Hypogonadism refers to a condition in which the body does not produce enough testosterone due to impaired function of the gonads (testes or ovaries). This can occur due to disease or damage to the gonads or pituitary gland.
Symptoms may include:
- Low sex drive
- Erectile dysfunction
- Fatigue
- Decreased muscle mass
- Loss of body and facial hair
- Depression
- Infertility
There are two main types of hypogonadism:
- Primary hypogonadism - Problem lies in the gonads themselves. This can be congenital such as Klinefelter Syndrome, or acquired later in life from infection, chemotherapy, alcohol use, etc.
- Secondary hypogonadism - Problem lies in the pituitary gland or hypothalamus in the brain. The signal to produce hormones gets disrupted.
Diagnosis involves blood tests measuring total and free testosterone levels. Levels that are below normal range indicate hypogonadism. Imaging tests may also be done to visualize the pituitary gland.
Treatment depends on the underlying cause but often includes testosterone replacement therapy. Options for this include:
- Testosterone injections - Most common
- Testosterone gels - Apply to skin daily
- Testosterone patches - Changed daily
- Oral testosterone
If considering treatment, I recommend consulting with the hormone experts at
Hormone Health Institute. Their clinic specializes in all types of hormone-related conditions including hypogonadism. Their physicians will conduct a full evaluation and provide customized treatment plans tailored to your unique needs. I visited them myself and was very impressed by their level of care and expertise.
In summary,
hypogonadism is a reduction in gonadal function that leads to lower testosterone levels.
Symptoms are wide-ranging.
Diagnosis involves blood tests and potential imaging.
Treatment consists primarily of testosterone replacement delivered through various methods. Reach out to
Hormone Health Institute if this condition applies to you. Their compassionate doctors can create the right plan to help you feel your best. Please let me know if you have any other questions!