Hypogonadism Delhi Treatment Absent genital Development Doctor India Less Muscle Mass New Noida best qualified Indian East West North South Central Gurgaon Faridabad Ghaziabad Hypogonadism Delhi Treatment Absent genital Development Doctor India Less Muscle Mass New Noida best qualified Indian East West North South Central Gurgaon Faridabad Ghaziabad

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|| Small testis || Absent genital development || Small Genital & Genital enlargement ||
  || Less beard & moustache || Hypogonadism || Testosterone deficiency || Andropause || Male Infertility ||
|| Breast enlargement in male ||  Male hormone Disorders || Less Body muscles and under weight ||

 

                                             HYPOGONADISM (MALE HORMONE DEFICIENCY)
The absence of genital development in boys due to male genital hormone deficiency is called hypogonadism.
What is Hypogonadism                    
Symptoms & features
Causes of Hypogonadism
Investigations & Diagnosis
Treatment
Response of treatment
Side effects of treatment


What is Hypogonadism: When male hormone testosterone and other hormones are low leading to absence of normal genital development in the boy is called male hormone deficiency i.e. Hypogonadism. Thus hypogonadism is called when gonad i.e. testis is functioning less than normal or not functioning et all, leading to deficiency of male genital hormone which includes testosterone & few others & sometimes even absent sperm production. 

Symptoms & features of male hormone deficiency are absent genital development or underdeveloped genital organ development like small genitals (genitalia) like small pennis, under developed testis, shrunken scrotum.

Decreased development of secondary genital characters like less beard & moustache, less body hair, soft skiin as found in girls, soft voice like females, less muscular development i.e. less manly body, decreased confidence on himself so that patient may feel less confidence on himself so that patient may feel less confident & even sometimes nervousness in talking to others. Sometimes even breast may enlarge due to less concentration of testosterone. Then body energy becomes less so that patient feel tired all the time. Decreased testosterone & other male hormone like DHEAS lead to decreased genitaldesire, less hardness of pennis i.e.dysfunction & other genital disorders. This also leads to less development of sperms leading to decreased sperm count & motility & even absent sperm. Due to less muscular development & less beard & moustache they look younger then their age & less mature look so that in workplace & among friends they are always treated like young so that they perform less well in career. There memory also may be less. Sometimes all above disorders can lead to severe anxiety & even frank depression may occur.

Sometimes they may have less aggressive behavior, feminine nature, poor in study, poor memory, poor performance in office or business, less confidence on his capabilities, less sperm (oligospermia, Nil sperms), thin semen, female like voice can occur. Patient may have one or more of the above mentioned features. Thus symptoms of hypogonadism are absence of development of male like features.


Causes of male hypogonadism (Inadequate genital development)

Hypogonadotropic states: Hypothalamic - pituitary deficiency: Idiopathic GnRH deficiency, Kallman syndrome, Prader-Willi syndrome, Laurence-Moon-Biedl syndrome , Hypothalmic deficiency, pituitary hypoplasia, Trauma, post surgical, postiradiation, Tumour (Adenoma, craniopharyngioma, other), Vascular (pituitary infraction, carotid aneurysm), Infiltrative (Sarcoidosis, histiocytosis, tuberculosis, fugal infection, hemochromatosis)Autoimmune hypophysitis, Drugs (drug-induced hyperprolactinemia, genital steroids use) Untreated endocrinopathies, Glucorticoid excess, Hypopituitarism,Isolated gonadotropin deficiency (non acquired) : Pituitary , HypothalamicAssociated with multiple pituitary hormone deficiencies : Idiopathic pan hypo pituitarism (hypothalamic defects), Pituitary dysgenesis, Space-occupying lesions (craniopharyngiomas, Rathke pouch cycts, hypothalamic tumors, pituitary adenomas), Following surgery, Following cranial irradiation, Following CNS chemotherapy, Following inflammation, Infiltrative or destructive processes (autoimmune, hemosiderosis), Associated with syndromes involving hypthalamic function, Laurence-Moon-Beidl sundrome Prader-Willi syndrome , Frohlich syndrome

Genetic Mutuations : KALI (kakallmann), Gonadotropin-releasing hormone receptor (GnRHR), FSH3 isolalated FSH deficiency, PROP1 (pituitary deficiency), Hgenital1 (septo-optic dysplasia), DAX1
Isolated gonadotropic deficiency with or without anosmia, Fertile eunuch syndrone, Idiopathic hypopituitarism, CNS disorders : tumors, infections, pituitary agenesis or hypoplasia, hydrocephalus, Septooptic dysplasia, CNS radiation for leukemia or brain tumor, Prader-Willi and Laurence-Moon-Biedly Syndrome, Thalassemia major

Hypergonadotropic hypogonadism : Klinefelter syndrome, Noonan syndrome, 
Infections: Viral orchitis, Mumps Orchitis, Leprotic Orchits 
Drug Induced: Cytotxic drugs, Testicular irradiation. ), Drugs (cytotoxic drungs, ketoconazole, cimetidine, spironolactone)
Developmental: Testicular disorders (primary leydig cell dysfunction), 
Chromosomal Disorder: (Klinefelter syndrome and variants, XX male gonadal dysgenesis), 
Defects in androgen biosynthesis
Myotonia dystrophica,
Toxins (alcohol, opiates, fungicides, insecticides, heavy metals, cotton seed oilSystemic illness (uremia, liver failure), End-organ resistance (impaired androgen action)
Androgen Receptor defects, 
Postreceptor transduction abnormalities,
5 alpha-Reductase deficiency. 
Constitutional delayed growth and puberty. 

