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Testosterone Deficiency (2018)
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==== Physical exam ==== # '''<span style="color:#ff0000">General</span>''' ##'''<span style="color:#ff0000">Body habitus</span>''' (BMI or waist circumference) ## '''<span style="color:#ff0000">Virilization status</span>''' (body hair patterns and amounts in androgen dependent areas) ## '''<span style="color:#ff0000">Presence of gynecomastia</span>''' ##* Gynecomastia is a benign enlargement of the male breast tissue that can occur at times of male androgen/estrogen change (alteration in testosterone/estradiol [E2] ratio) such as infancy, adolescence, or old age, and may also be a sign of low serum testosterone. ##** '''Male breast growth can be classified as (3):''' ##**# '''Pharmacological''' (risperidone, anti-androgens, marijuana, clomiphene) ##**# '''Physiological (neonatal period and at puberty)''' ##**# '''Pathological (testicular tumours, Klinefelter syndrome, cirrhosis)''' ##** '''With any enlargement of the male breast, the possibility of carcinoma should be considered.''' # '''<span style="color:#ff0000">Genitals</span>''' #* '''Testicular size, consistency''' #*'''Presence of varicoceles''' #**'''No definitive evidence that varicocele is a cause of low testosterone, however, varicocele ligation surgery might increase serum testosterone levels'''
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