"Acquired Hypogonadism"

[xtitan1]

"Acquired Hypogonadism" - What does this term mean? I Google'd first of course, and it said it was a form of secondary hypogonadism that was either genetic or somehow happened or something. Pretty vague. I'm providing context from my endo (who I am no longer seeing) below:

I am not sure that I can identify an [sic] unifying diagnosis for all
the above-mentioned signs and symptoms. It does appear he has hypothyroidism and
needs to be on Synthroid. I suspect if hit remains hypothyroid, then the dose will need
to be incrused. This is likely related to autoimmune disease.

His vitamin D deficiency is mild, but could be related to gluten sensitivity. I will recheck
his 25-hydroxy vitamin D level and chemistry panel today as well as to obtain tissue
transglutaminase antibodies. This could then tie in with the thyroid disease.

In terms of the hypogonadism, his GU exam showed a normal phallus and normal
testes. I think this would be acquired hypogonadism. He also has normal male hair
pattern. I will repeat his bioavailable testosterone along with LH and FSH. It is possible
that with his obesity, he has estrogen effect in his SHBG and his free testosterone is
actually normal. I will also check a prolactin level.

His abdominal striae could indicate hypercorticolism. I have asked that he do a 24-hour
urine free cortisol. This could account for the hypogonadism, but would not account
for the hypothyroidism or vitamin D deficiency. Hence, again this may be an issue, but
It is not a unifying diagnosis.

[steroid.com 1]

Usually you see it as "Idiopathic Acquired Hypogonadism" but at the end of the day it just means Hypogonadism only more clinical.

[xtitan1]

Oh, so basically, "Your testosterone is low, but we have no idea why" lol

[oscar1990]

What if your T is high along with SHBG with low-free t... would this be considered idiopathic hypogonadism?

[oscar1990]

also if your FSH is low e.g. 2 with a range of (<7)

[xtitan1]

Oscar,

If your free T or for that matter, total T, is not viewed as adequate by your Doctor, then that means he considers you hypogonad. So if you have high SHBG causing a low free T, as well as hypogonad symptoms, then a good doctor will diagnose you as hypogonad.

Whether or not it's going to be called "Acquired Hypogonadism" is not really important as GD has enlightened me. If you have low FSH and LH combined with low T, that certainly points to secondary hypogonadism.

[oscar1990]

Ok, thanks Xtitan1