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Updated: Aug 11, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Abstract:
The most commonly investigated testicular disorder is male infertility. Although endocrine causes are uncommon, they are potentially curable. A careful history and examination for subtle features of hypogonadism are important initiating steps. Understanding the appropriate use of both baseline and dynamic testing of the hypothalamic-pituitary-gonadal axis (and, in certain instances, the adrenal and thyroid glands) is extremely important.
Insights
Endocrine causes of male infertility are rare but treatable. Early diagnosis involves careful history, physical exams for hypogonadism, and appropriate endocrine testing of the hypothalamic-pituitary-gonadal axis.
Area of Science:
- Reproductive Endocrinology
- Andrology
- Men's Health
Background:
- Male infertility is a common concern.
- Endocrine factors, though infrequent, represent a curable cause of male infertility.
- Subtle signs of hypogonadism necessitate thorough evaluation.
Purpose of the Study:
- To highlight the importance of endocrine evaluation in male infertility.
- To underscore the curable nature of endocrine-related male infertility.
- To guide the diagnostic approach for male infertility.
Main Methods:
- Review of diagnostic strategies for male infertility.
- Emphasis on clinical history and physical examination for hypogonadism.
- Discussion of baseline and dynamic endocrine testing protocols.
Main Results:
- Endocrine causes are uncommon but treatable.
- Careful history and examination are crucial initial steps.
- Appropriate testing of the hypothalamic-pituitary-gonadal axis is essential.
Conclusions:
- Prompt identification of endocrine disorders can lead to successful treatment of male infertility.
- A systematic approach combining clinical assessment and endocrine testing improves diagnostic accuracy.
- Understanding the hypothalamic-pituitary-gonadal axis is key to managing infertility.
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