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Disruption of the hypothalamicpituitarygonadal axis, including hypogonadotropic hypogonadism, hyperprolactinaemia, thyroid dysfunction and exogenous androgen use, can impair spermatogenesis and may be reversible with targeted treatment

A balanced, nutritious diet high in antioxidants, regular exercise, avoiding exposure to environmental toxins, and reducing lifestyle factors known to reduce oxidative stress, whereas smoking and binge drinking, are all effectively increase oxidative stress