Exercise-Induced Hypogonadism refers to a state of reduced testosterone levels brought on by rigorous and prolonged physical activity or training. While regular exercise is generally beneficial for health and can improve testosterone levels and overall endocrine function, an excessive training load without adequate recovery can lead to hormonal imbalances, including decreased production of testosterone. This condition is particularly observed in endurance athletes and those engaged in high-intensity training regimes. Symptoms of exercise-induced hypogonadism may include fatigue, reduced libido, decreased muscle strength, and changes in mood. The mechanism behind this phenomenon involves the body's stress response to intense physical activity, which can elevate cortisol levelsâa hormone that has an inverse relationship with testosterone. Additionally, the energy deficit from prolonged exercise without sufficient caloric intake can disrupt the hypothalamic-pituitary-gonadal (HPG) axis, further affecting testosterone production. Management of exercise-induced hypogonadism focuses on balancing training intensity with adequate rest and recovery, optimizing nutrition to support hormonal health, and, in some cases, medical evaluation and intervention to address significant hormonal imbalances. Recognizing the signs of overtraining and understanding its impact on hormonal health is crucial for athletes and individuals engaged in high-level physical activities.