Urology

Hypogonadism

남성호르몬저하

Low testosterone with symptoms; primary (testicular) or secondary (HPG axis)

Written and edited by Dr. Kwang Lee, D.C., L.Ac. · Updated 2026-10-04

How common: Common
Typical age: Variable age

What is it?

Core pathophysiology of Hypogonadism.

Commonly affected: 고환 라이디히세포 또는 시상하부-뇌하수체

How it develops

TriggerTriggering factor for Hypogonadism
Local changeSpecific changes in 고환 라이디히세포 또는 시상하부-뇌하수체
ManifestationCharacteristic clinical features appear
CourseCourse depends on treatment

Symptoms

Characteristic symptomsClassic features of Hypogonadism
Voiding/pain/hematuriaVaries by patient
Systemic symptomsWith progression

How it is examined

Physical examIdentify affected region
Urine/blood labsUA, renal function, PSA as appropriate

Imaging

Renal ultrasound or CT urography is standard.

Lesion-specific imaging findings

MRI or cystoscopy if indicated.

Adjunctive findings

Non-surgical care

PharmacotherapyTargeted medications
Lifestyle/hydration2 L/day fluids, regular voiding
SurveillanceRegular follow-up

Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.

When surgery is considered

Medical failure or complications

Procedures that may be discussed

Endoscopic procedure
Surgical treatment

Outlook

Good with appropriate treatment.