Testosterone decline precedes later fertility declines in three documented cases
Finnish population samples, the regional US MMAS cohort and Israeli clinical data document lower testosterone before a later national TFR decline episode. This supports temporal precedence in these cases. The effect size, exact lag and cause remain separate calibration questions.
Finland
Lower T: observation-window end
2002
Later TFR peak
2010
TFR decline begins
2011
Age-group and birth-cohort comparisons in samples collected in 1972, 1977 and 2002. The preliminary report appeared in 2006 and was archived in 2008; the journal article followed in 2013.
Kortenkamp ほか (2006) ↗iEDEN. Endocrine Disruptors. Exploring novel endpoints, exposure, low-dose and mixture effects in humans, aquatic wildlife and laboratory animals. Third annual progress reportCentre for Ecology and Hydrology; project report C02169 · 2006 · reportメタデータ検証済みPerheentupa ほか (2013) ↗iA cohort effect on serum testosterone levels in Finnish menEuropean Journal of Endocrinology · 2013 · journalメタデータ検証済み
United States · MMAS
Lower T: observation-window end
1997
Later TFR peak
2007
TFR decline begins
2008
Table 3: 500 → 444 ng/dL in 1987–89 versus 1995–97, at comparable median ages of 65 and 64. Regional, older men compared with a later national fertility trend.
Travison ほか (2007) ↗iA Population-Level Decline in Serum Testosterone Levels in American MenThe Journal of Clinical Endocrinology & Metabolism · 2007 · journalメタデータ検証済み
Israel
Lower T: observation-window end
2015
Later TFR peak
2017
TFR decline begins
2018
All 30 age-specific means for ages 20–49 are lower in 2013–15 than in 2006–09. Values digitized from Figure 1A; clinical samples, four observation windows.
Chodick ほか (2020) ↗iSecular trends in testosterone- findings from a large state-mandate care providerReprod Biol Endocrinol 18:22 · 2020メタデータ検証済み
The spaces between these dates are calendar gaps between observation windows, not estimates of a common biological lag. Age groups within one window are not independent time points.
A later decline episode is a post-2000 local TFR peak followed by at least three annual decreases and a lower value five years later. The three dates also agree across alternative fertility sources. This descriptive comparison used previously seen data; it is not a prospective forecast. UN WPP 2024 ↗iWorld population prospects 2024: Summary of results2024 · datasetメタデータ検証済み
The wider assessment retains differences: Denmark’s total-T result weakens after BMI adjustment; South Africa’s included follow-up shows no preceding total-T decline. These three cases concern later decline episodes, not the beginning of every country’s historical fertility transition.
From hormone change to births: calibrate each transition
The new collection contains 71 published component estimates and summaries, not 71 independent studies. NHANES adds individual hormone and behavior records. Overlapping publications remain grouped by study family.
Population range · NHANES 2011–2016
6,638 measured T · 4,040 linked to sexual frequency
Men aged 18–69 in three repeated cross-sectional surveys. In our exploratory weighted analysis at ages 20–49 (n = 2,982), the odds ratio for at least weekly vaginal or anal sex was 0.99 per +100 ng/dL (95% CI 0.93–1.07), adjusted for age, BMI, survey cycle and examination time. No clear uniform slope; this endpoint is not fertile-window intercourse.
Randomized treatment versus placebo in 1,161 men aged 45–80 with low T, low libido and cardiovascular disease or risk increased the composite activity measure (95% CI 0.11–0.83). Events include more than intercourse. Finkelstein’s experiments also separate testosterone and estradiol contributions. Neither result supplies a natural population T slope.
Pencina ほか (2024) ↗iEffect of Testosterone Replacement Therapy on Sexual Function and Hypogonadal Symptoms in Men with HypogonadismThe Journal of Clinical Endocrinology & Metabolism · 2024 · journalメタデータ検証済みFinkelstein ほか (2013) ↗iGonadal steroids and body composition, strength, and sexual function in menThe New England journal of medicine · 2013 · journalメタデータ検証済み
Sperm production · a separate hormone compartment
Weeks to months in suppression/recovery studies
Serum T and intratesticular T are different states: testosterone treatment can suppress gonadotropins and intratesticular T. In a pooled recovery analysis of 1,549 men, the median time to recover 20 million sperm/mL was 3.4 months (95% CI 3.2–3.5). These experiments do not support a fixed 10–15-year tissue-response lag.
Coviello ほか (2005) ↗iLow-dose human chorionic gonadotropin maintains intratesticular testosterone in normal men with testosterone-induced gonadotropin suppressionThe Journal of clinical endocrinology and metabolism · 2005 · journalメタデータ検証済みLiu ほか (2006) ↗iRate, extent, and modifiers of spermatogenic recovery after hormonal male contraception: an integrated analysisThe Lancet · 2006 · journalメタデータ検証済み
Severe deficiency · treatment sequence
First sperm: 7 months · pregnancy: 21 months
Medians in a retrospective gonadotropin-treatment cohort of 35 men with hypogonadotropic hypogonadism and azoospermia (IQRs 5–13 and 18–30 months). Sperm production and time to pregnancy are distinct transitions. This is not a universal delay for healthy populations.
Huijben ほか (2026) ↗iTherapeutic benefits of gonadotropins in male hypogonadotropic hypogonadism: a focus on spermatogenesis and fertilityReproduction & Fertility · 2026 · journalメタデータ検証済み
Live births · AMIGOS
18.8% versus 27.5%; adjusted OR 0.65
In an observational male-T analysis within a fertility-treatment trial, live births occurred in 21/112 low-T and 184/669 other couples. The adjusted 95% CI was 0.38–1.12. The direction is compatible with the proposed link, but uncertain; male testosterone was not randomized.