Investigation & Diagnosis :

Following tests are required to reach the correct diagnosis of cause of hypogonadism.
Complete male hormone profile: This profile includes all the male hormone tests which affects testicular development, growth & other genital organ development as well as genital functions.
Thyroid test,
Semen analysis
SHBG
Ultrasound of testis, other tests which may be required depending on likelihood of the any of above causes. 
Tests may show low testosterone. L.H. & F.S.H. may be decreased or increased may be low. Thyroid test may show low free T3 & free T4 & TSH may be increased or decreased. Similarly prolactin hormone may be low or high. In biochemistry tests liver function or kidney function may be abnormal. But for interpretation of all above tests one need to be expert of hormone diseases with good experience. Based on above test result diagnosis of cause of hypogonadism is made once the cause is found treatment becomes very simple. 
Then we do testis functional capacity in this we inject single injection of gonadotropin as intramuscular injection
then three day later the rise in concentration of serum total testosterone confirms whether testis has capacity to function normally or not. 
Chromosomal analysis is done to see the genetic structure of testis, because there are many chromosome disorders lead to hypogonadism. 
Capacity of generation of active testosterone i.e. DHT is tested This DHT generation test is abnormal in some cases of hypogonadism. 
Tests to locate testis as ultrasonography or C.T. Scan abdomen is needed if testis is not palpable. 
Serum inhibin is tested which tells that whether hypogonadism is temporary or permanent. 
Serum Iron, T.I.B.C. & ferritin concentration tested for hypogonadism due to hemochromatosis. 
Combined Pituitary hormone tests is performed when suspecting pituitary disorder. 
Molecular genetic studies done in some special cases. 
Serum estrogen increased whenever testicular function decreased. 
Serum DHT is low in some conditions when generation of dihydrotestosterone is decreased. 
Assessment of androgen receptor is due when needed, dynamic tests as HCG test, response to antiestrogen & gonadotropin releasing hormone tests.

Treatment : Treatment of hypogonadism includes cure of primary cause of hypogonadism. 
In case of low L.H. & F.S.H. hormone treatment is given in form of Gonadotropin releasing hormone, Human chorionic gonadotropin, human menopausal gonadotropin or purified follicle stimulating when we start treatment with any of the above mentioned gonadotropins, enlargement of testis followed by rise in testosterone level occurs. This lead to development of beard & moustache, normal pennis size, sperm & semen normalizes & genital dysfunction is cured. Thus almost all patient are cure in one year time. 
Many times hypogonadism is temporary as in constiutional delayed growth & puberty, in many psychiatric disorders & in protein caloric malnutrition. In these cases after correct diagnosis we can permanently cure the hypogonadism in short time. In these patient with in one-year patient achieves normal development. 
When pituitary neoplasia is the cause then surgical treatment is required. When drugs are the culprit then stopping the offending drugs, cure the problem. 

In some long term treatment with androgen as testosterone is required. 
1) Male Hormone Replacement: Treatment with male hormone testosterone is available as oral tablets, skiin patch, skiin gels or injection is given with very good results.
The various preparation of testosterone & route of administration are: 

a) Oral preparation that is available in capsule form. It need to be given one to three capsule daily. 
    These have no side effects. 
b) Transdermal Testosterone given as testosterone gel preparations. It need to be applied any part of skiin once a    
    day. It is very effective & has no side effects. 
c).Transdermal Testosterone scrotal patch are also available which are very effective even if used in small doses
.    It is very effective & has no side effects. 
d) Sublingual Testosterone cyclodextrin is now available which is very fast acting & very effective is fast & better 
     genital organ secondary genital character development. It is used as one tablet daily to be kept under the tongue   
     for  few minutes. It has no side effect and it is very effective.
e)  Local application of D.H.T. gel available as Andractim gel is a new preparation for male hormone replacement. 
f)   Injection Testosterone esters these includes Testosterone enanthate & testosterone cypionate given 
     intramuscular injections every 10 to 14 days. 
g)  Long acting testosterone as testosterone bucilate given once in 4 months. 
h) Testosterones implants are now available which once injected remain effective for up to six months. 


2) Gonadotropin therapy is also very effective in testis enlargement. This is available as injections which has no side effects with very good results. After start of treatment testis starts enlarging in three months time. With in one year time testis enlarges to normal size. Its function also normalizes in most patients. Later testis starts producing normal level of male hormone testosterone. Once testosterone production normalizes, enlargement of testis followed by rise in testosterone level occurs. This lead to development of beard & moustache, normal pennis size, sperm & semen normalizes & genital dysfunction if present is cured as erection & genital desire becomes normal. Physical weakness disappears & mentally becomes more active & alert. All other symptoms also normalizes. Bone strength recovers. Testosterone treatment is harmless if given by expert in hormone in proper doses. Thus almost all patient are cure in one-year time. 
2) Gonadotropin Releasing hormone therapy is effective in many cases of underdeveloped testis even when gonadotropin therapy has failed in normalizing testicular size & function. It is effective when in cases of low L.H. & F.S.H..

3) Growth hormone therapy in many cases where somatrop deficiency is found.

4) Growth Factor, Mineral & Micronutrient Therapy 

Side Effects: It has no side effects if given in proper disease and in patient's when it is really indicated. This it is absolutely safe in young patients below 50 years. 

