Doctor insights on:
Hypogonadism: I have conductive extensive research on the subject. One of my medical students is currently putting the finishing touches on a ground-breaking paper on this subject. Until it is accepted for publication in a peer-reviewed journal it is merely heresay. That is my official statement on the matter. Sorry. ...Read more
Hypogonadism: It's really never"too late" to treat low gonadal hormones. These can be replaced as an adult. ...Read more
All are same. . .: Testosterone replacement manufacturers will hate me for writing this but they're all the same. It's just a matter of branding, like chevy vs dodge vs ford. You pick one you can afford (that's important!) & which you like (gel vs patch vs gum vs shot etc) & which you gives you best results. Some folks like viper over corvette but they're both pretty fast to me. Side effects are all similar, too. ...Read more
Hypogonadism: At 25 you need to find out why you are hypo-gonadic. The underlying cause must be determined and tat needs to be treated. ...Read more
Hi, I am 24 yesars of age, I do have hypogonadotropic hypogonadism, doctor declares me in fertile is their any treatment for this. ... Help me?
Yes: If you truly have hypogonadotropic hypogonadism (low lh/fsh ; low testosterone), depending on the cause there are treatments that can induce increased sperm production such as pulsatile luteinizing hormone-releasing hormone (lhrh) via a pump or, more commonly, with a schedule of injections of human Chorionic Gonadotropin (HCG) and follicle-stimulating hormone (fsh). ...Read more
Hello I have hypogonadism and breast enlargement and I still to become taller what are the treatment for me to stop my growth without worsening my bre?
Your age and size?: It is important to know how much growth potential you may have left. The hypogonadism cause? If you're an adult with this and increasing breast tissue then you may be under treated. Though, if you're overweight, you will also make more estrogen which will make gynecomastia worse potentially. Also, have other causes of gynecomastia been ruled out? Are you seeing an endocrinologist? ...Read more
I was diagnosed with sec. Hypogonadism. My endocrinologist doc. Gives me treatment with hCG 1 ovitrelle at 10 days. How long it's safe to follow this.
Unclear: Ovitrelle is available in europe and is a long acting form of HCG typically used in women to induce fertility. In men, it can increase testosterone production from the testicles, but it will not cure your problem if you have secondary hypogonadism, as this is a problem in the pituitary or hypothalamus. Unfortunately, the longer you use it, the more dependent your body will become on it. ...Read more
Depends: Testosterone replacement is done in many different forms for men and at different starting points. How quickly a man will feel a difference depends on the type of replacement used and his baseline. In general most men feel a difference within 4-8 weeks. If you do not, you need your levels checked anyways at 3months but do it sooner to adjust your medication. ...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 more
Adult-onset hypogonadotropic hypogonadism--how does gnrh therapy differ from normal testosterone therapy? Which therapy is best for 42 year old male?
Only for children: Gnrh is by injection, vey expensive, and only for children -- it wouldn't be appropriate or effective or prescribed for you. Stick with transdermal testosterone. Hopefully, you've had your undescended testicle fixed early in childhood, as they can become cancerous of not brought down surgically early in life. If it's still undescended, see you doctor soon. ...Read more
I have hypogonadism and was wondering what hormone replacement therapy would do to a 17 year old male, entering late stages of puberty (started late)?
Pediatric endocrine: Hopefully you are under the care of a pediatric endocrinologist who specializes in exactly the kind of issue you are having. Based upon the hormones that your body is already producing, an endocrinologist can determine exactly where your hypogonadism is coming from, and tailor hormonal treatment to correct it. Early therapy can create normal hormone levels and resume normal sexual development. ...Read more
Is there a permanent cure for secondary hypogonadism? I'm 30 yo and I would prefer not to inject myself every week for the rest of my life. Pleasehelp
Treat the cause: It's rare for a man simply to lose his libido and need to inject testosterone weekly. I'm going to assume that you have at least one testis and are otherwise intact. I'm betting that if your physician looks hard, he/she can find an underlying cause. Prolactinoma and hemochromatosis are often-missed causes, especially at your age. ...Read more
Lots of overlap: Hypogonadism is medical speak for low testosterone. Symptoms are non-specific. In other words, you might have something else if you're depressed, can't think straight, no interest in sex, loss of erectile function, loss of muscle mass, increase in fat, etc. While this can occur in younger men, this constellation of symptoms increases in frequency in our 40s and older. So ask your doctor for testin. ...Read more
No: By "supplement", I assume you're referring to an over-the-counter dietary aid, usually marketed as "natural" or "organic". Sorry, but the fda doesn't require any evidence of safety or effectiveness prior to manufacturer making miraculous claims. In fact, there are no substantiated randomized controlled studies published in peer reviewed journals documenting any benefit in hypogonadism. ...Read more
Idiopathic means: Idiopathic in medicine means that there is no discoverable cause for you developing deficiency of the hormones from the pituitary gland that stimulate the gonads, they are called lh and fsh. If you develop deficiencies at a later age you do have to be investigated by an endocrinologist because all causes have to be excluded to be called idiopathic. ...Read more
Not Usually: Epididymal pain is usually associated with infections, sometimes minor traumas, or other cord issues (varicoceles). I would suggest having yor doctor evaluate it. ...Read more