clinical features
Last reviewed 06/2023
These may include:
- diminished sex drive and erection
- loss of ejaculation
- low stamina
- muscle atrophy
- decreased secondary sexual hair
- less frequent shaving
- regression of spermatogenesis
Primary hypogonadism is suggested by a history of testicular trauma, orchitis, testicular surgery or torsion, chemotherapy or irradiation.
Hypothalamic-pituitary tumours are suggested by symptoms such as headaches, impaired visual fields, polydipsia and polyuria, or evidence of pituitary hormone excess such as acromegaly, Cushing's disease or hyperprolactinaemia.