Doctor insights on:
Do Teenagers With Hypogonadism Have Learning Difficulties
A learning disorder is defined on the basis of a discrepancy between a person's overall intelligence and accomplishments in a specific area of learning such as reading or mathematics. Imagine someone with an iq of 120 (bright) who, despite adequate exposure to the subject, is reading at a level 2-3 years below age level. The combination of overall capacity and specific ...Read more
How long does it take to feel the effects of testosterone replacement therapy for a teenager with hypogonadism?
Depends on levels: I usually see improvement by the second or third injection and that tends to correlate largely on serum levels. Depot injection tend to have peak/trough effect versus gels which provide a more "physiological" absorption rate, however my experience with gels in teen age boys have disappointing to say the least ! (added the risk of skin transmission to other children). ...Read moreSee 2 more doctor answers
Around puberty age: Boys who don't have evidence of puberty by age 13-14 should be evaluated by their doctors. A pediatric endocrinologist can help. If boys are known to have hypogonadism for any reason, they will need testosterone supplementation to go thru puberty. Not infrequently, constitutional delay of puberty may also require a jump start with low dose testosterone for some months. ...Read more
Klinefelter Syndrome: Is a chromosomal disorder from nondisjunction, an accident in formation of reproductive cells. If mom's egg with xx or dad's sperm with xy joins with the x or y from the other parent, the male child has xxy, often with some or all signs & symptoms of ks, including hypogonadism, adhd & learning disabilities from visual-perceptual deficits. See www.Nlm.Nih.Gov/medlineplus/klinefelterssyndrome.Html. ...Read moreSee 1 more doctor answer
Different in kids: In pediatrics hypogonadism is not a matter of lifestyle intervention. Children presenting with hypogonadism can be born with it or it can be acquired as a result of gonadal injury from trauma or forms of chemotherapy/radiation. However, we see kids with delayed puberty who are not necessarily hypogonadal, but "late bloomers." a doctor would need to determine this. ...Read moreSee 2 more doctor answers
Bone loss, ED: There are many symptoms from low testosterone level (ie hypogoandsim). These include hot flashes, irritability, erectile dysfunction, poor sleep, decreased libido (sex-drive) and bone density loss. Many of these symptoms are reversed or halted with appropriate therapy. ...Read moreSee 1 more doctor answer
Treated after age 13: Usually boys aren't diagnosed with delayed puberty until they're at least 13. By the time they're 14, with little or no pubertal development, some may need a "jump start" with testosterone. It takes sometimes years to know if a boy is simply delayed or truly hypogonadal unless he has testicular failure. ...Read moreSee 2 more doctor answers
Opioids and low T: In response, Methadone can suppress the pituitary's gonadotropins which would then decrease testicular production of testosterone. Decreased libido, some breast development, and mood changes otherwise can happen. Treatment may include supplementing with testosterone. But, decreasing Methadone or using Buprenorphine instead may also help per what i understand. See endocrine and addiction specialist. ...Read moreSee 2 more doctor answers
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