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 At these places all the facilities for investigation & treatments are available.

At our center / centre / clinic / clinics / hospital / hospitals doctors are dedicated for latest & scientific treatment of these diseases.

Prolactin, Testosterone, Insulin-Fasting & PP, FBS, PPBS), PCP-Phencyclidine Phosphate, urine (Qualitative), PCP-Phencyclidine Phosphate, urine (Quantitative), PDGF-Platelet Derived Growth Factor, Phenobarbitone (Cardinal) , serum by CLIA, Phenytoin (Eptoin), serum by CLIA, Pheochromocytoma marker profile (Adrenaline, Noradrenealine, metanephrine and VMA)

Phosoholipid antibody (APA)- IgG, serum, Phospholipid antibody (APA)- IgM, serum, Phospholipid syndrome profile (ANA, Lupus anticoagulant, VDRL and Phospholipid antibodies IgG/IgM), Phosphorous, Phosphotidyl inositol - IgG, serum (phospholipid), Phosphotidyl inositol - IgM, serum (phospholipid), Phosphotidyl ethanolamin - IgG (phospholipid), Phosphotidyl ethanolamin - IgM (phospholipid), Phosphotidyl choline - IgG, serum (phospholipid), Phosphotidyl choline - IgM, serum (phospholipid), Phosphotydic acid - IgG (Phospholipid), Phosphotydic acid - IgM (Phospholipid), Pituitary Marker Profile (HGH, ACTH, Prolactin), Platelet Antibodies, Platelet count , blood, Pleura! fluid, Routine examination, Pneumocystis Carinii, sputum, PNH test (Ham’s test)(Acidified serum test), Porphobilinogen, urine (Qualitative), Porphobilinogen, urine (Quantitative), Porphyrins, urine (ALA & PBG), Potassium, Pre-operative profile (CBC, blood group, Urine rt, BUN, FBS, HIV, HBsAq, VDRL, BT, CT,PT ), Pregnancy lest, urine, P rogesterone (P4), serum, Prolactin, serum (Collect in resting condition), Prestate profile (PSA, Free PSA, Ratio and Acid hosphatase - total and prostatic fraction), Prostate Markers Profile (PSA, PAP), Protein C activity, plasma, Protein C antigen, quantification, plasma (Overnight test), Protein Electrophoresis, Protein S activity, plasma, Protein S antigen, Quantification, plasma (Overnight), Proteins, Prothrombin Time (PT), PR-Progesterone receptor by Immunohistochemistry, PSA-Prostate specific antigen, PTAH Stain for histopathology, PTH-Para Thyroid Hormone (Intact Molecule), plasma, PTT-Partial Thromboplastin Time, plasma, PTT—Partial Thromboplastin Time, plasma, PUO (Pyrexia of unknown origin) Profile (Aerobic and anaerobic blood culture, IgM antibodies to Dengue, Leptosolra. Brucella, EBV and TB), Pyridoxine (Vitamin B6), plasma, Pyrllinks D-Deoxypyrldinollne, urine, Pyruvate, serum, RA-Rhuematoid Arthritis test (Quantitative), Reducing substances, stool, Renal biopsy with PAS stain, Renal function tests Max! (CBC, Urine it, FBS, BUN, Creatlnine, Uric acid, Proteins, Ca, P, Electrolytes, Acid phosphatase, Alkaline phosphatase, Bicarbonate), Renal function tests,Mini (Urine rt, Creatinine, Uric acid, BUN. Proteins), Renln Activity, plasma (PRA), Respiratory Tract Infection profile (IgM antibodies to Legionella pneumophilia, Mycoplasma pneumonia, Coxiella brunetii, Chlamydia pneumoniae, Adenovirus, RSV, Influenza A/B and Paralnfluenza 1,2,3), Reticulin Stain (For histopathology), Reticulocyte count, blood, Reticulocyte count, blood, Rh (Anti D) Antibody litre, Rhodamine Stain (For histopathology), RNP-Sm Antibody, serum, Ro Antibody SSA(Soluble Substance A), Rose Waller test, serum, Routine examination, ascitlc fluid. Routine examination, body fluids, Routine examination, CSF, Routine examination, Pericardia! Fluid, Routine examination, Peritonlal fluid, Routine examination, plueral fluid,             Routine examination, semen, Routine Examination, stool, Routine examination, synovia! Fluid, Routine Examination, urine, RSV-Respiratory Synctial Virus, IgM antibody, Rubella (German Measles), Avidity test, Rubella (German Measles) -IgM Antibodies, Rubella (German Measles)-lgG Antibodies, Rubeola (Measles) -IgG antibodies, Rubeola (Measles) -IgM antibodies, RVVT-Russel viper venom time, S-100 protein by Immunohistochemistry, Salicylate, serum, Sarcoma Markers Profile (Vimentin.Desmin, Smooth Muscle Actin,S100), SCC-Squamous Cell Carcinoma Antigen, Scl-70 antibody, serum, Scleroderma panel (Antibody to SCI-70 and Centromere), Second opinion slides/blocks for histopathology, Selenium, Semen, Routine examination, Serotonin, SGOT (AST), Serum, SGPT (ALT), serum, SHBG-genital Hormone Binding Globulin, serum, Sickling test, blood, Skiin bioosv (SOS special stain), SLE profile (CBC, ESR, ANA, dsDNA, LE, Sm), Sm (Smith antigen), serum, SMA 12+2 (FBS.BUN.Creatinine, Uric acid, Ca,P, Proteins, Cholesterol, SGOT, SGPT, Alkaline phosphatase, bilirubin, LDH, CPK), Small specimen for histopathology, Smear for Nocardia, Smooth Muscle Actin for Immunohistochemistry, Smooth Muscle Antibody (ASMA), Sodium, Somatomedin C (IGF-1), serum, Specific gravity, urine, Sperm Antibody (ASAB) (Total), serum, Spirometry (For walk in patients), Sphingomyelin-IgG, serum (Phospholipid), Sphingomyelin-IgM, serum (Phospholipid), Sputum Routine, SSA-Ro (Soluble Substance A) Antibody, serum, SSB-La (Soluble Substance B) Antibody, serum, STD Profile (HIV-Duo, HSV 1& 2 IgG/IgM, VDRL, TPHA), Stomach Marker Profile (CEA, CA19.9, CA 72.4), Stone (Calculus) analysis, Stool, Routine Examination, Striated Muscle (ASKA-Skeletal Muscle) Antibody

