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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Alternatives for TRT in Men with Central Hypogonadism
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<blockquote data-quote="madman" data-source="post: 193180" data-attributes="member: 13851"><p><strong>*Drugs that are associated with hypogonadism include opioids, glucocorticoids, and estrogens [1]. <u>Both opioids and glucocorticoids inhibit the HPG axis by suppressing GnRH secretion, resulting in decreased testosterone levels [27]</u>. Doses of opioids and glucocorticoids should be kept as low as possible.</strong></p><p><strong></strong></p><p><strong>*<u>Hyperprolactinemia also suppresses the secretion of GnRH and the response of gonadotropins to GnRH secretion</u>. For this reason, prolactin levels should be measured in every man diagnosed with central hypogonadism and low LH levels [3]. If hyperprolactinemia is present, one should determine the cause. In case of a pituitary prolactinoma, treatment with dopamine agonists can be indicated and can result in normalization of testosterone levels and improvement of semen quality and libido [1,3,28–30]</strong></p></blockquote><p></p>
[QUOTE="madman, post: 193180, member: 13851"] [B]*Drugs that are associated with hypogonadism include opioids, glucocorticoids, and estrogens [1]. [U]Both opioids and glucocorticoids inhibit the HPG axis by suppressing GnRH secretion, resulting in decreased testosterone levels [27][/U]. Doses of opioids and glucocorticoids should be kept as low as possible. *[U]Hyperprolactinemia also suppresses the secretion of GnRH and the response of gonadotropins to GnRH secretion[/U]. For this reason, prolactin levels should be measured in every man diagnosed with central hypogonadism and low LH levels [3]. If hyperprolactinemia is present, one should determine the cause. In case of a pituitary prolactinoma, treatment with dopamine agonists can be indicated and can result in normalization of testosterone levels and improvement of semen quality and libido [1,3,28–30][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone and Men's Health Articles
Alternatives for TRT in Men with Central Hypogonadism
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