Clinical features
These may include:
- diminished sex drive and erection
- loss of ejaculation
- low stamina
- muscle atrophy
- decreased secondary sexual hair
- less frequent shaving
- regression of spermatogenesis
Primary hypogonadism is suggested by a history of testicular trauma, orchitis, testicular surgery or torsion, chemotherapy or irradiation.
Hypothalamic-pituitary tumours are suggested by symptoms such as headaches, impaired visual fields, polydipsia and polyuria, or evidence of pituitary hormone excess such as acromegaly, Cushing's disease or hyperprolactinaemia.
Reference
- Matsumoto AM. Diagnosis and evaluation of hypogonadism. Endocrinol Metab Clin North Am. 2022 Mar;51(1):47-62.
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