Hypogonadism refers to insufficient testosterone production and may occur at various stages of life. Primary hypogonadism originates in the testes, while secondary hypogonadism involves dysfunction of the pituitary or hypothalamus.
In younger men, symptoms may include delayed puberty or infertility. In aging populations, late-onset hypogonadism is associated with decreased energy, reduced muscle mass, and diminished libido.
Management requires careful hormonal erotic evaluation and consideration of fertility desires, as testosterone replacement therapy may suppress spermatogenesis.
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