Mughal miniature-style artwork showing a man explaining reproductive anatomy from a book to a woman holding a diya lamp under a starry night sky — symbolizing open conversations about men’s reproductive health.
Sexual Health

Understanding Men’s Reproductive Health: What Every Woman (and Man) Should Know

7 Mins read

It’s International Men’s Day, which makes this the perfect moment to talk about men’s reproductive health.

Most of us can recite the female reproductive cycle in detail, but if someone asked what affects sperm quality or what testosterone actually does in a man’s body, we’d be lost. And guys? Many of them don’t know either. That gap isn’t just trivia, it affects relationships, fertility, and even self-esteem. According to the World Health Organization (WHO), improving male participation in reproductive healthcare is seen as crucial for making family planning a shared responsibility.

Understanding men’s reproductive health basics helps everyone have healthier conversations about intimacy, energy, and emotional balance. Every relationship, every shared future plan, every late-night conversation about connection or fertility or stress, all of it ties back to how much we understand each other’s bodies. When one partner’s body is off-balance, it subtly impacts both.

So, this isn’t a biology lesson, it’s a bridge between empathy and science — a guide to help you understand what’s really happening beneath the surface.

A Quick Overview of the Male Reproductive System

The male reproductive system includes the testes (which produce sperm and testosterone), the epididymis (where sperm mature), the vas deferens (which transports sperm), and glands like the prostate and seminal vesicles that contribute to semen production. Together, this intricate system relies heavily on hormones, especially testosterone.

But there’s more. The testes produce sperm and testosterone, yes, but that process is regulated by the brain, specifically the hypothalamus and pituitary gland. It’s a feedback loop. If testosterone levels drop, the brain sends signals to ramp things up again.

However, there’s a villain in this story – cortisol (the stress hormone). The male reproductive system is lot more sensitive than we think. Even something as everyday as stress can throw off that feedback loop because cortisol and testosterone compete for production. Cortisol blocks testosterone, reduces sperm count, and sabotages recovery. Over time, this hormonal tug-of-war can make even young, healthy men feel depleted.

Sex, Attraction, and the Brain: The Chemical Story Behind Desire

First things first, let’s talk about sex. Most women will agree that sex and attraction start in the brain, not the body. This is true for men too. When a man is aroused or attracted, his brain releases dopamine (the reward chemical), norepinephrine (which heightens focus and excitement), and oxytocin (the bonding hormone). It’s the same trio that drives affection, attachment, and sexual desire in all humans, but the way it cycles in men is more linear and immediate than it is for women.

For men, sexual arousal is often tied to reward and reassurance. Regular intimacy can literally stabilize testosterone levels and lower cortisol. Sex, for men, isn’t just about libido, it’s physiological regulation. When attraction is strong and the connection is emotionally safe, testosterone rises and dopamine reinforces confidence and mood. When intimacy disappears for long stretches, testosterone can drop, leading to fatigue, low motivation, and irritability.

This doesn’t mean sex is just about hormones, it’s also about emotion. For many men, physical closeness is how they feel loved and secure, the same way many women feel that way through emotional closeness. When sex fades, men might feel emotionally disconnected, while women might feel physically distant when the emotional bond weakens. It’s the same cycle, just experienced in opposite directions.

Now that we’ve looked at the chemistry of attraction and how it shapes energy and bonding, let’s zoom out to the bigger rhythms that drive those changes every day.

The 24-Hour Hormonal Cycle: How Men’s Mood Changes Throughout the Day

Women’s hormones rise and fall in a roughly 28-day rhythm, what we call the menstrual cycle. Men’s do the same, but on a 24-hour loop. Testosterone spikes in the morning, bringing mental clarity, confidence, drive, and libido. By night, it naturally drops. This is why your partner might wake up motivated and affectionate but seem quieter or more withdrawn in the evening.

This isn’t inconsistency, it’s biology. Testosterone levels can fluctuate up to 30% within a single day. Add stress, caffeine, or poor sleep, and that rhythm can crash faster. Understanding this helps you realize that “mood swings” aren’t random, they’re biochemical waves that shape energy, patience, and desire.

So next time he’s less talkative after work or seems detached at night, don’t assume emotional distance. His hormones are winding down just like yours might before your period.

Everything You Need to Know About Testosterone

Testosterone is far more than a “sex” hormone. It’s the chemical foundation for how men feel, think, and function. It drives red blood cell production, bone density, muscle repair, and cognitive focus. When it’s in balance, men feel energized and capable. When it’s low, they often feel foggy, apathetic, or even depressed.

Because most people think testosterone just affects libido, what they miss is that it influences emotional bandwidth too. A man with stable testosterone is more likely to be patient, confident, and emotionally available, not because hormones control personality, but because they support energy and mood regulation.

What throws testosterone off balance? Chronic stress, nutrient deficiencies, poor sleep, high body fat, and alcohol, basically anything that might spike cortisol (as discussed above). Even lack of sunlight and constant blue light exposure can disrupt it. So when your partner feels “off,” it might not be attitude, it might be biology asking for rest, nutrition, or connection.

