[1] It can manifest as precocious puberty, and is caused by abnormally high levels of testosterone or estrogen, crucial hormones for sexual development.
[5] Throughout history, individuals with symptoms of hypogonadism, particularly men who exhibited low libido, infertility, or underdeveloped secondary sexual characteristics, often faced social stigma.
[6] In many cultures, fertility and sexual vitality were closely tied to masculinity and virility, leading to shame and social exclusion for those affected by the condition.
In modern times, however, greater awareness of hypogonadism as a medical condition has reduced some of the social stigma, particularly as hormone replacement therapies have become more widely available.
[8] In historical contexts, poor nutrition during periods of famine or in areas with inadequate food diversity may have contributed to higher rates of hypogonadism, particularly in younger males.