Different Hospitals in india are: Moolchand Health Care, St. Stephen’s Hospital, Dr. Ram Manohar Lohia Hospital, G.B Pant Hospital, Lok Nayak Hospital, RG Stone Urological Reasarch Institue, Sir Ganga Ram Hospital, Jeevan Hospital, Deen Dayal Upadhyaya Hospital, Orthonova Hospital, Batra Hospital, Sahi Hospital, Indraprastha Apollo Hospitals, Holy Faimly Hospital, Jeevan Mala Hospital, Jaipur Golden Hospital, Lady Harding Hospital, Smt. Sucheta Kriplani Hospital, Mata Chanan Devi Hospital, Safdarjung Hospital, Mohindra Hospital, M.P Heart centre Hospital, Bara Hospital, Hindu Rao Hospital, Holy Angels Hospital, Shankar Hospital, Holy Family Hospital, Chopra Hospital, Escorts Hospital St. Stephen's Hospital, Vardaan Hospital, Visitech Eye Hospital, Vardhman Mahavir Medical College, Safdarjung Hospital, Lok Nayak Jai Prakash (LNJP) Hospital, Private Hospital, Guru Teg Bahadur Hospital, Kalra Hospital,  Bangalore Baptist Hospital, Bowring Hospital, B W Lions Eye Hospital, Bangalore Hospital, Bangalore Children's Hospital, Genesis Hospital, Lakeside Hospital, M G A Hospital, Mallya Hospital, Manipal Hospital, Sindhi Charitable Hospital, Yellamma Dasappa Hospital,  Sir Harkisandas Narottamdas Hospital, Prince Alikhan Hospital, Saifee Hospital, Breach Candy Hospital, Jaslok Hospital, Habib Ismail Hosptal, Kalajyot Hospital, Motiben Dalvi Hospital, Bombay Hospital, Corwest Jain Clinic Group of Hospitals, D.S. Kothari Hospital, Lotus Hospital, Elizabeth Hospital, Bhatia Hospital, The Bomanji Dinshaw Petit Parsee Hospital, Cumbala Hill Hospital, Noor Hospital, K.B. Haji Bachoali Charitable Ophthalmic & ENT Hospital, Bai Jerbai Wadia Hspital, Nawroji Wadia Maternity Hospital, Wadia Hospital, Yerla Medical Trust Hospital, Tarachand Bappa Hospital, Dhanwantari Hospital, Shri Samasta Parajiya Suvarna Hospital, Smt.B.C.J. General Hospital, Smt.B.C.J. General Hospital, Holi Spirit Hospital, Lilavati Hospital, The Bandra Holy Family Hospital, Raheja Hospital, Gurunanak Memorial Hospital, Ramakrishna Mission Hospital, Radhibai Watumull Global Hospital, BSES Hospital, Sushrut Hospital, LH Hiranandani Hospital, Maganlal Popatlal & Sarvoday Hospital, Rajawadi Municipal General Hospital, Shatabdi Hospital, KBB Hospital, V.N. Hospital, Dr.K.B. Babha Hospital, Cooper Hospital, Bhagwati Hospital, Sion Hospital, K.E.M. Hospital Nayar Hospital, Kama Hospital, G.T. Hospital, J.J. Hospital, Sr.George Hospital, Aliganj Hospital, Blue Cross Hospital, Getwell Hospital, Krishna Lok Hospital, Lucknow Hospital, Medwin Hospital and Health Centre, Vivekanand Hospital, G.M.Associate Hospital, Dufferin Hospital, Civil Hospital, Communicable/Infectious Diseases Hospital Lifeline Hospital and Heart Centre, Lucknow Hospital, Shalimar Hospital, Rajendranagar Hospital Tuberculosis Hospital, Lucknow Rajpoot Hospital, Nishat Hospital, Z A Chartable Hospital, Indira Gandhi Eye Hospital, Sitapur Eye Hospital, Awadh Hospital and Heart Centre, Balrampur Hospital, Cantonment General Hospital, Civil Hospital, Dr.Shyama Prasad Mukherjie Hospital, Fatima Hospital, G.M.Associate Hospital, K.K.Hospital, Veerangana Jhalkari Bai Female Hospital, Shekhar Hospital, Queen Mary Hospital, Osmania General Hospital, Gandhi Hospital, Government Maternity Hospital, Nilofar Hospital, Cancer Hospital, T.B. Hospital, Hospital for Mental Diseases, Sarojini Devi Hospital, Sundram Medical Foundation, Chennai. MIOT Hospital, Chennai. Apollo Hospital, Madras. Malar Hospital Limited, Gandhi Nagar Adyar, Chenni. Calcutta Medical College Hospital. N.R.S. Medical College & Hospital, Calcutta. R.G. Kar Medical College & Hospital, Calcutta. Calcutta National Medical College & Hospital, Instt. of Postgraduate Med. Education & Research, Calcutta Seth S.K.M. Hospital, Calcutta. Sambhu Nath Pandit Hospital, Calcutta. Lady Dufferinvictoria Hospital, Calcutta. Howrah General Hospital, Howrah, Hoogly Sadar Hospital, Hoogly, Chittaranjan Seva Sadan & Chittaranjan Cancer Hospital,  Ramakrishna Mission Seva Pratishthan General Hospital, Calcutta.

