secondary testicular failure

secondary testicular failure

Acquired testicular damage due to drugs, toxins, varicocele, tumours, trauma, infections, radiation, etc.
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There are two causes of hypogonadism; primary testicular failure which is also called hypergonadotropic hypogonadism and secondary testicular failure which is also called hypogonadotropic hypogonadism.
History and preliminary clinical pictures led to the provisional diagnosis of Panhypopituitarism with secondary testicular failure with Diabetes insipidus.
Luteinizing hormone and follicle-stimulating hormone levels should be measured in patients found to be testosterone deficient to distinguish primary from secondary testicular failure. Men found to have secondary androgen deficiency should be evaluated further to assess for systemic disease (hyperprolactinemia or hemochromatosis) and/or pituitary tumor.