What is the diagnosis and treatment for a patient with hypogonadism, indicated by low testosterone, low FSH, and low LH levels?

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Secondary (Hypogonadotropic) Hypogonadism

This patient has secondary (hypogonadotropic) hypogonadism, characterized by low testosterone with inappropriately low/normal FSH and LH, indicating hypothalamic-pituitary axis dysfunction rather than primary testicular failure. 1

Diagnostic Classification

The laboratory values confirm hypogonadotropic hypogonadism:

  • Testosterone <0.5 nmol/L (<14 ng/dL) - severely deficient 1
  • FSH 3 IU/L and LH 1.6 IU/L - inappropriately low/normal for the degree of testosterone deficiency 1
  • Estradiol <30 pmol/L - consistent with severe hypogonadism 1

In primary hypogonadism, FSH and LH would be elevated (>10-15 IU/L) as the pituitary attempts to compensate for testicular failure. 1, 2 The low-normal gonadotropins here indicate the problem originates at the hypothalamic-pituitary level. 1, 3

Essential Additional Workup

Before initiating treatment, you must:

  1. Measure serum prolactin - mandatory in all patients with low testosterone and low/normal LH to screen for prolactinoma or other pituitary tumors 1, 4

    • If prolactin is elevated, repeat measurement to confirm it's not spurious 1
    • Persistently elevated prolactin requires endocrinology referral and pituitary MRI 1
  2. Obtain pituitary MRI - required if testosterone <150 ng/dL with low/normal LH, regardless of prolactin level, to exclude non-secreting adenomas 1

  3. Assess other pituitary hormones - evaluate for combined pituitary hormone deficiencies (thyroid, cortisol, growth hormone) 1, 5

  4. Determine etiology - investigate acquired causes including:

    • Pituitary tumors (most common cause) 3
    • Traumatic brain injury 1
    • Prior pituitary surgery or cranial radiation 1, 3
    • Medications: opiates, glucocorticoids, GnRH agonists/antagonists 1
    • Systemic diseases: hemochromatosis, sarcoidosis, HIV 1, 2
    • Hyperprolactinemia from any cause 1

Treatment Strategy

If Fertility is NOT Currently Desired:

Testosterone replacement therapy is the treatment of choice to restore virilization, sexual function, bone density, muscle mass, and quality of life. 4, 3, 2

Testosterone enanthate 50-400 mg intramuscularly every 2-4 weeks is the standard initial approach. 6 Most patients require 100-200 mg every 2 weeks; doses above 400 mg/month are rarely needed due to prolonged action. 6

Alternative formulations include:

  • Transdermal gel or patches (applied daily) 4
  • Testosterone implants 4

Monitor testosterone levels 2-3 months after initiation, then periodically, targeting mid-normal range. 4 Assess clinical response including libido, erectile function, energy, mood, and muscle mass. 4

If Fertility IS Desired (Current or Future):

Testosterone monotherapy must NOT be prescribed as it suppresses spermatogenesis and will worsen infertility. 1, 4

Instead, use gonadotropin therapy:

  • Human chorionic gonadotropin (hCG) combined with FSH (recombinant FSH, highly purified urinary FSH, or human menopausal gonadotropins) 1, 7
  • Administered subcutaneously or intramuscularly 7
  • Typical duration: 12-24 months to achieve spermatogenesis 7
  • Success rates: ~80% achieve spermatogenesis, ~50% achieve pregnancy 7

Alternative for mild cases: Selective estrogen receptor modulators (SERMs) or aromatase inhibitors may be considered for men with low testosterone who wish to preserve fertility. 1, 4

Critical Pitfalls to Avoid

  • Never start testosterone without measuring prolactin first in patients with low/normal LH - you could miss a prolactinoma 1, 4
  • Never give testosterone to men desiring fertility - it will suppress their remaining spermatogenesis 1, 4
  • Don't assume this is age-related hypogonadism - the severely low testosterone (<14 ng/dL) and very low gonadotropins demand investigation for structural pituitary disease 1
  • Monitor for gynecomastia if using gonadotropin therapy, as hCG stimulates aromatase and estradiol production 7

Prognosis Factors

Better outcomes with gonadotropin therapy occur in patients with:

  • Post-pubertal onset of hypogonadism 7
  • No history of cryptorchidism 7
  • Larger baseline testicular volume 7
  • Higher baseline inhibin B levels 7
  • Repeated treatment cycles 7

Approximately 10% of patients may experience reversal of hypogonadism, though the mechanism remains unclear. 7

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Hypogonadotropic hypogonadism revisited.

Clinics (Sao Paulo, Brazil), 2013

Guideline

Hypogonadism with Gynecomastia Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Approach to the male patient with congenital hypogonadotropic hypogonadism.

The Journal of clinical endocrinology and metabolism, 2012

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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