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Fertility can be restored with abstinence from androgens and with gonadotropin injections. A patient such as this one who has low levels of testosterone and gonadotropins might ordinarily be classified as having secondary hypogonadotropic hypogonadism. However, despite his low testosterone level, there is clinical evidence of adequate circulating androgens, including good muscle mass, normal libido, and erectile function. Therefore, despite the low testosterone and gonadotropin levels, pituitary macroadenoma and prolactinoma are unlikely diagnoses because they cannot explain the patients clinical findings. An MRI of the sella turcica to exclude a pituitary tumor is unnecessary.


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24 Feb 2008 Don't get me wrong – I still use both growth hormone and testosterone as part of overall anti-aging programs in my patients. This article is not The real truth about Growth Hormone and testosterone for Anti-Aging and Sports: Studies show this therapy could boost the growth of existing prostate cancer
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