Trussell ほか (2019) ↗iAssociation Between Testosterone, Semen Parameters and Live Birth in Men with Unexplained Infertility in an Intrauterine Insemination PopulationFertility and Sterility · 2019 · journalメタデータ検証済み
Feedback · the Cebu cohort
Baseline T predicts fatherhood; T then falls
Among 624 men followed for 4.5 years, higher baseline waking T predicted subsequent partnered fatherhood; new fathers then showed lower T. Prospective baseline measurements must be separated from hormonal changes after parenthood.
Gettler ほか (2011) ↗iLongitudinal evidence that fatherhood decreases testosterone in human malesProceedings of the National Academy of Sciences · 2011 · journalメタデータ検証済み
BERM’s conditional cascade
Hormones can affect behavior and gamete production through different responses and delays. The probability of conception per cycle conditions each transition on earlier stages:
pC=pApP∣ApX∣A,P,H,ZpC∣A,P,X,Q,F
A: an at-risk cycle; P: partner contact; X: sperm exposure in the fertile window; H: hormone history; Z: relationship context, intentions and contraception; Q: semen quality; F: female reproductive state.
Births follow conceptions through gestational survival and delay. TFR is aggregated from age-specific live-birth rates. Correlated hormone, behavior and semen effects must be integrated jointly; four assumed 20% reductions can count shared effects repeatedly.
Candidate response shapes include a regularized spline, a saturating curve, and a nearly flat population-range response with a stronger deficiency effect. Fit their shape and state-dependent delays, then compare predictions on countries or periods excluded from fitting.
Model boundary: Lindgren-derived geometry remains the physical premise. These studies supply empirical downstream biology; BERM proposes their conditional composition. The L2 operator’s gauge, physical scale, tissue kernels and sign, and the human hormone-to-TFR transfer remain open. This update does not calibrate an EMF cause. FieldState may supply physical observations only.
The data explorer includes two published NHANES periods (1988–1991 and 1999–2004), with fully adjusted testosterone means and confidence intervals. These estimates account for age, race/ethnicity, body size, smoking and alcohol; they describe an adjusted comparison rather than an annual population trajectory.
Total testosterone counts free and protein-bound hormone together. Tissue action also depends on the receiving system.
aIn the bloodstream
1. Free T
Not bound to a carrier protein.
2. SHBG-bound T
Testosterone bound to sex hormone-binding globulin.
3. Albumin-bound T
Testosterone bound to albumin.
Total T includes all three forms shown here. The symbols illustrate forms, not their proportions. T marks the hormone; protein outlines are schematic.
bAt the tissue
Availability, receptor function and downstream signal use are separate steps. The testicular local environment is also distinct from the sampled circulation.
What each observation describes
Total testosterone
The combined concentration in the sampled blood; it does not directly measure receptor function.
Free testosterone
The unbound fraction, measured or estimated with a stated method and binding assumptions.
Tissue response
A separate functional outcome. It cannot be read directly from either blood concentration alone.
An illustrative compartment map, not a diagnostic comparison. BERM’s availability-to-response closure remains distinct from the measured hormone values; unchanged total T alone establishes neither unchanged tissue action nor hidden harm.Narinx ほか (2022) ↗iRole of sex hormone-binding globulin in the free hormone hypothesis and the relevance of free testosterone in androgen physiologyCellular and Molecular Life Sciences · 2022 · reviewメタデータ検証済みDe ほか (2004) ↗iA Sertoli cell-selective knockout of the androgen receptor causes spermatogenic arrest in meiosisProceedings of the National Academy of Sciences · 2004 · experimental_animalメタデータ検証済み
1. 利用可能性
Ttot=Tf+BSHBGKSHBG+TfTf+BAlbKAlb+TfTf
SHBGとアルブミンは同じ総濃度でも遊離ホルモン量を変え、精巣内Tは別区画です。
2. 受容と利用
Sr=RrKd,r+TfTfGr,AEC=∑rwr∑rwrSr
AR/ZIP9量、親和性、受容体後利得は、血清総Tの比例変化なしに組織作用を変え得ます。
証拠境界:SHBG/遊離T生理とSertoli細胞ARの必要性は確立した構成要素です。2605 MHzラット研究はZIP9を示しましたが短期精子障害はなく、24人の急性MRI試験ではT/SHBG変化がありませんでした。慢性ヒト校正は未解決です。 Narinx ほか (2022) ↗iRole of sex hormone-binding globulin in the free hormone hypothesis and the relevance of free testosterone in androgen physiologyCellular and Molecular Life Sciences · 2022 · reviewメタデータ検証済み · De ほか (2004) ↗iA Sertoli cell-selective knockout of the androgen receptor causes spermatogenic arrest in meiosisProceedings of the National Academy of Sciences · 2004 · experimental_animalメタデータ検証済み · Yu ほか (2023) ↗iThe ZIP9-centered androgen pathway compensates for the 2605 MHz radiofrequency electromagnetic radiation-mediated reduction in resistance to H2O2 damage in Sertoli cells of adult ratsEcotoxicology and Environmental Safety · 2023 · experimental_animal_in_vitroメタデータ検証済み · Møllerløkken ほか (2012) ↗iNo effects of MRI scan on male reproduction hormonesReproductive Toxicology · 2012 · randomized_crossover_trialメタデータ検証済み
This section describes predictions derived from the BERM framework that have not yet been directly tested. They are presented as testable hypotheses, not established findings.