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Clomiphene for hypogonadism complicated by polycythemia
Roshirl Francisco1, Sarah Jaroudi1, Mariam Murtaza Ali2
1Texas Tech University Health Sciences Center School of MedicineLubbock Texas.
Abstract:
Male hypogonadism is associated with poor sexual function. Testosterone therapy via the intramuscular route is the preferred treatment but is associated with secondary polycythemia. We report a patient in whom clomiphene citrate improved hypogonadal symptoms and restored normal free testosterone levels. Clomiphene is inexpensive and can be given orally in secondary hypogonadism. Clomiphene citrate is a promising alternative in patients who develop secondary polycythemia with testosterone.
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