Name
TESTICULAR ATROPHY
DESCRIPTION
DETAIL
CAUSES : 1. PHYSIOLOGICAL - OLD AGE 2. HYPOTHALAMIC / PITUITARY CONDITIONS - GONADOTROPHIN RELEASING HORMONE DEFICIENCY ( E.G. KALLMANN SYNDROME ) - HYPOPITUITARISM - ISOLATED LH DEFICIENCY - HYPERPROLACTINAEMIA - HAEMOCHROMATOSIS - LAURENCE-MOON-BIEDL SYNDROME 3. TESTICULAR CONDITIONS - TRAUMA - DISTURBANCES OF BLOOD SUPPLY * BILATERAL TORSION OF TESTES * INGUINAL HERNIA * ILL FITTING TRUSS * HYDROCELE * HAEMATOCELE * VARICOCELE * POSTOPERATIVE * ELEPHANTIASIS - DESTRUCTIVE LESIONS LEADING TO ORCHITIS OR EPIDIDYMITIS DUE TO * MUMPS * LYMPHOCYTIC CHORIOMENINGITIS VIRUS * ECHOVIRUS * ARBOVIRUS * CHICKEN POX * TUBERCULOSIS * SYPHILIS * GONORRHOEA * TYPHOID FEVER * BRUCELLOSIS * LEPTOSPIROSIS * LEPROMATOUS LEPROSY * AUTOIMMUNE ORCHITIS - CONGENITAL LESIONS LIKE * CRYPTORCHIDISM * KLINEFELTER SYNDROME ( MOST COMMON) * XX MALE * REIFENSTEIN SYNDROME * NOONAN SYNDROME * DYSTROPHIA MYOTONICA * SERTOLI CELL ONLY SYNDROME * HAEMOCHROMATOSIS - TUMOURS * FEMINIZING TUMOUR 4. ADRENAL DISORDERS - CUSHING SYNDROME - CONGENITAL ADRENAL HYPERPLASIA - FEMINIZING TUMOUR( OESTROGEN SECRETING ) 5. GENERAL DISEASES - ALCOHOLISM ( MOST COMMON) - CIRRHOSIS OF LIVER ( MOST COMMON ) - RENAL FAILURE - SICKLE CELL ANEMIA 6. DRUGS - GONADOTROPHIN RELEASING HORMONE ANALOGUES - OESTROGEN THERAPY - SPIRONOLACTONE - MARIJUANA - CYCLOPHOSPHAMIDE - CHLORAMBUCILOTHER TESTS : * MRI BRAIN FOR PITUITARY BODY * GONADOTROPHIN RELEASING HORMONE ESTIMATION - LOW IN PITUITARY & HYPOTHALAMIC CONDITIONS
TYPENOTES
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
SEMEN ANALYSIS, FSH ( MALE ), LH ( MALE ), TESTICULAR SCAN, SERUM TESTOSTERONE( TOTAL ) FOR FEMALE, COMPLETE BLOOD COUNT, SERUM PROLACTIN ( MALE )