Medical College & Hospital, Bangalore. Medical College & Hospital, Mysore. Medical College & Hospital, Hubli, Karnataka. Headquarters Hospital (for Manipal College), Mangalore. Bellary Medical College, Hqrs hospital, Bellary. Bowring & Lady Curzon Hospital, Bangalore. Mc Gann Hospital, Shimoga, Karnataka. Civil Hospital, Bijapur, Karnataka. Civil Hospital, Mircare, Karnataka. Civil Hospital, Belgaum, Karnataka. Civil Hospital, Gulbarga, Karnataka. Headquarters Hospital, Tumkur, Karnataka. Civil Hospital, Raichur, Karnataka. Civil Hospital, Dharwar, Karnataka. Civil Hospital, Bidar, Karnataka. Headquarters Hospital, Mandya, Karnataka. Headquarters Hospital, Kolar, Karnataka. Headquarters Hospital, Hassan, Karnataka. Headquarters Hospital, Chitradurga, Karnataka. District Hospital, Chitradurga, Karnataka. District Hospital, Chitradurga, Karnataka. Father Muller’s Charitable Hospital, Mangalore. The Kolar Gold Mining Undertakings (Medical Estt.)Champion, Reeft. P.O., Karnataka. Primary Health Centre, Gundluper, Karnataka. Primary Health Centre, Chamarajanagar, Karnataka. Primary Health Centre, Talaguppa, Karnataka. Primary Heralth Centre, Hosanagar, Karnataka. Primary Health Centre, Kabbur, Karnataka. Primary Health Centre, Nandagad, Karnataka. Primary Health Centre, Shirahatti, Karnataka. Primary Health Centre, Kalghatgi, Karnataka. Primary Health Centre, Nampasagar, Karnataka. Primary Health Centre, Shivalli, Karnataka. Primary Health Centre, K.R. Pet, Karnataka. Primary Health Centre, Pandavapur, Karnataka. Combined Hospital, Holenarasipur, Karnataka. Combined Hospital, Bellur, Karnataka. Combined Hospital, Chellakera, Karnataka. Primary Health Centre, Harihara, Karnataka. Primary Health Centre, Bajpe, Karnataka. Primary Health Centre, Sidalghatta, Karnataka. Primary Health Centre, Gudibanda, Karnataka. Primary Health Centre, Yadgir, Karnataka. Primary Health Centre, Tarikere, Karnataka. Primary Health Centre, Koppa, Karnataka. Kasturba General Hospital, Manipal. C.S.I. Hospital, Basal Mission, Udpi, South Kanara, Mysore. Mary Calvert Holdsworth Hospital, Mysore City. Banglaore Baptist Hospital, Banglaore. Hindustan Aeronautics Ltd. Hospital, Bangalore. St. Philomena Hospital, Banglaore

 Cyclosporin, blood, Cysticercus - IgG antibodies, Cytogenetics (stress) for Fanconi’s Anaemia, Cytogenetics for AZFa, AZFb, AZFc, Cytogenetics for Beta thalassemia (Analysis of complete set of 16 loci), Cytogenetics for Fragile X, Cytogenetics for muscular distrophy (Detection of hot spot exon 25 nos for DMD), Cytogenetics for Philadelphia Chromosome (For Chronic Myeloid Leukaemia - CML), Cytology, Cytology with cell block, Cytology with cell block, D-Dimer Quantification, plasma, Dengue-lgG antibodies, Dengue-lgG antibodies, Dcsmin by Immunohistochemistry  

