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Overview

Hypogonadism - Symptom, Treatment And Causes

What exactly is Hypogonadism?

Hypogonadism is a type of sexual condition that takes place when the sex glands of a person do not function properly resulting in either complete lack of production of sex hormones or in minute amounts. The sex glands are also referred to as gonads and happen to be chiefly the ovaries in females and testes in men. Secondary sex characteristics such as the development of testes in males and the development of breasts in women in addition to the growth of pubic hair are controlled to a large extent by sex hormones. Hormones also serve to perform a function in the production of sperms and in the menstrual cycle in females.

Hypogonadism is also referred to as gonad deficiency. In males, it is also termed as andropause or a condition of low serum testosterone.

Variants of Hypogonadism

Hypogonadism has been found to occur in two different variants viz. central and primary hypogonadism.

Primary Hypogonadism - A person suffering from primary hypogonadism basically suffers from a deficiency of sex hormones which occurs due to problematic gonads. They continue to receive instructions from the brain to produce sex hormones but simply cannot produce them.

Central Hypogonadism – Central Hypogonadism is also sometimes referred to as secondary hypogonadism. The culprit in this variant of the disease is the brain. This condition results from the dysfunction of the pituitary gland and the hypothalamus which is responsible for controlling the gonads.

Why do they take place?

  • The causes which instigate primary hypogonadism are:
  • The primary issue may lie with the genes. Genetic disorders like Klinefelter syndrome and Turner syndrome often result in primary hypogonadism.
  • Some autoimmune disorders also may result in the condition. Such disorders include hypoparathyroidism and Addison’s disease.
  • Infections that are of a severe nature may also result in primary hypogonadism.
  • Diseases of the liver are another cause of this variant of hypogonadism.
  • Kidney diseases may also eventually lead to primary hypogonadism.
  • Another cause may be undescended testes.
  • If your body happens to absorb too much of iron, it leads to hemochromatosis which too may serve to lead to the disease.
  • Exposure to radiation is another common cause.
  • Surgery performed on the sex organs may result in the disease.

Causes of Central Hypogonadism

Secondary or Central Hypogonadism may result from:

  • Disorders of the genes like Kallmann syndrome.
  • Infections like AIDS and HIV.
  • Pituitary gland disorders.
  • Inflammatory diseases.
  • Rapid loss of weight.
  • Obesity
  • Use of opiates or steroids typically when used for a long time.
  • Deficiency in nutrition.
  • Exposure to radiation.
  • Surgery performed on the brain.
  • If the hypothalamus or the pituitary is injured for any reason.
  • Tumors around or in the pituitary.
Treatable by medical professional Require medical diagnosis Lab test always required Chronic: can last for years or be lifelong
Symptoms
Sexual difficulties Reduced fertility Absence of menstruation in women

Popular Health Tips

10 Warning Signs of Low Testosterone

PGP In Diabetologist, Fellowship in Non-Invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
10 Warning Signs of Low Testosterone

Testosterone is often the subject of jokes but an insufficiency of this hormone is no laughing matter. Along with affecting your sex drive, low levels of testosterone can also affect your ability to concentrate on tasks, lead to high blood pressure and cholesterol. Additionally, it can increase your risk of obesity and type 2 diabetes. Here are a few signs that could indicate low levels of testosterone-

  1. Decreased Libido: With age, you may experience a lowered libido but a sudden decline in your sex drive could be caused by a lack of testosterone.

  2. Erectile Dysfunction: Lowered levels of testosterone in the body can affect the release of nitric oxide necessary for an erection. Men suffering from lowered testosterone levels often find themselves either not able to have an erection or have erections that are not firm enough for intercourse.

  3. Fatigue: Feeling tired at the end of a day is normal but men who have lowered testosterone levels may find themselves feeling extremely tired by lunchtime. You may also notice a loss of drive and enthusiasm.

  4. Moodiness: Men with low levels of testosterone often become depressed and dejected. They feel less optimistic than normal and become more irritable.

