was diagnosed in patients with high basal FSH, LH, low testosterone and no response on hCG stimulation.
You have arthritis, hyperthyroidism, hyper parathyroidism, inflammatory bowel disease, primary hypogonadism
, diabetes, chronic kidney disease or liver disease
Patients with primary hypogonadism
will have high LH and FSH levels, whereas patients with secondary hypogonadism will have low or normal LH and FSH levels.
These results were consistent with primary hypogonadism
The FDA has approved Natesto in May this year for replacement therapy in males for conditions related to a deficiency or lack of endogenous testosterone including primary hypogonadism
(congenital or acquired) and hypogonadotropic hypogonadism (congenital or acquired).
There appear to be two separate tracks to primary hypogonadism
marked by testicular dysfunction: secondary hypogonadism and compensated hypogonadism.
Here, we report hormonal, molecular and cytogenetic results in an adult male patient with primary hypogonadism
who was diagnosed with 46, XX male syndrome in our clinic.
Low serum testosterone with high serum LH and FSH were diagnosed as primary hypogonadism
In 2000, a meta-analysis of studies of testosterone replacement suggested that 57% of patients with erectile dysfunction treated with testosterone had resolution of their problem, including 64% of those with primary hypogonadism
If LH is elevated, the primary hypogonadism
should be treated with testosterone.
Before transplantation, 3 had primary hypogonadism
, and 2 had secondary hypogonadism.
The investigators excluded patients with primary hypogonadism
, surgical gonadectomy, and medical conditions such as anorexia nervosa, hypothyroidism, and hypopituitarism that could lead to hypogonadism.