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Testosterone Deficiency

Things you should know about hypogonadism:

  • For males, the condition can occur literally before birth, and can have some dramatic consequences, such as limited growth of sex organs, or even being born with female genitals even though the infant is genetically male.
  • In puberty, muscle development may be less than normal, the voice may remain higher than it would have otherwise, body hair may fail to develop normally and genitals can be impaired. In addition, a youth’s arms and legs may be longer than the rest of his body may suggest.
  • And for adults, the condition can lead to erectile issues, infertility, and decreased muscle and bone mass.
For women, experts say testosterone is important for female sexuality, and also is associated with a sense of well-being, as well as reducing anxiety and depression.


The other type of testosterone issue, in addition to the primary disorder, is called central hypogonadism. In that case the portion of your brain that control the hypothalamus and pituitary glands just doesn’t work properly. Those two glands control the gonads.

Here are the causes of the central form of the disorder:

  • Bleeding
  • Some steroids and opiates
  • Infections
  • Nutritional deficiencies
  • Excessive iron in the body
  • Radiation
  • Rapid and significant weight loss
  • Some types of surgery
  • Trauma
  • Tumors


Hypogonadism in girls can mean they will not begin menstruating. The disorder can also affect breast development and height, and if the disorder strikes after puberty girls can experience:
  • Hot flashes
  • Losing body hair
  • Low libido
  • No menstruation
For males, the symptoms differ. For boys, central hypogonadism can limit muscle development and growth and for men the symptoms can be:
  • Breast enlargement
  • Less beard and body hair
  • Muscle loss
  • Sexual problems
In central hypogonadism, the center of the brain, where the hypothalamus and pituitary are located, can be an issue. Headaches, loss of vision or milky breast discharge can be a sign of a brain tumor.

Other issues can involve people with anorexia nervosa — eating issues — who diet drastically or those who lose weight very quickly after medical procedures like gastric bypass, can also have central hypogonadism.

Written by Dave Warner

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