  5. Reduced Muscles: Testosterone is linked to muscle building and hence a lowered level of testosterone can be indicated by a reduction in the arm, chest or leg muscles. Men with low testosterone also find it difficult to build muscle mass.

  6. Lowered Attention Span: Testosterone is responsible for focus and attention. Hence, trouble concentrating on work and memory problems can be seen as signs of lowered testosterone levels.

  7. Development of Breasts: The lack of testosterone can cause an imbalance of oestrogen to testosterone ratio in the body. As the oestrogen levels get higher, men may find themselves growing breast tissue. This condition is also known as gynecomastia.

  8. Bone Problems: A lack of testosterone can affect bone density. This may lead to osteoporosis like conditions and joint pains. Men with low testosterone levels are also more prone to injuries.

  9. Lowered Semen Production: Testosterone is directly linked to semen production. The lower a man’s testosterone levels, the lesser the amount of semen produced.

  10. Hair Loss: Many men experiencing lowered testosterone levels suffer from hair loss on their head and other parts of the body as well.

The good news is that this disorder can be treated. Hence, if you find yourself experiencing any of these symptoms, consult a doctor at the earliest.

3125 people found this helpful

Symptoms of Hypogonadism and What Causes it?

DGO, MBBS
Gynaecologist, Chennai
Symptoms of Hypogonadism and What Causes it?

When the reproductive glands produce scant to no hormones like oestrogen or testosterone, then it is known as hypogonadism. These hormones are important for controlling secondary sex characteristics like development of breasts in women and testes in men and growth in pubic hair. Sex hormones are also required for the roles they play in menstrual cycle in women and sperm production in men.

Hypogonadism is curable with the right medicines.

Types of Hypogonadism

1. Primary hypogonadism: In this type, there are not enough sex hormones in your body because of a problem in your gonads (testis or ovary). In primary hypogonadism, the gonads do receive the message from the brain to produce sex hormones but cannot produce them.

2. Central/Secondary hypogonadism: In this type, the brain is wherein the problem lies. The pituitary gland and hypothalamus located in the brain do not work properly.

What causes Hypogonadism

The causes of hypogonadism can be classified according to their types.

In primary hypogonadism, the causes are:

1. Genetic disorders (for example, Turner syndrome in women and Klinefelter syndrome in men)

2. Autoimmune disorders

3. Infection

4. Kidney and Liver disease

5. Radiation

6. Surgery

In central hypogonadism, the causes are:

1. Anorexia nervosa

2. Tumours

3. Bleeding in the pituitary area

4. Trauma

5. Taking certain medicines (for example, glucocorticoids and opiates)

6. Anabolic steroids (alternatives to human testosterone)

7. Surgery

8. Genetic problems (example: Kallmann syndrome- unable to start or complete puberty)

9. Radiation

10. Infections

11. Hemochromatosis (excessive iron)

12. Nutritional deficiencies

Symptoms associated with Hypogonadism

Symptoms of hypogonadism in females include

1. Lack of menstruation

2. Changes in mood and energy

3. Body hair loss

4. Lack of sex drive

5. Milky discharge from breasts

Symptoms of male hypogonadism include

1. Body hair loss

2. Loss in muscles

3. Abnormal growth in breasts

4. Low libido

5. Erectile dysfunction

6. Fatigue

If you wish to discuss about any specific problem, you can consult a Gynaecologist.

3081 people found this helpful

Hair Transplant- 5 Things When It's A Must

CIDESCO, DGA, DBT, DBC, MBBS
Trichologist, Mumbai
Hair Transplant- 5 Things When It's A Must

Hair transplant is a surgical procedure where hair is surgically implanted on the head. You can opt for this procedure, if you suffer from hair loss and bald spots on your head. The surgery comprises of shifting hair follicles from one part of the head to another. Mostly, hair follicles from back of the head are relocated to the balding areas.

