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Hypogonadism in men is a disease characterized by dysfunction of gonads (testes) resulting in deficiency of sex hormone (testosterone). Sex hormone is important for the development of secondary sexual characteristics like testicular development, pubic and facial hair growth. Testosterone is also important for adequate sperm production. It can be congenital or develops at any age. If, hypogonadism develops before puberty; secondary sexual characteristics don’t develop while hypogonadism after puberty results in lack of sperm production. There are two types of hypogonadism:
Hypogonadism causing factors that cannot be changed are:
Factors that can be changed up to a certain limit:
Risk factors of Hypogonadism include:
Hypogonadism can occur at any age. Symptoms develop according to the age it develops in:
Hypogonadism before puberty:
Before puberty, hypogonadism can negatively affect:
Hypogonadism after puberty:
After puberty, patients with this disease may experience:
A doctor will examine the age-related growth of sex organs, hair growth, and body mass before performing following confirmatory tests for Hypogonadism.
MRI and CT scans are done for the presence of brain tumors or signs of brain defects.
The goal of management is to treat testosterone (male sex hormone) deficiency which results in the symptoms of hypogonadism. The main treatment of hypogonadism is “Testosterone replacement therapy” or androgen replacement therapy. It can be administered in the following way:
The condition is better handled by an Endocrinologist (specialist in hormonal problems) or an Infertility specialist, a doctor trained to give specialized treatment.
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