Testicular hypofunction Decreased testicular function

Description

Testicular hypofunction or decreased testicular function. Reduced function of the testicles occurs when the testicles produce less testosterone than normal. The cause of hypofunction can be problem with the testicle itself (primary hypofunction) or insufficient external hormonal stimulation (secondary hypofunction). Appearance of the disease depends on its cause.

Symptoms

Symptoms vary depending on the moment of appearance of the disease (before or after the puberty) and its cause and can include decreased libido, infertility and abnormal growth of genitals and male sex characteristics.

Overview

Anamnesis is being taken and physical examination is being done. Blood tests confirm diagnosis and determine the cause of the hypofunction.

Tests

Testicle ultrasound.

Additional analyses

Testosterone, dihydrotestosterone, FSH, LH, sperm analysis

Specialists

Endocrinology

Therapy

Treatment in many cases includes compensation of testosterone. If the cause of hypofunction is linked with external hormones which stimulate the testicles, therapy is directed at correction of the stimulation and includes hCG,clomiphene and recombinant FSH.