Prolonged stress can affect male physiological function. However, the extent of this impact varies among individuals, depending on age, underlying health conditions, lifestyle, and overall health status.

When the body experiences prolonged pressure, the adrenal glands increase cortisol secretion to help the body adapt to stress. If this process continues, cortisol can inhibit testosterone production, a hormone critical for male sexual desire and erectile function. Consequently, some men may experience reduced libido and feel their marital life is not as fulfilling.

Stress also directly impacts the nervous and circulatory systems. During stressful periods, the body releases more adrenaline, causing blood vessels to constrict and reducing blood flow to the penis. This insufficient blood supply prevents the reproductive organ from achieving or maintaining an erection, even in individuals without existing male health conditions.

A doctor from the Urology - Nephrology - Andrology Center consults a patient. *Illustration: Tam Anh General Hospital*

Prolonged stress can also affect sperm quality by inhibiting the hypothalamic-pituitary-testicular axis, leading to lower testosterone levels and impeding spermatogenesis. This poses a risk factor for reduced fertility if left unmanaged.

However, not all cases of reduced libido or erectile dysfunction stem solely from stress. Underlying conditions such as diabetes, hypertension, dyslipidemia, obesity, sleep deprivation, or side effects from certain medications can also be contributing factors. Therefore, if the condition persists, seeking a comprehensive evaluation from an andrology specialist is advisable.

To manage stress, individuals should organize their work schedules effectively, ensure sufficient sleep, maintain regular exercise, and limit alcohol and tobacco consumption. Sharing concerns with a partner can also alleviate psychological pressure and improve marital life. Supplementing with natural extracts like: eurycoma longifolia, French maritime pine bark extract, and ocean oyster extract may stimulate the body's endogenous testosterone production, thereby enhancing libido, erectile function, and overall physiological health.

Master, Doctor Doan Vinh Binh

Medical Information Center

Tam Anh General Hospital, TP HCM