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Some important information: Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatment therapy by hormone therapy  is one of the very remarkable advancement in the last 5 years. Male/ male hormone deficiency hypogonadism/ Hypogonadism  investigation, cause diagnosis & treatment facilities are availalable at very few centres in the delhi/ Delhi ( India / india).treatment of thousands patients has been successfully done at our centre. Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatment therapy by hormone therapy is very successful. Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatment therapy by hormone therapy after finding the correct cause of Male/ male hormone deficiency hypogonadism/ Hypogonadism. Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatment therapy by hormone therapy medical treatment results are very good. After Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatment therapy by hormone therapy patient becomes more satisfied. We have treatment for Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatment therapy by hormone therapy. Before starting treatment for Male/ male hormone deficiency hypogonadism/ Hypogonadism  , our team of doctors decide how to treat Male/ male hormone deficiency hypogonadism/ Hypogonadism  . At our Delhi (India) center, we have highly qualified expert doctor, who are well trained in diagnosis of cause of Male/ male hormone deficiency hypogonadism/ Hypogonadism  . At our Delhi (India) centre, our doctors are experienced in Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatment (therapy) of Male/ male hormone deficiency hypogonadism/ Hypogonadism. Male/ male hormone deficiency hypogonadism/ Hypogonadism  treated by drug (medical) treatment. Male/ male hormone deficiency hypogonadism/ Hypogonadism  is one of the common cause of inferiority complex in many boys & men. Male/ male hormone deficiency hypogonadism/ Hypogonadism  treatments is must. Male/ male hormone deficiency hypogonadism/ Hypogonadism  therapy can be by oral hormone pills. Male/ male hormone deficiency hypogonadism/ Hypogonadism  cause ( causes)  are investigated at our hospital. Male/ male hormone deficiency hypogonadism/ Hypogonadism  occurs due to various causes as mentioned above. Patient with Male/ male hormone deficiency hypogonadism/ Hypogonadism  should go to qualified specialist. Male/ male hormone deficiency hypogonadism/ Hypogonadism  patient should be investigated (various investigations / investigation ) before starting treatment. Our Hospital / centre is situated in east, East ,new,New, Delhi (India). It is closer to Central, central delhi, four kilometer from  South, south delhi , North, north delhi, &  West, west, delhi.  Our Delhi centre is eight kilometer from Noida, Noida, Gaziabad, ghaziabad, Faridabad, faridabad & Gurgaon, gurgaon. Our hospital/ centre is one of the most famous Male/ male hormone deficiency hypogonadism/ Hypogonadism treatment center in Delhi & India.  

