Hormonal Regulation in Men – The Andrological Perspective

Introduction


Hormonal balance is central to male reproductive health, sexual function, metabolism, and psychological stability. Testosterone and other androgens regulate spermatogenesis, libido, erectile function, muscle mass, bone density, and energy levels. Andrology focuses on diagnosing and managing hormonal disorders that disrupt these processes.



Physiology of Male Hormones


Testosterone is primarily produced by Leydig cells in the testes under the regulation of the hypothalamic-pituitary-gonadal axis. Proper hormonal signaling is essential for sexual development, fertility, and maintenance of secondary sexual characteristics.



Hormonal Disorders in Men


Common conditions encountered in andrology include hypogonadism, androgen deficiency, and hormonal suppression due to obesity, chronic illness, or aging. Symptoms may include fatigue, erotic sense, reduced libido, erectile dysfunction, depression, loss of muscle mass, and decreased bone density.



Clinical Management


Andrological management involves identifying reversible causes, optimizing lifestyle factors, managing comorbid conditions, and implementing hormone therapy when clinically indicated. Continuous monitoring ensures safety and therapeutic effectiveness.



Conclusion


Hormonal health is inseparable from overall male well-being. Andrology provides specialized expertise in restoring endocrine balance and improving long-term health outcomes.

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