The reasons when you can opt for a hair transplant are

  1. Involutional alopecia: It is a form of alopecia where the hair growth tends to decrease due to ageing resulting in thinning and shorter hair. The follicles remain in the telogen phase (resting phase) for an extended amount of time. You may opt for a hair transplant surgery to correct this disorder.
  2. Male pattern baldness (Androgenic alopecia): Androgenic alopecia is a condition which is characterized by a gradual receding hairline, especially along the temples. This is caused due to the testosterone hormone being converted in to Dihydrotestosterone (DHT) which causes shrinking of the hair follicles. If you are affected by male pattern baldness, then you may opt for a hair transplant surgery.
  3. Female pattern baldness: Females may also be affected by baldness which is characterized by loss of hair from the top of the head and gradual thinning of hair. It may lead to self-esteem issues; so opting for a hair transplant surgery is recommended.
  4. Traction alopecia: This type of hair loss occurs due to exertion of external pressure on the hair which may cause it to fall. If the hair does not grow back then it would result in a bald patch. Thus you may opt for a hair transplant procedure if you suffer from this disorder and experience loss of hair.
  5. TrichotillomaniaThis is a psychological condition where a person pulls out his/her hair. If excessive hair is lost resulting in bald spots, then you may opt for hair transplant surgery. If you wish to discuss about any specific problem, you can consult a dermatologist.
2668 people found this helpful

Know Different signs of Low Testosterone!

FRCP (Edinburg), DM - Endocrinology, CCT (Endocrinology), MRCP - Diabetes & Endocrinology, MRCP (UK), MD & DNB - General Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Endocrinologist, Kolkata
Know Different signs of Low Testosterone!

Testosterone is often the subject of jokes but an insufficiency of this hormone is no laughing matter. Along with affecting your sex drive, low levels of testosterone can also affect your ability to concentrate on tasks, lead to high blood pressure and cholesterol. Additionally, it can increase your risk of obesity and type 2 diabetes. Here are a few signs that could indicate low levels of testosterone-

  1. Decreased Libido: With age, you may experience a lowered libido but a sudden decline in your sex drive could be caused by a lack of testosterone.

  2. Erectile Dysfunction: Lowered levels of testosterone in the body can affect the release of nitric oxide necessary for an erection. Men suffering from lowered testosterone levels often find themselves either not able to have an erection or have erections that are not firm enough for intercourse.

  3. Fatigue: Feeling tired at the end of a day is normal but men who have lowered testosterone levels may find themselves feeling extremely tired by lunchtime. You may also notice a loss of drive and enthusiasm.

  4. Moodiness: Men with low levels of testosterone often become depressed and dejected. They feel less optimistic than normal and become more irritable.

  5. Reduced Muscles: Testosterone is linked to muscle building and hence a lowered level of testosterone can be indicated by a reduction in the arm, chest or leg muscles. Men with low testosterone also find it difficult to build muscle mass.

  6. Lowered Attention Span: Testosterone is responsible for focus and attention. Hence, trouble concentrating on work and memory problems can be seen as signs of lowered testosterone levels.

  7. Development of Breasts: The lack of testosterone can cause an imbalance of oestrogen to testosterone ratio in the body. As the oestrogen levels get higher, men may find themselves growing breast tissue. This condition is also known as gynecomastia.

  8. Bone Problems: A lack of testosterone can affect bone density. This may lead to osteoporosis like conditions and joint pains. Men with low testosterone levels are also more prone to injuries.

  9. Lowered Semen Production: Testosterone is directly linked to semen production. The lower a man’s testosterone levels, the lesser the amount of semen produced.

  10. Hair Loss: Many men experiencing lowered testosterone levels suffer from hair loss on their head and other parts of the body as well.

The good news is that this disorder can be treated. Hence, if you find yourself experiencing any of these symptoms, consult a doctor at the earliest.  

Testosterone Levels Will Increase By Exercise!

M.D.
Sexologist, Mathura
Testosterone Levels Will Increase By Exercise!

If your testosterone levels is below 300/prcm than you may start exercise 

1 By weight lifting 

If you do weight lifting than will strong your pelvic muscles and increase your testosterone level 

2 By kegel exercise 

Kegel exercise to way 

(A)  By Anus push and hold 10 round 3 time in a day and 4 days in a week 

(B) By Urethra push and hold than you do urination 

Penis muscle and pelvic muscles and testosterone Will be increase by this.

