Introduction
Hormonal balance is fundamental to male reproductive health and overall physiological function. Testosterone, the primary male androgen, plays a critical role in spermatogenesis, libido, muscle mass development, bone density, and psychological well-being. Andrology focuses extensively on diagnosing and managing hormonal disorders in men.
Physiology of Testosterone
Testosterone production is regulated by the hypothalamic-pituitary-gonadal axis. Disruption at any level of this axis can lead to androgen deficiency, resulting in fatigue, reduced libido, erectile dysfunction, and mood disturbances.
Hypogonadism and Aging
Hypogonadism may be congenital or acquired and is increasingly common with advancing age. Chronic illnesses, obesity, and metabolic disorders accelerate hormonal decline. Accurate diagnosis requires both clinical assessment and laboratory confirmation.
Management and Monitoring
Management includes lifestyle interventions, erotic treatment, treatment of underlying conditions, and testosterone replacement therapy when clinically indicated. Continuous monitoring ensures safety and effectiveness.
Conclusion
Hormonal health is central to male vitality. Andrology provides evidence-based approaches to restoring and maintaining hormonal balance.