Anatom3D
ENCZDE
Download

Male hypogonadism

Hypogonadismus masculinus · Mužský hypogonadismus

male only

What it is

Low testosterone from testicular or pituitary failure.

Symptoms & signs

  • Low libido
  • erectile difficulty
  • fatigue
  • loss of muscle and bone
  • mood change
  • reduced beard growth
  • infertility

🚩 Get help if…

  • call 112 / 911 now Painful swollen calf, chest pain or sudden breathlessness on testosterone
  • see a doctor soon Headaches, or losing the edges of vision
  • see a doctor soon A lump or swelling in a testicle
  • see a doctor soon Breast growth or a breast lump

Where it strikes

Medical treatment

  • Testosterone gel, injection or pellet — shuts down sperm production; TRAVERSE found no rise in heart attacks but more atrial fibrillation and lung clots
  • hCG or clomifene if fertility matters
  • treat obesity and sleep apnoea
  • monitor haematocrit and prostate

Natural & lifestyle

  • Weight loss
  • resistance training
  • sleep 7–8 h
  • zinc and vitamin D if deficient
  • alcohol reduction

Emerging & experimental

  • Selective androgen receptor modulators
  • kisspeptin analogues

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Ashwagandha — trials raise testosterone and sperm quality modestly mixed evidence
  • Tongkat ali (Eurycoma longifolia) — small trials early / small studies
  • Tribulus terrestris — trials found no rise in testosterone not confirmed in trials
  • Cold showers and abstinence regimes — anecdotal anecdotal / traditional

ICD codes