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Hypogonadism is a condition in which the body produces piddling or no sexual activity hormones . ordinarily the sex glands get it on as gonads in the body produce sex hormone , testosteroneandestrogen . In men the egg and in women the ovaries are the gonads .
The sex internal secretion farm by these secretor are responsible for the sexual characteristic in serviceman and cleaning lady . They manipulate testicular development , spermatozoan production , growth of pubic hair and masculine feature in men ; and pubic hair , breast development , menstruation and womanly features in charwoman . Hypogonadism or sex gland deficiency in males results in low production of testosterone . It is also call asandropause .
Types Of Hypogonadism
The sex gland produce sex activity hormone , but these gonad are controlled by thehypothalamusand the pituitary gland in the brain , which send messages to the glands to bring forth sex hormones . Based on this mechanism , hypogonadism can be in the main classified into :
Causes of Hypogonadism
The lawsuit of hypogonadism depend on its types .
Causes Of Primary Hypogonadism
Causes Of Central Hypogonadism
Clinical Features of Hypogonadism
Clinical characteristic may change with sexual activity and the historic period when the condition is discover .
In boys , the sexual character like beard , muscle maturation and overall growth is affected . Symptoms normally observed in men include :
In girls , menstruation is absent and sexual characters like tit ontogeny , increase and height is regard . Symptoms of hypogonadism commonly observed in women admit :
Some symptoms related to cardinal causes like brain tumors may be see . For model , headache , vision disturbance or loss , hormone lack symptom , milky discharges from the breast .
Diagnosis of Hypogonadism
The Dr. would ab initio do
Clinical Examination – This helps to detect intimate characters and their development , canvass sex activity organ and breast development , body hair and muscle masses .
Hormone mental testing – These are done to detect hormone level and determine the type and cause of the condition . These include
Karyotype Test – this may be helpful in finding any chromosomal defect .
Sometimes testicular tissue testing and testicular biopsy may be considered .
Pelvic Ultrasound – This may be performed to name any structural irregularity in ovary or to detect PCOD .
MRI or CT Scan – This may be considered to discover tumors or other abnormality in the brain or pituitary secreter .
Treatment of Hypogonadism
The main aim of intervention is to provide the sex endocrine that are lacking in the body , care for any other underlying cause and manage the subsist symptoms . For boys and girls in the pre - pubertal eld , treatment is contribute for appropriate commencement of pubescence . Hormone replenishment therapy ( hormone-replacement therapy ) is the anchor of treatment .
woman are give replacing of oestrogen and Lipo-Lutin in the form of anovulatory drug , cutis speckle . The precise intervention and type look on the age and symptom of the patient . Menstrual irregularity or sterility are cover with other hormone touch to that function , in cases where positive issue can be expect .
Men can be given testosterone in the shape of skin patch , gel , solution or injection , known as testosterone successor therapy . Specific hormone discussion may be considered for triggering puberty or increasing sperm cell output depending on the symptoms .
Any underlying cause are treated appropriately . In case of pituitary gland tumors , medicinal drug , radiotherapy therapy or surgical process may be considered .
Prevention of Hypogonadism
All patient on HRT should pursue the advice of their treat physician and need to be re - evaluated every 6 to 12 months . Lack of sex hormone can top to other ailment like increase hazard of heart disease andosteoporosis , due to thinning of pearl . Consider assume vitamin , calcium or vitamin D supplement with aesculapian advice .
For both men and fair sex , it is important to maintain an idealistic weight , consume a healthy balanced diet and exercise regularly to rest levelheaded and active .
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