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History and preliminary clinical pictures led to the provisional diagnosis of Panhypopituitarism with secondary testicular failure with Diabetes insipidus.
The distinction is important because combined and secondary defects might be caused by specific diseases that may require treatment; and the potential to restore fertility in some patients with secondary testicular failure with correct hormone stimulation.
Luteinizing hormone and follicle-stimulating hormone levels should be measured in patients found to be testosterone deficient to distinguish primary from secondary testicular failure.