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Laboratory and Ancillary Evaluation • Laboratory testing is directed toward determining whether the patient has abnormalities of reproductive hormones and whether the abnormalities are indicative of testicular or hypothalamic-pituitary disease. The initial laboratory testing should include a morning blood sample for testosterone, prolactin, FSH, and LH levels. A semen analysis is needed if fertility potential is at issue. For the diagnosis of hypergonadotropic hypogonadism, FSH is especially important because FSH has a longer half-life, is more sensitive, and demonstrates less variability than LH. Pooled LH samples (three preferred) may help reduce problems with LH variability associated with a short half-life and pulsatile secretion.

 

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If the LH levels are only minimally increased, hCG stimulation testing of the gonad should be done, test propionate. With vanishing testes syndrome, no response would be demonstrated, test propionate. A response to hCG stimulation would raise the possibility of intra-abdominal testes, which would necessitate further evaluation because of the potential for malignant transformation. In this setting, MRI is recommended to assess the possibility of a retained intraabdominal dysgenetic gonad because this would be associated with an increased risk of a malignant lesion and would necessitate removal. Hemochromatosis Iron overload may lead to primary gonadal failure or sometimes hypothalamic-pituitary dysfunction that results in secondary gonadal failure (22). anabolic steroid magazine, brust bizeps anabol jeden tag, clenbuterol side effects weight gain, anabolic steroids vs other steroids, 12 week sustanon cycle pct, natural testosterone boosters products, masteron in bulking cycle, pregnancy success rates with clomid and metformin, dianabol testosterone enanthate boldenone cycle, primoteston libido

 

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