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Nutritional hypogonadotropic hypogonadism presented with decreased ejaculatory volume

Koich Udagawa1, Sakae Nomura

  • 1Department of Urology, Inadanoborito Hospital, 6-1-1 Masukata, Tamaward [corrected] Kawasaki, Japan. d52201ku@yk.netlaputa.ne.jp [corrected]

Summary

A 19-year-old male college student experienced a drop in ejaculatory volume linked to low hormone levels. Tests showed hypogonadotropic hypogonadism, likely due to a deficiency in gonadotropin-releasing hormone from the hypothalamus. Brain imaging found no abnormalities. The patient had lost 26% of his body weight in a year from poor eating habits and an irregular lifestyle. As he adjusted his habits and regained weight, his hormone levels and semen parameters improved. This case suggests that rapid weight loss may disrupt hormone function in young adults, and recovery is possible with lifestyle changes.

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