資源描述:
《Hypogonadism》由會員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在教育資源-天天文庫。
1、Hypogonadism????Hypogonadismoccurswhenthebody'ssexglandsproducelittleornohormones.Inmen,theseglands(gonads)arethetestes.Inwomen,theseglandsaretheovaries.CausesThecauseofhypogonadismcanbeprimaryorcentral.Inprimaryhypogonadism,theovariesortestesthemselvesdonotfunctionproperly.Causesofprimaryhypogonadi
2、sminclude:·Certain?autoimmunedisorders·Geneticanddevelopmentaldisorders·Infection·Liverandkidneydisease·Radiation·SurgeryThemostcommongeneticdisordersthatcauseprimaryhypogonadismare?Turnersyndrome?(inwomen)and?Klinefeltersyndrome?(inmen).Ifyoualreadyhaveotherautoimmunedisordersyoumaybeathigherriskof
3、autoimmunedamagetothegonads.Thesecanincludedisordersthataffecttheliverandadrenalandthyroidglandsaswellastype1diabetes.Incentralhypogonadism,thecentersinthebrainthatcontrolthegonads(hypothalamusandpituitary)donotfunctionproperly.Causesofcentralhypogonadisminclude:·Anorexianervosa·Bleedingintheareaoft
4、hepituitary·Takingmedicines,suchasglucocorticoidsandopiates·Stoppinganabolicsteriods·Geneticproblems·Infections·Nutritionaldeficiencies·Ironexcess(hemochromatosis)·Radiation·Rapid,significantweightloss(includingweightlossafterbariatricsurgery)·Surgery·Trauma·TumorsAgeneticcauseofcentralhypogonadismi
5、s?Kallmannsyndrome.Manypeoplewiththisconditionalsohaveadecreasedsenseofsmell.SymptomsGirlswhohavehypogonadismwillnotbeginmenstruating.Hypogonadismcanaffecttheirbreastdevelopmentandheight.Ifhypogonadismoccursafterpuberty,symptomsinwomeninclude:·Hotflashes·Energyandmoodchanges·MenstruationstopsInboys,
6、hypogonadismaffectsmuscle,beard,genitalandvoicedevelopment.Italsoleadstogrowthproblems.Inmenthesymptomsare:·Breastenlargement·Muscleloss·Decreasedinterestinsex(lowlibido)Ifapituitaryorotherbraintumorispresent(centralhypogonadism),theremaybe:·Headachesorvisionloss·Milkybreastdischarge(fromaprolactino
7、ma)·Symptomsofotherhormonaldeficiencies(suchas?hypothyroidism)Themostcommontumorsaffectingthepituitaryarecraniopharyngiomainchildrenandprolactinomaadenomasinadults.ExamsandTestsYoumayneedtohaveteststo