Hypogonadotropic Hypogonadism

Hypogonadotropic hypogonadism is a type of hypogonadism that is caused due to some problem with the pituitary gland or the hypothalamus. It presents with abnormal pituitary gonadotropin levels or reduced production of sex hormones. They are treated by giving hormone replacement therapy depending on the deficiency of hormones.

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Is it possible for an otherwise healthy person to have gynecomastia?

Query: Hello doctor, I had prolactinoma diagnosed with secondary hypogonadism. I was treated with cabergoline and hydrocortisone for a few years and then taken off hydrocortisone when the adrenals began to function properly. My most recent blood tests came back normal, and I was tested for loads of other...  Read Full »


Dr. Sumit Srivastava

Answer: Hello, Welcome to icliniq.com. Gynecomastia could be due to a testosterone deficiency, thyroid disorder or adrenal insufficiency in your case. Since your prolactin levels are normal and there is no further growth, it is no longer due to the prolactinoma. I would suggest you have your seru...  Read Full »

I have infertility due to hypogonadotropic hypogonadism. Please suggest me treatment options.

Query: Hello doctor,I have infertility due to hypogonadotropic hypogonadism. I have a problem with low hormone levels. I have been taking HMG 150 and HCG 5000 twice a week for the last year. Still, my hormone level of LH, FSH, and testosterone is not increased, and my sperm count is zero. Please let me kno...  Read Full »


Dr. Thiyagarajan. T

Answer: Hello, Welcome to icliniq.com. Please answer the following questions to know more. 1. Did you go through normal puberty and develop hypogonadotropic hypogonadism later in your life? 2. Or did you not go through puberty and start testosterone injection to start puberty? 3. What is the size o...  Read Full »

I am facing erectile dysfunction for a year. How to get treated?

Query: Hello doctor, I am 33 years old. My height is 182 cm and weight is 90 kg. I do not have the habit of smoking, but I drink. Please go through my blood reports. I have been facing erectile dysfunction for the last one year. I have tried Megalis (Tadalafil) and Manforce (Sildenafil citrate). When...  Read Full »


Dr. Deep Dutta

Answer: Hi, Welcome to icliniq.com. Your testosterone level of 132 ng/dL is suggestive of hypogonadism (attachment removed to protect patient identity). Your HbA1c (glycosylated hemoglobin) of 6.2% is suggestive of prediabetes. Have you had diabetes ever? Have you taken any medications for diabet...  Read Full »

How can I manage hypogonadotropic hypogonadism?

Query: Hi doctor, I have hypogonadotropic hypogonadism. My FSH, LH, and testosterone levels are low. My sperm count is zero. I am taking HCG 5000 and HMG 150 twice a week for the past three months. After taking it, my testis size got increased from 1.79 cm to 1.83 cm. Now after three months of treatment, ...  Read Full »


Dr. Purushottam Sah

Answer: Hi, Welcome to icliniq.com. There is no primary or secondary hypogonadotropic hypogonadism. But hypogonadism can be primary or secondary. In the primary, the defect is in testis with high levels of FSH (follicle stimulating hormone), LH (luteinizing hormone) and there is low testosterone. In secon...  Read Full »

What are the symptoms of Klinefelter syndrome?

Query: Hello doctor, I am an 18 year old, who weighs 95 kg, and I am obese. I have small testicles and penis. My testosterone level is 7.8. The test was done at 9 AM. I have very less body hair, little hair on my legs, and a lot of pubic hair. I have less beard growth and no hair in the armpits. I am con...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and saw your detailed reports (attachment removed to protect patient identity) and from the history that you mentioned, it does seem that you might be possibly having Klinefelter syndrome but, there are some tests which are not confirming your di...  Read Full »

What happens if a male has low testosterone levels?

Query: Hello doctor, A 28-years-old male is having excessive precum, bladder discharge, and inconsistent sleep for six years. He do not experience any nightfall and do not have facial and chest hair. His testosterone level is around 4. Kindly help.  Read Full »


Dr. Samer Samer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. Your statement and the report of your hormonal test show low serum testosterone of 4, while the normal range is 8-12 g/dL. It seems to be an issue of hormones since puberty. It requires a complete examination of genitalia and laboratory investigations. On examina...  Read Full »

I am a 22-year-old male having a body structure of a 15-year-old boy. Why?

Query: Hi doctor, I am a 22 year old male, who has a body structure of a 15 year old boy. I do not have a beard or a mustache. I have thin hands and legs, small face, low IQ level, and small rib cage. I have acidity problem and pass semi-solid stool.  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. It is most likely a hormonal problem. It can be male hypogonadism which occurs due to low testosterone levels and has multiple reasons. You need to get your serum testosterone level tested. The standard range for adult men in most laboratories is around 300 to 800 ng/...  Read Full »

Can my smaller testicles get cured with HCG 5000?

Query: Hello doctor, I am 33 years old. My testicles are the size of a grape and I experience low sex drive, and less sperm count. I have used some testosterone when I was about 16 years, the testes have never recovered since. I have been reading a lot and bought some HCG 5000 but I do not know how to use...  Read Full »


Dr. Shahil Khant

Answer: Hello, Welcome to icliniq.com. Basically, because of exogenous testosterone, your body has stopped production of testosterone from testis resulting in testicular atrophy and hypogonadism. Do you have children? Are you married? I would like you to get a baseline hormonal assay which would help us f...  Read Full »

How to maintain sperm count through treatment?

Query: Hi doctor, I am suffering from hypogonadotropic hypogonadism. I am taking HCG 5000 and HMG 150 injection twice a week. My sperm production has started from azoospermia. We have done IVF and it was successful. My doctor asked to take testosterone injection, but if I take this my sperm production will...  Read Full »


Dr. Deep Dutta

Answer: Hi, Welcome to icliniq.com. HCG (human chorionic gonadotropin) and HMG (human menopausal gonadotropin) are excellent choices to ensure a good sperm production, which is needed for fertility that you have achieved. However, this treatment combination rarely leads to normal testosterone levels, w...  Read Full »

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