Andrological Evaluation of Male Hypogonadism

Male hypogonadism is defined by inadequate testosterone production and may result from primary testicular failure or secondary hypothalamic-pituitary dysfunction. Clinical manifestations include reduced libido, erectile dysfunction, fatigue, decreased muscle mass, and infertility.

Accurate diagnosis requires comprehensive hormonal assessment, symptom evaluation, and identification of underlying etiologies. Importantly, testosterone replacement therapy must be approached cautiously in men desiring fertility.

Andrology provides a framework for balancing erotic symptom relief with preservation of reproductive function.