Primary Acquired Hypogonadism In Men

Primary Acquired Hypogonadism In Men

Primary acquired hypogonadism in men

Hypogonadism in men – Elite Treatment in Europe

ENDOCRINOLOGY -2005

Causes of acquired primary hypogonadism in men is the loss of male testes (testicles) in various pathological processes leading to a decrease in gonadal function and lack of development of male sex hormones.

If this occurs in childhood occur eunuchoidism typical symptoms and the formation of secondary male sexual characteristics occurs.

When the function is reduced in the testes of adult males had gradually reduced the severity of male sexual characteristics hair falls on the body, increasing body weight, gradually emerges impotence: decreased libido, reduced the number of erections and semen volume, there is infertility.

Primary acquired hypogonadism occurs after inflammation of the testis and epididymis:

  • orchitis (inflammation processes of the testicles)
  • epididymitis (inflammation of the epididymis)
  • trim (inflammation of the spermatic cord)
  • vezikulita (inflammation of the seminal vesicles).

Quite often, the defeat of testicular and primary hypogonadism causes infectious parotitis (mumps). Perhaps the development of hypogonadism in transferring other infectious processes (chicken pox, congenital syphilis, coxsackie virus).

Common cause of primary hypogonadism is two-sided cryptorchidism. At the same testicle does not descend into the scrotum before birth or during the first year of life, as is the norm. It is retained in the abdomen or inguinal canal in this case, under the influence of a higher body temperature than in the scrotum, and in conditions of impaired blood supply to the testicle is a violation of the formation of sperm and sex hormones. This is accompanied by infertility in 50% of cases, if the undescended testicle into the scrotum bilateral.

The diagnosis of cryptorchidism set during the inspection, the absence of the testis during palpation, ultrasound examination.

Treatment of cryptorchidism surgery. If the operation is done in a timely manner, male sexual function can be preserved.

Primary acquired hypogonadism may occur when testicular injury, if both testicles are damaged, under the influence of high frequency currents, and chronic toxicity of industrial poisons when exposed to ionizing radiation. The reason for failure of male sexual function may be an autoimmune process. This gives rise to genetically caused damage to the immune system when the body produces antibodies that destroy its own cells. The antibodies destroy the cells in the testes which produce male sex hormones and sperm.

If untreated, there is infertility.

In addition, there are reasons which lead to primary hypogonadism acquired, which are called idiopathic, and their nature is still not clear. These states include idiopathic oligospermia (reduced sperm count) or azoospermia (non-viable sperm). Many researchers believe that this is due to about 60% of male infertility. The reasons can not be established.

Treatment of various forms of infertility conducted hormones (testolactone, human chorionic gonadotropin, tamoxifen, clomiphene), but efficacy is low.

Go to the original purchase of hypogonadism can result in some therapeutic manipulation. Irradiation of the testes, with medical castration for cancer of the testicles, while taking cyclophosphamide, bisulfana, vinblastine, the function of male reproductive organs can not be saved.

Effective diagnosis and treatment Endocrine
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