Chapter

Diagnosis of hypogonadism: symptoms, signs, tests, and guidelines

T. Hugh Jones

in Testosterone Deficiency in Men

Second edition

Published on behalf of Oxford University Press

Published in print December 2012 | ISBN: 9780199651672
Published online December 2012 | e-ISBN: 9780191742958 | DOI: http://dx.doi.org/10.1093/med/9780199651672.003.0003

Series: Oxford Endocrinology Library

Diagnosis of hypogonadism: symptoms, signs, tests, and guidelines

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Hypogonadism is a clinical syndrome complex which comprises symptoms ± signs as well as biochemical evidence of testosterone deficiency. The clinical presentation of hypogonadism depends on the age of onset and whether or not it is pre- or post-puberty. Symptoms of hypogonadism, especially in older men, are non-specific. Morning total testosterone is a good predictor of hypogonadism, except in borderline cases where free or bioavailable testosterone assessment can be more sensitive. Published guidelines have aided clinicians in the diagnosis of hypogonadism, especially in the interpretation of testosterone levels.

Chapter.  4585 words.  Illustrated.

Subjects: Endocrinology and Diabetes

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