What causes male hormone health risk warning?

The emergence of male hormone health risk warnings is essentially the result of the combined effects of innate genetic susceptibility, acquired lifestyle stimulation, and disease/exogenous substance interference. There is no single absolute trigger.

In the five years I have been doing health management in the reproductive department, the youngest man who has triggered an early warning warning is only 21 years old. He is a college student who hangs out in Internet cafes all year round. In addition to playing games every day, he drinks milk tea and eats takeaways. His body fat rate is nearly 35%. It was found that the total testosterone level is not as good as that of many 50-year-old healthy men. He himself is still confused. He said that except for the occasional lack of energy, he did not feel any discomfort.

In the past, there was considerable disagreement in the academic community on the leading factors of this type of early warning. A study published in "Clinical Endocrinology" by genetic researchers in 2021 showed that men with a family history of hypogonadism are 4.7 times more likely to experience hormonal risk warnings than the general population. They believe that innate genes directly determine the "ceiling" and "safety line" of hormone secretion, and acquired effects are only small variables. However, most front-line clinicians do not agree with this conclusion. Our department has counted more than 1,200 early warning cases in the past three years. 89% of them have no family history. They are all people who have been sedentary for a long time, have abdominal obesity, chronic sleep deprivation or excessive stress. Nearly 70% of them can adjust their lifestyle for 3 months, and their testosterone levels can rise by 20% to 40%, without any need for drug intervention.

Now the two sides have actually gradually reached a consensus, just like the analogy we often give to patients: Your hormone reserve is like the bank account opened by your parents. Some people are born with a large balance in the account, and some people have a low balance. If you stay up late every day, eat too much, and are stressed, it is equivalent to a large overdraft every day. Those with a large balance may be able to carry it longer, while those with a small balance may receive an "insufficient balance" warning just after 30. No one can escape. The hypothalamic-pituitary-gonadal axis, which controls hormone secretion, is like a precise regulator. If you overload it with excessive pressure and high-sugar and high-fat metabolic waste for a long time, it is equivalent to constantly turning the regulator into the wrong gear. Over time, it will naturally become chaotic.

There are still many people who ignore the influence of exogenous substances. Last year, a 27-year-old fitness coach came for a review. In order to improve his season performance, he privately bought an internet celebrity's testicle-stimulating supplement and took it for two months. Not only did the testosterone not go up, the estradiol also exceeded the normal value by more than twice, which directly triggered the risk. Warning - Many so-called testicle-stimulating supplements contain illegally added exogenous androgens, which will inhibit your own hormonal secretion axis. This is equivalent to borrowing loan sharks when you could make money on your own. It may seem like your short-term balance has increased, but in fact your hematopoietic function is disabled. In addition, long-term use of antidepressants and blood-lipid-lowering statins may also affect the normal operation of the endocrine axis. In this case, you must communicate with the attending doctor to adjust the medication plan, and do not stop or add supplements on your own.

To be honest, more and more men in their twenties and thirties are receiving hormone warnings. Most of them are not major organic problems. Don't just take supplements to replenish your kidneys. Put away the milk tea in your hand first, quit smoking, smoke for half an hour every day and move around. Don't stay up until two or three o'clock to go to bed. Most people can return to normal levels in two months, which is more effective than any supplement that costs hundreds of dollars.