“…HAAs have been demonstrated to adversely affect the development of gonads (e.g., testes and ovaries) and the synthesis and secretion of sex hormones, such as E2, T, LH, and FSH ( Krassas et al, 2010 ; Balchak et al, 2000 ; Goldman and Murr, 2003 ; Linder et al, 1994 ). Similarly, HAAs are reported to disrupt thyroid function and thyroid hormone homeostasis in experimental studies ( Wang et al, 2022 ; Revis et al, 1986 ; Poon et al, 2003 ; Zhang et al, 2023 ). Although HAA exposure has been associated with changes in sex hormones among women ( Liu et al, 2022 ; Deng et al, 2022 ), to our knowledge, no studies have yet examined the associations of HAA exposure with sex or thyroid hormones among reproductive-aged males.…”