07. Juli 2021

Männlicher Hypogonadismus Differenzialdiagnostik und Therapie

Ein Hypogonadismus bedeutet eine mangelhafte Testosteronsekretion oder/und eine gestörte Spermienproduktion. Hier finden Sie einen kurzen Überblick über Definition, Epidemiologie, Pathophysiologie, Symptome und mögliche Therapien des Hypogonadismus. 1

Lesedauer: ca. 6 Minuten

Der folgende Beitrag von Prof. Dr. Sven Diederich, Facharzt für Innere Medizin, Endokrinologie, Andrologie und Diabetologie, Berlin, wurde im Original in der Arzneiverordnung in der Praxis, Band 48, April 2021 veröffentlicht und erscheint hier mit freundlicher Genehmigung der Arzneimittelkommission der Deutschen Ärzteschaft. Redaktion: Dr. Nina Mörsch

Defizit der Hodenfunktion

Ein Hypogonadismus (ICD 10: E29.1) bedeutet ein Defizit der Hodenfunktion, also eine mangelhafte Testosteronsekretion oder/und eine gestörte Spermienproduktion.

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Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Klassifikation/Pathophysiologie

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

  • primärem Hypogonadismus (= hypergonadotroper Hypogonadismus; Abb. 1A; Tab. 1),
  • sekundären Hypogonadismus (= hypogonadotroper Hypogonadismus; Abb. 1B; Tab. 1)
  • funktionellem Hypogonadismus (= normogonadotroper Hypogonadismus; Abb. 1C; Tab.1).
Abbildung 1

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Tabelle 1

Großteil der Fälle: Funktioneller Hypogonadismus

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

  • das metabolische Syndrom,
  • die Depression und
  • psychische und physische Überlastungssituationen (z. B. auch im Leistungssport).

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Bestimmung des Gesamt-Testosterons ausreichend

Tabelle 2

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Abbildung 2

Klinisches Bild und Differenzialdiagnose

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Tabelle 3

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Initiales Gespräch dringend und nachhaltig

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Laborchemische Diagnostik

Abbildung 3

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Gesamt-Testosteronwert unter 12 nmol/l kontrollieren

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Testosterontherapie

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Tabelle 4

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Therapie vorzugsweise mit Gelen beginnen

Tabelle 5

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Empfehlungen zur Risiko-Überwachung

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Fazit für die Praxis

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

Teachers, bodies, and prime spirits will always protect them.Est neuter glos, cesaris.Bourbon soup is just not the same without garlic and chopped salted onions.

  1. Differenzialdiagnostik und -therapie des männlichen Hypogonadismus; akdae; 08.06.2021.

Bildquelle: © gettyImages/Prostock-Studio

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