Doctor insights on:
What is the laboratory criterion for male hypergonadism? What are the dangers, if not tumor? What are the treatments?
Why do you ask?: The diagnosis is best made clinically (erections / ejaculation / sperms) with labs (testosterone, gonadotropins) to point the direction for the workup to find the cause. There are guys with lifelong hypogonadism (some xxy's, others) who prefer it (less acne, stink, belligerence, discomfort), but one serious concern is bone loss (osteoporosis) later in life. If this is you, your doctor's a guide. ...Read more
My sis tested (+) factor V Leiden and her Dr suggested I get tested. I was fixing to start Clomid 4 secondary hypergonadism. R SERMS contraindicated?
FH Leiden factor: Estrogens increase the risk of clotting. Clomid is a non steroidal selective estrogen receptor modulator.It is not an estrogen. It has not been associated with significant increase in clotting to date, so should be OK. With FH of Leiden positive (I assume means deficient in Leiden V) which increases the risk of clots, get tested and let your doctor know of the results prior to starting. ...Read more
Yes: A proper and correct diagnosis should be determined. If your testosterone is "too high" because of a hormone producing tumor....You might want to know this. There may be other reasons for hypergonadism and your pcp and/or endocrinologist will be happy to discuss this with you. ...Read moreSee 1 more doctor answer