The Science of Performance: A Holistic Look at Young Men's Health

While less common than psychological factors, hormonal imbalances such as low testosterone (hypogonadism) or high prolactin levels can be the underlying cause of ED in men under 40. Testosterone is the primary driver of male libido, and when levels drop due to genetic factors, environmental toxins, or extreme obesity, the desire for sex and the ability to maintain an erection diminish significantly. Endocrine disruptors found in certain plastics and industrial chemicals are also being studied for their potential impact on male reproductive health at younger ages. A simple blood test can determine if a hormonal deficit is to blame, and in many cases, hormone replacement therapy or specific nutritional supplements can restore balance. It is vital for younger men to rule out these biological factors through a consultation with a urologist or endocrinologist.