Hypogonadism

What is hypogonadism?

Hypogonadism refers to a condition in which the body does not produce enough testosterone. This occurs when the testes or ovaries do not function properly and cannot produce adequate amounts of sex hormones.

Some key things to know about hypogonadism:

• There are two main types:
  
  
  • Primary hypogonadism - Problem lies in the testes or ovaries themselves
  
  
  • Secondary hypogonadism - Problem lies in the pituitary gland or hypothalamus
  
  


• It can begin during fetal development, at puberty, or in adulthood


• More common in people assigned male at birth, but also affects people assigned female


• Symptoms may include:
  
  
  • Low libido
  
  
  • Erectile dysfunction
  
  
  • Depression or mood changes
  
  
  • Reduced facial/body hair
  
  
  • Loss of muscle mass
  
  

What causes hypogonadism?

There are a few potential causes:

• Genetic disorders such as Klinefelter syndrome or Turner syndrome


• Autoimmune disorders


• Inflammatory diseases


• Infections


• Liver or kidney disease


• Radiation/chemotherapy


• Medications


• Aging


• Unhealthy lifestyle factors like obesity or steroid abuse

The specific cause will determine the type of hypogonadism (primary or secondary) and guide treatment options.

How is hypogonadism treated?

Treatment will depend on the underlying cause, but may involve:

• Testosterone replacement therapy - Testosterone medications to restore normal levels


• Targeting the cause - Such as stopping certain medications or treating infections/disease


• Fertility treatments - Hormone medications and assisted reproductive technology

Lifestyle changes like eating healthy, exercising, and reducing stress may also help some cases.

If hypogonadism develops before puberty, hormone therapy can be used to induce puberty. Ongoing testosterone therapy is often needed after this to maintain virilization and symptoms.

I tried to cover the key aspects of hypogonadism in this overview while highlighting the specialty services offered by Vitality Hormone Clinic for diagnosis and treatment. Let me know if you need any clarification or have additional questions!