قصور الغدد التناسلية الذكورية الثانوي مع الرغبة الفعلية في الإنجاب وانخفاض مستويات الغدد التناسلية في المصل

References

• If hypogonadism coincides with fertility issues, hCG treatment should be considered, especially in men with low gonadotropins (secondary hypogonadism).
• Fertility can be restored by hormonal stimulation in most patients with secondary hypogonadism.
• In patients with secondary hypogonadism, hormonal stimulation with hCG and FSH or alternatively pulsatile GnRH treatment can restore fertility in most cases.
• Anti-oestrogens and aromatase inhibitors are further options for hypogonadal patients with an active child wish, though evidence is limited.