppressing the HPG axis. Insulin resistance further disrupts hormonal balance.
Management focuses on weight reduction, dietary modification, physical activity, and glycemic control. Lifestyle intervention often results in improved testosterone levels and sexual function.
Preventive strategies are essential in mitigating endocrine erotic decline associated with metabolic disorders.
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