Primary hypogonadism (congenital or acquired): Testicular failure due to diseases and conditions in the body such as cryptorchidism, bilateral torsion, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter Syndrome, chemotherapy, or toxic damage from alcohol or heavy metals; these men usually have low serum testosterone levels and gonadotropins (FSH, LH) above normal range Hypogonadotropic hypogonadism (congenital or acquired): Gonadotropin or luteinizing hormone-releasing hormone (LHRH) deficiency or pituitary-hypothalamic injury from tumors, trauma, or radiation; these men have low testosterone serum concentrations but have gonadotropins in the normal or low range.
Dear Dr Miller, myself and my wife we were trying to have baby since last 3 yrs but no success. Last month i went to doctor and had my FSH,LH,T and SA tests done. FSH – uIU/ml, LH – uIU/ml, T – ng/ml. Sperm count was M/ml. Doctor told me that LH and T are normal where as FSH is high. He suggested me to take clomid 25mg daily to increase my sperm production . After 1 month , i had done my SA tests again . i expected sperm count to increase but instead i found out that my sperm count has actually decreased to M/ml. Pls help me doctor