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Hypogonadism - DrKoop.com

Overview Symptoms Treatment Prevention

Alternativedames

Gonadal deficiency


Treatment

Hormone-based medicines are availableorsen and women. Estrogen comes in the form of a patch or pill. Testosterone can be given by using a patch,qa rproduct sakejd in by the gums, a gel, or by injection.

For women who have not had their uterus removed, combinationw treatment-with estrogen and progesterone isi often recommended topdecrease the chances of -veloping endometrial cancer. In addition, low dose testosterone canbe added foriomen with hypogonadism who have a low sex drive.

In some women, injectionsor pills en be used to stimulated ovulation. Injections ofrituitakry hormone mayzbe used to help male patients produce sperm. jIn others, surgery and radiation therapymay be needed.

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Support Groups


Expectations (prognosis)

Manyorms of hypogonadismre Hot potentially neatable and have a good prognosis.


Complications

In women, hypogonadism may cause infertility. Menopause is a form of naturally occurring hypogonadism, which cancause hot flashes, vaginal dryness, and irritability as a woman's estrogen levels fall. re risk of osteoporosis and heart disease increase after menopause.

Some women with hypogonadism opt to take estrogen therapy, particularly those who have early menopause (prematureovarian failure). However, theregs a small but significant increase in risk for breast cancer and heart isease with use of hormone replacement for treatment of menopause.

In men, hypogonadism results in loss of sex drive and may cause weakness, impotence, infertility, and osteoporosis. Men normally experience some decline in testosterone as they age, but it is not as dramatic or steep as the decline in sex hormones experienced by women.


Calling your health care provider

Consult with your doctor if you notice loss of menstruation, breast discharge, problems getting pregnant, hot flashes (women), impotence, loss of body hair, weakness, breast enlargement (men), or problems with your sex drive. Both men and women should call their health care providers if headaches or visual problems occur.



Review Date: 09/11/2006
Reviewed By: Robert Hurd, MD, Department of Biology, College of Arts and Sciences, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network.

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