Dysfunction of the male system

Question 1

Temporary Delay of Puberty

Answer 1

• constitutional delay of puberty (familial or sporadic)
• chronic illness e.g malabsorption, malnutrition, malignancy
• hormonal disturbance e.g GH def, hypothyroidism

Question 2

Hypogonadotrophic Hypogonadism

Answer 2

• kallmans syndrome (with anosmia)

- hypopituitarism eg tumour or trauma

Question 3

Hypergonadotrophic hypogonadism

Answer 3

• klinefelters syndrome (XXY)
• anorchia
• orchitis (mumps)
• radiation treatment and/or cytoxic chemotherapy (eg leukaemia)
• surgical or traumatic castration