What is central hypogonadism?

What is central hypogonadism?

In central hypogonadism, the centers in the brain that control the gonads (hypothalamus and pituitary) do not function properly. Causes of central hypogonadism include: Anorexia nervosa. Bleeding in the area of the pituitary. Taking medicines, such as glucocorticoids and opiates.

How do you know if you have primary or secondary hypogonadism?

The final step in determining whether a patient has primary or secondary hypogonadism is measuring the serum LH and FSH. Elevated LH and FSH levels suggest primary hypogonadism, whereas low or low-normal LH and FSH levels suggest secondary hypogonadism.

How do you check for hypogonadism?

How is hypogonadism diagnosed?

1. Blood test: A blood test can check levels of sex hormones, thyroid hormones, prolactin (pituitary gland hormone) and iron.
2. Imaging tests: An MRI or CT scan can identify tumors in the pituitary gland or brain.
3. Semen analysis: This test measures sperm count.

What is the main cause of hypogonadism?

Primary hypogonadism originates from a problem with the testes or the ovaries, causing the sex glands to produce fewer sex hormones. Secondary hypogonadism, also known as hypogonadotropic hypogonadism, is caused by a problem with the pituitary gland or hypothalamus.

When assessing a man for hypogonadism it is important to check?

Initial laboratory testing should include early morning (8:00–10:00 AM) measurement of serum testosterone, prolactin, FSH, and LH levels. For the diagnosis of primary hypogonadism, FSH measurement is particularly important because FSH has a longer half life, is more sensitive, and demonstrates less variability than LH.

How serious is hypogonadism?

Male hypogonadism can delay puberty or cause incomplete or lack of normal development. It can hamper: Development of muscle mass. Voice deepening.

Is male hypogonadism curable?

Unless it’s caused by a treatable condition, hypogonadism is a chronic condition that may require lifelong treatment. Your sex hormone level may decrease if you stop treatment. Seeking support through therapy or support groups can help you before, during, and after treatment.

What are the symptoms of male hypogonadism?

Over time, men with hypogonadism can develop: Severe hypogonadism can also cause mental and emotional changes. As testosterone decreases, some men have symptoms similar to those of menopause in women. These can include: See your health care provider if you have symptoms of male hypogonadism.

What is male hypogonadism (male testicular failure)?

Male hypogonadism means the testicles don’t produce enough of the male sex hormone testosterone. There are two basic types of hypogonadism: Primary. This type of hypogonadism — also known as primary testicular failure — originates from a problem in the testicles. Secondary.

How is hypogonadism diagnosed?

The diagnosis of hypogonadism is based on symptoms and blood work, particularly on testosterone levels. Often the first step toward diagnosis is the Androgen Deficiency in Aging Male (ADAM) test – a 10 item questionnaire intended to identify men who exhibit signs of low testosterone.

What is male hypogonadism (low testosterone)?

Overview. Male hypogonadism is a condition in which the body doesn’t produce enough testosterone — the hormone that plays a key role in masculine growth and development during puberty — or has an impaired ability to produce sperm or both. You may be born with male hypogonadism, or it can develop later in life, often from injury or infection.