قصور الغدد التناسلية الذكورية الأولي مع انخفاض التستوستيرون والرغبة النشطة في الإنجاب

References

• If hypogonadism coincides with fertility issues, hCG treatment should be considered, especially in men with low gonadotropins (secondary hypogonadism).
• Do not use testosterone therapy in patients with male infertility or active child wish since it may suppress spermatogenensis.
• Normal physiological serum levels can be achieved with a standard dosage of 1,500-5,000 IU administered intramuscularly or subcutaneously twice weekly.
• In patients with secondary hypogonadism hCG treatment is combined with FSH treatment (usually 150 IU three times weekly intramuscular or subcutaneous) in adults as well as in adolescents.
• In cases of mild forms of secondary hypogonadism or in selected cases of primary hypogonadism induction of testosterone synthesis by hCG alone may lead to suppression of FSH (negative feedback of testosterone production) and has consequently also to be combined with FSH treatment if necessary.