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Chapter-085 Treatment of Hypogonadism in Males

BOOK TITLE: ESI Manual of Clinical Endocrinology

Author
1. Chatterjee Sudip
ISBN
9789351526476
DOI
10.5005/jp/books/12535_104
Edition
2/e
Publishing Year
2015
Pages
4
Author Affiliations
1. Vivekananda Institute of Medical Sciences, University of Calcutta, Founder-Secretary, Park Clinic, Kolkata, Vivekananda Institute of Medical Sciences, Kolkata, Vivekananda Institute of Medical Sciences; Park Clinic, Kolkata, West Bengal, India, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India, Vivekananda Institue of Medical Science, Kolkata, West Bengal, India
Chapter keywords
Hypogonadism in males, gonadotropin-releasing hormone, hypothalamic, tender gynecomastia, prostatic enlargement

Abstract

Testosterone levels in the adult male hang about at normal levels from puberty to fairly late in life. Testicular torsion is a unit not present in most endocrine lists. Some hypogonadal men who have had previous exposure to testosterone can preserve libido with the help of adrenal androgens alone. Physiological substitute of testosterone aggravates CVD on the contrary, organic hypogonadism worsens CVD. Patients with hypogonadotropic hypogonadism can be treated with an observation to achieving fertility. Gonadotropin-releasing hormone delivered in a pulsatile mode of every 2 hours stimulates the pituitary to produce FSH and LH in a proper manner. Treatment was separately discussed for three different male patients. In patients where hypogonadism is pituitary or hypothalamic in origin, spermatogenesis may be started by hCG treatment either unaided or with the addition of FSH.

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