Testosterone and male fertility work in harmony. When the body runs on a stable hormonal feedback loop, sperm production, libido, and emotional stability all reinforce one another. It’s the male equivalent of hormonal alignment during a healthy menstrual phase.

Fertility: The Shared Story of Creation and Health

Fertility isn’t just a woman’s topic. Research shows male fertility factors are responsible for nearly half (45%) of all conception challenges worldwide. Healthy male fertility relies on the perfect balance of testosterone, the hypothalamic-pituitary-gonadal (HPG) axis, and lifestyle habits. When testosterone drops, sperm quality often drops with it. Sperm health relies on three key factors: count (how many are produced), motility (how well they move), and morphology (how well they’re formed). Things like stress, sleep deprivation, obesity, poor diet, alcohol or exposure to heat can disrupts that trio, putting the body under strain. Environmental toxins — from plastics, pesticides, and even personal care products — can also reduce sperm viability.

What’s even more fascinating is how fertility connects with attraction and emotional intimacy. The same chemicals that regulate desire (testosterone, dopamine, and oxytocin) also influence sperm quality and reproductive readiness. So, when couples connect, communicate, and reduce stress together, fertility often improves naturally.

Why Sperm Is a Health Marker for Men, Like Periods Are for Women

Women track their periods as a barometer of health. It’s a reflection of hormones, stress, and nutrition. For men, sperm serves a similar purpose. Healthy sperm isn’t just about fertility, it’s a snapshot of overall wellness.

It takes roughly 74 days for sperm to mature. Meaning today’s habits directly affect fertility in two to three months. Think of it like this, a man’s sperm health is a three-month reflection of his lifestyle. Better diet, less alcohol, regular sleep, they don’t just make him “feel” better, they physically change what his body creates.

That’s why experts call sperm a man’s “vital sign.” Just as irregular periods might signal hormonal imbalance in women, poor sperm health can reveal cardiovascular issues, inflammation, or hormonal disruption in men.

Unfortunately, research shows that men are significantly less likely than women to seek routine medical checkups. Around 60% of men go for annual checkups, while 40% will not go to the doctor until something is seriously wrong. Therefore, while sperm is an important health marker in men, it often goes unchecked.

What You Should Know About Erections

Apart from signalling desire, erections, just like sperm, can be a health market too.  Erections depend on blood flow, nerve sensitivity, and cardiovascular health, which means they’re often one of the first signs of something deeper going wrong.

Erectile dysfunction can precede symptoms of heart disease or diabetes by years. So, it’s not just a “performance issue”, it’s often an early cardiovascular warning. When a man struggles with arousal, it’s worth considering his stress, sleep, or heart health, not just his attraction or emotional state.

Just like Women’s Hormones Impact Their Emotions, Men’s Do Too!

Men might not have PMS, but they experience hormonal emotions in their own way. When testosterone dips, so do dopamine and serotonin, the “feel-good” chemicals. The result? Irritability, apathy, or emotional withdrawal.

Here’s the catch, most men don’t have the language to describe hormonal changes. Society tells them fatigue or low drive equals weakness, so they often suppress or rationalize it. But hormones and feelings are deeply connected. Testosterone affects brain chemistry in the same way estrogen and progesterone affect emotional regulation in women.

If your partner seems withdrawn or easily overwhelmed, it might not be intentional detachment. It’s a body struggling to balance chemistry. This perspective transforms misunderstanding into understanding and empathy with evidence.

The Conversation Couples Should Have If They Want To Solve Their Intimacy Issues

If we feel our male partners becoming physically or emotionally distant, we jump to thinking it’s an issue in the relationship, or worse, something about us that’s a problem. In reality, just like we don’t ‘feel it’ during the luteal phase of our menstrual cycles (more on that here), it might be something hormonal that’s causing the distance. If you want to go beyond surface-level intimacy, talk about:

  • Sleep:Is he getting enough? Testosterone regenerates during deep sleep.
  • Stress:Chronic stress means chronic hormone imbalance.
  • Diet:Is he eating nutrient-dense foods rich in zinc, magnesium, and omega-3s?
  • Movement:Exercise boosts testosterone — but overtraining can lower it.
  • Mental load:Men may not name it, but emotional fatigue hits their hormones too.

These aren’t small-talk topics, they’re intimacy builders. Real connection happens when you both understand the biology behind the behaviour.

Redefining Strength and Connection

This International Men’s Day, maybe skip the memes about “boys will be boys” and start a real conversation instead. Ask your partner when they last had a health check. Share what you’ve learned about fertility and testosterone levels. Normalize curiosity about men’s reproductive health.

Because understanding is intimacy. And when both partners are informed, connected, and health-conscious, everyone wins.

Zoya Sham
108 posts

About author
Zoya is the Managing Editor of Nua's blog. As a journalist-turned-brand manager-turned-content writer, her relationship with words is always evolving. When she’s not staring at a blinking cursor on her computer, she’s worming her way into a book or scrolling through the ‘Watch Next’ section on her Netflix.
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