6 people found this helpful

Popular Questions & Answers

I have low testosterone 0.972 and varicocele grade 2 all other hormones are normal. Just wanted to know whether doing surgery of varicocele improves testosterone.

DNB GENERAL SURGERY, MBBS, National Board Of Examination
General Surgeon, Mumbai
Hello sir doing varicocele Surgery can increase Sperm count it doesn't increase testosterone for further queries please book audio consult to help me guide you more take care.

1. How to reduce levels of estrogen and boost testosterone. 2. I am having belly fat due to always seating lifestyle & also suffering from hair loss in temple areas ,applying minoxidil 5% form on scalp everyday since 1 month ,not proved very effective but wish to continue use for another 2 months ,i believe I am suffering from this due to masturbation addiction or stress Kindly suggest medicine or something to become normal again.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear lybrate user. I can understand. The normal range of testosterone levels in healthy adult males is between 280 to 1,100 nanograms per deciliter (ng/dL), I can suggest some methods to improve your testosterone level and your sexual desire.. Lose Weight. High-Intensity Exercise like Peak Fitness (Especially Combined with Intermittent Fasting) Consume Plenty of Zinc. Strength Training. Optimize Your Vitamin D Levels. Reduce Stress. Limit or Eliminate Sugar from Your Diet. Eat Healthy Fats. Flax seeds increase testosterone in a man's body. They also contain essential fatty acids that are necessary for maintaining libido. Flax seeds help in the proper release of all sex hormones, facilitating sexual desire. Taking one tablespoon of flax seed every day will ensure your sexual health. Take care.

I want to share my problem with you with this hope that you will have its solution. I am 48 years old. I am married since 20 years but have no baby so far. I took treatment from many Doctors in Pakistan but my problem is still there. Doctors say that your sperm count and morphology is OK, there is only problem of pus cells because of which my active sperms become dead otherwise sperms production and count is normal. Can you refer someone to whom I can meet in Pakistan and discuss the problem in detail or I have to visit to you in USA. I can travel anywhere in the World for treatment of this problem as my life is incomplete without children. Particulars of my latest semen analysis are as under: Volume = 4 ml Consistency =Liquid Colour = White Grey Liquefaction Time = 20 Minutes Sperm Count = 60 mill/ml Sperm Motility: Active = 5% Sluggish = 10% Non Motile = 85% Sperm Morphology = 60% Normal Pus Cells = 3-4/HPF pathologist Comments: Findings are consistent with Asthenospermia. Many sperms with multiple cervical & cephalic abnormalities seen. Normal count with decreased motility. Kindly let me know do you have treatment of this problem. If yes please tell me its cost and process to start your treatment. Waiting for your early response. Thanks,

Fellowship in Reproductive Medicine & ART
IVF Specialist, Bangalore
As per our Medical director & Fertility Specialis Suggestion- Yes, you do have treatment for this. You have undergo few tests for yourself. Your wife also needs evaluation.

Sir I have done ultrasound of scrotum and report finding that: A minimal free fluid noted in Bil Lusac. I have feel Pain in chest and lower back please give me proper suggestion.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Most of medical challanges need doctor to listen to detailed medical history in form of questions and answers, examination of patient and sometimes reports so meet concerned doctor.

Sir wanna ask that healthvit testosterone booster is it helpful for better erection it involves gokshura, tribulus, horny goat and maca root, l arginine, fenugreek, should I take or avoid it?

Pain Medicine Externship, Fellowship In Addiction Psychiatry & Addiction Medicine, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Panchkula
In terms of improving erection, they will not help. Unfortunately, all such boosters boost only your hopes and not the erection or testosterone levels. Rather, these alternative components are not regulated and difficult to say how your body will react to it in terms of side effects. For Erectile Dysfunction, treatment is very easy now days and a 2 min consultation with any doctor will solve your concerns.
2 people found this helpful