Talk:Hypogonadism

Rating
I think that this could be B-class if it had any references. WhatamIdoing (talk) 04:27, 4 January 2008 (UTC)

This page needs more information concerning female hypogonadism. It focuses almost exclusively upon androgen deficient males & provides information for females as an afterthought. This may create the illusion that hypogonadism rarely occurs to women or is insignificant to them.

Abtuse (talk) 22:30, 5 July 2008 (UTC)

Altho your comment is technically correct, since woman have gonads (ovaries), they stop working during menopause, leading to a "natural", (tho probably not often desirable), hypogonadal state. So the common term "post menopausal" is usually used, instead of "hypogonadism" for women. Male gonads (testicles) do not, in theory, stop working. I'll add a comment to this effect. Proney (talk) 16:58, 13 August 2008 (UTC)

Opiates
It should also be noted that Hypogonadism can be caused by the chronic use of opioid pain releivers in chronic pain patients. See the following letter below, and other works by Dr. Jennifer Schneider who is the head of a pain treatment clinic, and author of many papers on the subject. Also, see the responce to her article from Rollin M. Gallagher, MD, MPH, University of Pennsylvania School of Medicine, Philadelphia, PA, and Lisa Rosenthal, MD, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA.

Hypogonadism in men treated with chronic opioids, Letter to the editor. Archives of Physical Medicine and Rehabilitation 89:1414, 2008. By Jennifer Schneider, MD, PhD, Arizona Community Physicians, Tucson, AZ

http://www.jenniferschneider.com/articles/JPS-Hypogonadism_20APMR_207_3A08.pdf

Craxd (talk) 03:32, 29 April 2009 (UTC)

Does anybody know why this has not been incorporated? As a patient with exactly this problem, I can only say that UK pain clinics automatically monitor for effects on libido etc > check test level and supplement. Intelfam (talk) 13:07, 7 October 2011 (UTC)

Normal testosterone levels
The level listed in this article seems to conflict with the article Reference ranges for blood tests. Can someone experienced in the matter reconcile the contradiction? Thanks, Vectro (talk) 19:10, 31 December 2009 (UTC)
 * Done, sort of. See my changes and more below. Don't use this for any sort of medical decisions. alteripse (talk) 17:14, 3 January 2010 (UTC)

It is my understanding that the reference range varies depending on the manufacturer of the test. See for example http://www.medical.siemens.com/siemens/en_GLOBAL/gg_diag_FBAs/files/news_views/spring00/techreports/zb158-a.pdf

See this NIH page for authoritative info on ref ranges. Note the credentials of those cited at the bottom of the page. 74.65.207.224 (talk) 07:31, 27 June 2010 (UTC)wilfredtr

http://www.nlm.nih.gov/medlineplus/ency/article/003707.htm#Normal%20Values

Article is unbalanced, unscientific, & reads like pharmaceutical marketing
Sections of this are unusually bad for a medical article, with no balance, no perspective, and poor citations. It reads like obsolete "hormones will fix all problems" material from the 1940s (see DeKruif, The Male Hormone, 1945 for similar naivete), or like the pro-estrogen propaganda used to promote estrogen for all menopausal women in the 1960s -- "you don't have to age". Much of the worst was added in fall of 2009 by an anonymous editors who is neither a medical scientist nor a doctor with any real expertise in this area. I generally don't leave notes like this, but started to answer the fairly straightforward question above. Someone can certainly respond with the sofixit tag, but I do not have the time and interest to overhaul it. For a more reliable review of the unresolved aspects of diagnosis of hypogonadism and testosterone replacement in men, see Sorry. alteripse (talk) 17:14, 3 January 2010 (UTC)
 * I have tagged the article accordingly. Vectro (talk) 22:49, 20 January 2010 (UTC)

Article's listing in "Blood Testing" section of accuracy of testosterone testing methods are not verified. Needs to be cited and verified.

I.E

Free Testosterone by Clinical Pathology Laboratories - Most accurate test available Free Testosterone by RIA - Least Accurate

Free Testosterone by Saliva Test - Results cannot be compared to other testing methods Calculated Free Testosterone - An estimation of free testosterone, calculated using SHBG and Total Testosterone Free Androgen Index - A simple ratio of Total Testosterone to SHBG, no longer widely used —Preceding unsigned comment added by 168.103.73.217 (talk) 01:31, 3 April 2010 (UTC)

Most of the sections should be moved to other pages
Some of the material here is very good but it also overlaps with some of the information on the following pages: testosterone, estrogen, hormone replacement therapy, androgene replacement, androgen. This overlapping is unhelpful because it causes confusion and scatters potential discussion and adding of important sources. Though the work on this page is admirable, it seems awkward to combine extensive discussion of the male problem and the female problem on the same page. There is the same core issue but then the details vary greatly. I would like to suggest:

'''2 Diagnosis 2.1 In men''' ''move to testosterone or androgen replacement therapy ''

2.2 In women move to estrogen page

3 Treatment most of this could go to androgen replacement therapy

6 Testosterone and longevity move to testosterone page —Preceding unsigned comment added by Nohoguy (talk • contribs) 00:57, 21 August 2010 (UTC)

Fertility Fertility is not its own section, but is mentioned various places throughout the article; perhaps those mentions could be moved to fertility page. —Preceding unsigned comment added by Nohoguy (talk • contribs) 01:14, 21 August 2010 (UTC)

Vandalism
Vandalism includes male symptom: perjury, female symptom: relationship problems. Material at bottom of talk page about the most interesting man in the world. I'm not an editor, so I'll leave it to others to fix. — Preceding unsigned comment added by 76.73.169.128 (talk)

Treatment
Hypogonadism can be iatrogenic. In these cases treatment might be a change of regime. Should this be covered? Rich Farmbrough, 11:07, 2 September 2011 (UTC).

eunuchoidism
How is hypogonadism related to eunuchoidism? Are they the same thing? Is hypogonadism a subset of eunuchoidism? Remember (talk) 16:21, 21 February 2013 (UTC)


 * Eunuchoidism is the body habitus (body shape/proportions/configuration) of an adult who grew up through adolescence with untreated hypogonadism. The principal features of eunuchoidism are disproportionately long arms and legs, slightly narrower than average shoulder:hip ratio, below average musculature, below average facial hair, youthful (less mature masculine) hairline and jawline, and some gynecomastia. All of these features are relatively mild, though recognizable to an endocrinologist. Treatment as an adult will change the musculature and face but not the body proportions. alteripse (talk) 12:48, 24 February 2013 (UTC)

Jealousy
Is jealousy really a medical symptom? And if not, does this really bode well for the quality of this article. 125.253.96.174 (talk) 10:17, 24 April 2013 (UTC)
 * Thanks for highlighting that; I've removed everything that wasn't supported by a reliable source per: Identifying reliable sources (medicine). --Anthonyhcole (talk · contribs · email) 11:42, 24 April 2013 (UTC)