Male hypogonadism develops with a decrease in the concentration of men's genital hormones in the blood. Hypogonadism is primary and secondary. Primary hypogonadism develops before the start of puberty.
Content
The concept of hypogonadism
Hypogonadism (male) - a pathological condition due to the insufficient secretion of Androgen (male genital hormones).
The cause of hypogonadism is congenital underdevelopment of the genital glands, toxic, infectious, radiant defeat, violation of the function of the hypothalamic-pituitary system.
The mechanism of the development of hypogonadism - a decrease in the secretion of sex hormones with testicles. In primary hypogonadism, the gland fabric is affected directly, with a secondary - hypofunction of the genital glands arises due to the lesion of the hypothalamic-pituitary system with a decrease in the gonadotropic function of the pituitary.
Symptoms of hypogonadism
The manifestations of hypogonadism depend on the age in which the disease arose, and the degrees of hormonal failure (the number of men's genital horms). Distinguish between apparent (to puberty) and postpubertal forms of hypogonadism. Under the defeat of the testicles before puberty, a typical eunuchoid syndrome develops, a high disproportionate increase is noted due to the delay of the ossification of the growth zones, the lengthening of the limbs, the underdevelopment of the chest and the shoulder belt. Skeletal musculature developed weakly, subcutaneous fatty fiber is distributed to the female type. Often True Gynecomastia. Pale skin. Weak development of secondary films:
- Lack of shatter on face and body (on the pubis - on the female type)
- Lady underdevelopment
- high voice
The genitals are underdeveloped:
- Sexual member of small sizes
- The scrotum is formed, but depigmented, without folds
- Glue flasks
- The prostate gland is underdeveloped, often palpatorically defined
In case of secondary hypogonadism, except for the symptoms of androgen deficiency, it is often obesity, it is often obesity, the symptoms of the pitipofunction of other glands of the internal secretion - the thyroid, the adrenal cortex (the result of the loss of trop hormones of the pituitary. Poland and potency are absent.
If the fraction of the function of the testicles occurred after puberty, when the sexual development and formation of the musculoskeletal system are already over, the symptoms of the disease are expressed less. The decrease in the testicles, the decrease in the fragmentation of the face and body, thinning of the skin and the loss of its elasticity, the development of obesity on the female type, violation of sexual functions, infertility, vegetative-vascular disorders.
Diagnosis of hypogonadism
In the diagnosis of hypogonadism, X-ray and laboratory data are used. In hypogonadism, which developed to the period of puberty, marked lag «bone» age from passport for several years. Testosterone blood content below normal. In primary hypogonadism - an increase in the level of gonadotropins in the blood, with a secondary - its decline, in some cases their content can be within the normal range. When analyzing the ejaculate, there is a decrease in the number of active spermatozoa, in some cases the ejaculate cannot be obtained.
Life forecast favorable. Chronic disease, in the treatment process, it is possible to reduce the symptoms of androgenic failure.
