Hypogonadism physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Common physical examination findings of hypogonadism include absence of secondary sexual characteristics in both male and females. In males, pubic hair loss, no beard hair, small testicular size and congenital anomalies may be observed. In females, no axillary hair and amenorrhea are common.

Physical examination

Appearance of the patients

• Patients with hypogonadism usually appear tired.
• In adults, general appearance shows abscent of secondary sexual characteristics. In males no beards and in females no breast development.

Skin

• In males:
  • Pubic hair loss is observed.
  • No beard hair.
• In female:
  • No axillary hair

Genitourinary

• In males:
  • Small testicular size
  • Congenital signs may be found like hypospadius.
• In females:
  • Amenorrhea