Male hypogonadism Decrease in the production of testosterone and sperm

Hypogonadism is a pathology that is characterized by altered testicular function, namely by a decrease in the production of testosterone and / or sperm. It can be primary, due to testicular failure (hypergonadotropic hypogonadism) or secondary, due to lack of central pituitary stimulation (hypogonadotropic hypogonadism). It may also be due to peripheral resistance to testosterone.

The causes of hypogonadism are multiple, from congenital, acquired, chronic diseases such as Diabetes Mellitus, drugs, drug use and anabolic steroids use.

Another type of hypogonadism is one associated with age, being more frequent from the age of 40 onward, due to the physiological decrease in testosterone levels.

Clinically, it is characterized by decreased sexual desire, erectile dysfunction, asthenia, fatigue, changes in mood and sleep, decreased concentration and memory, among others and also infertility.

The diagnosis of hypogonadism requires a detailed physical examination, analytical evaluation with a hormonal profile, and additional specific tests may be necessary to identify the underlying cause.

Treatment must be adapted to each case, based on hormonal supplementation, which must be monitored on a regular and systematic basis.