Adult-onset idiopathic hypogonadotropic hypogonadism presented with erectile and ejaculatory disorder

被引:5
|
作者
Kobayashi, T
Okuno, H
Nishiyama, H
Nakamura, E
Ogawa, O
Kawahara, M
Shimatsu, A
机构
[1] Kyoto Univ, Grad Sch Med, Dept Urol, Sakyo Ku, Kyoto 6068507, Japan
[2] Kyoto Univ, Grad Sch Med, Dept Med & Clin Sci, Sakyo Ku, Kyoto 6068507, Japan
[3] Kyoto Natl Hosp, Clin Res Inst, Kyoto, Japan
关键词
adult-onset; erectile dysfunction; hypogonadotropic hypogonadism;
D O I
10.1046/j.1442-2042.2002.00522.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A 37-year-old man who had fathered a child five years previously presented with erectile and ejaculatory disorder. Endocrinological examinations revealed isolated luteinizing hormone-releasing hormone (LHRH) deficiency of hypothalamus, resulting in hypogonadotropic hypogonadism, and no causative abnormality was detected in imaging studies, including magnetic resonance imaging (MRI). Having a diagnosis of adult-onset hypogonadotropic hypogonadism, the patient received pulsatile subcutaneous administration of gonadotropin-releasing hormone (GnRH). Sperm analysis and serum level of testosterone improved to normal in a few months. His wife became pregnant using artificial insemination with her husband's semen 15 months after the beginning of the treatment.
引用
收藏
页码:604 / 606
页数:3
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