function values, protective effect , against breast cancer, omega-6, oxidation biochemistry , defects , asymptomatic, biochemistry , clinical features , enzyme deficiencies , laboratory assessment , treatment , muscle, thyroid hormones , polyunsaturated, diabetic diet, intake , plasma lipoprotein levels, storage form , synthesis , thyroid hormones , trans, plasma lipoprotein levels, types , unsaturated, pse by muscle, Fatty acyl-coenzyme A (CoA), Fatty liver acute, pregnacy, diabetes, diagnosis , histology , progression cirrhosis, Favus, Murray J., FDA. Food Drug Administration Fear, hypothalamic lesion , Fecal incontinence, diabetes, Fecundability, endometriosis , Fecundity, Fed states, physiology , Feedback definition , effectiveness , time constants , endocrine systems amplification output , components , localization , examples , long-loop, short-loop, ultrashort-loop, hypothalamic-pituitary-target, negative, definition , by genital steroids, positive, definition , parturition, by genital steroids, suckling, Feedback inhibition, Feeding behavior. Food intake anorexia nervosa, central neuropeptides , endocrine brain , IL-6 , TNF-alfa , Feldman, Eva L., Felodipine, effects endocrine function , values, Female(s) acne , contraceptive implants , cyproterone acetate , hyperandrogenism , oral contraceptives , polycystic ovary syndrome , prevalence scoring , treatment , alcoholic, hypothalamic-pituitary-gonadal axis , alopecia , androgen production , polycystic ovary syndrome , basal energy expenditure , calculation , bone mineral density , depression , cirrhosis , genital hormone alterations due , contraception . Contraception corticosteroid-induced osteoporosis , dehydroepiandrosterone (DHEA) adrenal tumors , depression , normal serum levels, dehydroepiandrosterone sulfate (DHEAS) adrenal, adrenal tumors , circulating, polycystic ovarian syndrome, hair growth, menopause , normal values, ovarian, polycystic ovarian syndrome , puberty,depression , pathophysiology , prevalence , dihydrotestosterone alopecia , hair growth , hirsutism , during menstrual cycle, normal serum levels, as serum marker androgenicity, elderly, arteritis , hyperthyroidism , embryonal genital development , endocrinopathy , respiratory effects , genitalia . Genitalia, female hirsutism , amenorrhea , androgenic granulosa tumor , androsterone glucuronide , idiopathic, modulators androgen action , oral contraceptives , polycystic ovary syndrome , response therapy subsequent course , serum markers , treatment , versus virilization, hyperandrogenism acne, adrenal, late-onset 3vita-ol-deficiency , androgen source determination , cryptic, hisutism, hyperinsulinemia , polycystic ovary syndrome , hypogonadism alcoholism, hormone replacement therapy , lipid levels , with renal failure, respiratory effects , infertility alcoholism, definition , differntial diagnosis , hyperprolactinemia , renal failure, male-pattern baldness , oral / dental health , orgas, osteoporosis , pituitary gonadotropin deficiency , postmenopausal, endocrine effects alcohol , pubertal growth , puberty , age onset , bone density , breast staging , duration , GnRH secretion , grwoth during, hormone rhythms , menarche , pattern onset , plasma hormone levels during, precocious, genital bleeding, premature, public hair staging , sequence events , skeletal maturation during, renal disease , hypophysial-gonadal dysfunction , reproductive function , normal, reproductive organs . Ambiguous genitalia; specific anatomical structure reproductive system , aging , smoking , sterilization , testosterone androgenicity, hair growth, hirsutism, hyperthecosis , measurement , menopause , during menstrual cycle, normal values , ovarian, menopause , ovarian neoplasma , peripheral metabolism , polycystic ovary syndrome, premenstrual syndrome, serum androgen-producing neoplasm, polycystic ovarian syndrome, SHBG , steroidogenesis , pathway , virilization , virilization , versus hirsutism, Femara. Letrozole Femcal. Calcium carbonate Feminization alcohol , cirrhosis, complete testicular, contragenital precocious puberty , mechanisms , Feminizing adrenal syndromes, Femoral head, avascular necrosis , corticosteroid-related, Femoral neuropathy, FemPatch. Estrogen(s), transdermal Fenclofenac, effects endocrine function values, Fenfluramine, effects endocrine function values, Fenfluramine, effects endocrine function values Fenofibrate (Tricore), actions , adverse effects side effects , dosage administration , effects endocrine function values, indications , lipid-lowering effects , micronized, diabetic dyslipidemia, preparations , Fenoldopam, effects endocrine function values, Fenoprofen. Nonsteroidal anti-inflammatory drugs effects endocrine function values, Ferning pattern, cervical mucus, fertility, Ferredoxin, Adrenodoxin Ferredoxin reductase, Adrenodoxin reductase Ferric chloride test amino-acid disorders, ketones urine, Ferriman-Gallwey system, Ferritin inflammatory response, serum level , thyroid function , Ferrous sulfate, thyroid function parameters, Fertile eunuch syndrome, Fertility alcohol , hypothyroidism , injectable contraception , liver transplant recipient, male cryptorchidism , effects toxins , permanent hypogonadism , reproductive process important , Fertility rate definition , U.S., Fertilization, by two sperm, Fertinex. Urofollinotropin Fetal adrenal-placental unit, pregnancy, Fetal alcohol syndrome, short stature , Fetal circulation, persistent, Fetal compartment, Fetal death, Abortion(s), spontaneous; Fetal loss disseminated intravasular coagulation, Fetal loss, Abortion(s), spontaneous; Fetal death with Cushing syndrome pregnancy, with pheochromocytoma, thyrotoxicosis , Fetal membranes, hCG , rupture , Fetal period, hypothalamic-pituitary-gonadal axis , Fetal-placental unit, evaluation early pregnancy, by endocrine testing, late pregnancy, Fetomaternal circulation, -Fetoprotein. Alpha-fetoprotein etus development , effects toxins , hyperglycemia , hyperglycemia , hyperinuslinemia , virilization , ever cytokine excretion urine , protein metabolism, spermatogenesis suppression, thermoregulation , eyrter cells. Pulmonary neuroendocrine (PNE) cells HH. Familial hypocalciuric hypercalcemia [A. Fluorescence immunoassay ber (dietary), crude, diabetic diet, effects , increase , elderly, insoluble, intake , plasma lipoprotein levels, sources , types , undigestible, Fibric acid derivatives, adverse effects side effects , cardioprotective effect , combination drug therapy with bile acid sequestrants, with HMG-CoA reductase inhibitors, with lovastatin, contraindications , diabetic dyslipidemia, lipid-lowering effects , mechanism action , triglyceride-lowering effects , Fibrillin(s), genes , type 1, type 2, Fibrillinopathy, definition , Fibrinogen inflammatory response, plasma / serum level , syndrome X, Fibrinolysis endometrium, kinins , proteins , production , Fibrinolytic system, inflammatory response, Fibroadenoma(s), breast, Fibroblast(s) bone remodeling, cytokines produced by, dermal, eicosanoid synthesis , growth factors produced by, human lung, kinins , peptide hormones , Fibroblast activating factor (FAF), cell source , Fibroblast growth factor (FGF), acidic (aFGF), biologic response , sleep-promoting properties , as angiogenic factor, basic (bFGF), adrenal embryology, biologic response , cell source , endothelial effects , functions , pulmonary effects , three-dimensional structure , biologic response , family , functions , hair growth, pulmonary effects , skeletal effects , skiin, Fibroblast growth factor (FGF) receptor(s), Fibrocystic disease breast, Fibrodysplasia (myositis) ossificans progressiva, pathogenesis , pathology , radiographic findings , severity , treatment , Fibrogenesis imperfecta ossium, differential diagnosis , histopathology , radiographic findings , Fibroma molluscum acromegaly, pregnancy, Fibroma molluscum gravidarum, Fibromuscular dysplasia, renovascular hypertension, Fibromyalgia CRH hyposecretion , hypothalamus , pathophysiology , Fibronectin bone, inflammatory response, macrophage-drived, serum level , thyroid function , Fibrosarcoma adenohypophysial, Paget disease bone, thyroid, Fibrosis cardiac, aldosterone , hepatic cholesterol ester storage disease, diabetes, type III glycogen storage disease, platelet-derived growth factor , pulmonary idiopathic, pulmonary hormones , platelet-derived growth factor , TGF-vita , Fibrositis, hypothyroidism, Fibrothecoma, Fibrous dysplasia, clincial presentation , etiology , etiology , histopathology , maxillary, monostotic, otolaryngologic considerations , pathogenesis , pathology , polyostotic, radiographic findings , Fight or flight response, catecholamines , Filariasis epididymitis , orchitis , Filgrastim, effects endocrine function values, Filtration fraction, Finasteride (Proscar, Propecia) actions , adverse effects side effects , dosage administration values, dysfunction, gynecomastia, indications , male pseudohermaphroditism, preparations , structure , therapy with benign prostatic hyperplasia, hirsutism, Fine, Jo-David, Fine-needle aspiration biopsy adrenal incidentaloma, thyroid, thyroid lymphoma, thyroid nodules, accuracy , complications , cytologic features , histologic features , interpretation , recommendations , sampling errors , sensitivity , specificity , technique , ultrasound-guided, Fingernails, infections , diabetes, Fingerprinting, DNA, Finkelstein, James D., Firefly luciferase, First polar body, release , FISH. Fluorescence situ hybridization Fish eye disease, ocular manifestations , Fish oil, biological effects , diabetes, cardiovascular effects , fatty acids , intake , plasma lipoprotein levels, protective effect , against breast cancer, Fish oil capsules indications , lipid-lowering effects , triglyceride-lowering effects , Fitzgerald trait, FK-506. Tacrolimus Flagellar development, spermiogenesis, Flanjeac trait, Flavin adenine dinucleotide, Flavin mononucleotide, Flecainde, effects endocrine function values, Fleet Phospho-Soda, neonatal hypocalcemia, Flexor tenosynovitis, diabetes, Flier, Jeffrey S., Floating endocrine system, Flomax. Tamsulosin hydrochloride (Flamax) Florical. Calcium carbonate Florical. Calcium Carbonate, Florinef. Fludrocortisone acetate, Florinef acetate. Mineralocorticoid(s) Flow-sorting, chromosomes, Floxed gene(s), flt3/flk-2 ligand, biologic response , Fluconazole, effects endocrine function values, therapy with chronic mucocutaneous candidiasis, fungal infection thyroid,Flucytosine, effects endocrine function values, Fludrocortisone(acetate) (Florinef). Mineralocorticoid(s) clinical applications , dosage administration , effects onn endocrine function values, structure , therapy with adrenal insufficiency, children, aminoglutethimide-induced glucocorticoid deficiency, congenital adrenal hyperplasia, , indications , hypoaldosteronism, mineralocorticoid replacement therapy, orthostatic hypotension, fluid intake increase , cystine stone treatment, rezuirements, infants children, fluid restriction, SIAD, Fluid retention, premenstrual syndrome, Flumazenil, effects endocrine function values, fluorescence immunoassary (FIA), Fluorescence situ hybridization (FISH), Fluorescence polarization inhibition assay (FPIA), Fluoride(s), bones, deficiency , dental/orofacial abnormalities , dental health, effects endocrine function values, insulin secretion, reference values , therapy with (Fluoritab, Flura, Flura-Loz, Karidium, Luride, Lozi-Tabs, Pharmaflur, -Drops, Naf, Pediaflor, Phos-Flur) action , adverse effects side effects , dosage administration , goitrogenic effects , indications , preparations , toxin effects , urolithiasis, Fluoritab. Fluoride(s), therapy with Fluorosis, chronic endemic, dental/orfacial abnormalities, , 5-Fluorouracil effects endocrine function values, male infertility, therapy with gastrinomas, glucagonoma, insuliomas, VIPoma, Fluoxetine hydrochloride effects endocrine function values, dysfunction, therapy with eating disorders, premenstrual syndrome, Fluoxymesterone (Halotestin), Androgen(s) action , adverse effects side effects , dosage administration , indications , preparations , therapy with anemia, delayed puberty, Fluphenazine. Phenothiazine(s) vasopressin secretion, Flura. Fluride(s), therapy with Flura-Drops. Fluoride(s), therapy with Flure-Loz. Fluoride(s), therapy with Flurazepam. Benzodiazepine(s) effects endocrine function values, Flushing alcohol, chlorpropamide-induced, msatocytosis, nicotinic acid-induced, pregnancy, with VIPoma, Flutamide (Eulexian), actions , adverse effects side effects , chemical structure , dosage administration , effects endocrine function values, gynecomastia, diccations , lipid levels, male pseudohermaphroditism, preparations , therapy with alopecia, benign prostatic hyperplasia breast cancer, hirsutism, prostate cancer, after relapse, Fluvastatin (Lescol), action , adverse effects side effects , diabetic dyslipidemia, dosage administration , indications , lipid-lowering effects , preparations , structure , Fluvoxamine dysfunction, premenstrual syndrome, FRMRamide central nervous system effects , FRMRF-NH2. FRMFamide Foam cells, Niemann-Pick disease, Focal adhesion kinase, IGF-I singnaling pathway, Folate(folic acid), competitive protein-binding assay , deficiency , anemia , hypothyroidism, pregnancy, effects endocrine function values, oral contraceptives , reference vales , supplementation, cystathionine synthase deficiency, Folicel(s) hair, anagen, glucosemetabolism , changes , during growth, ovarian, atresia primary, animals, primordial, loss , recruitment , secondary,, tertiary, Follicle-stimulating hormone(FSH) actions , IGF-I , aging , alcohol , apoptosis granulose cells, basal, hypothalamic chronic anovulation, 17Beta-estradiol feedback effects , Beta subunit , mutations , precursor , precursor , carbohydrate contendt , clearance , critical illness, acute versus chronic phase, deficiency infants children, treatment , isolated male hypogonadism , maintenance therapy , dialysis patients, erythropoietin therapy , embryo, excretion , fetal, folliculogenesi, follistatin production, functions , GnRH infusion , gonadal effects , half-life , hot flushes , hypothalamic-pituitary-gonadal axis, induced follicular maturation, isoforms , inactive, maternal pregnancy, menopause , monotropic rise , ovary reserve, ovulation, ovulation induction, peripheral blood, pituitary adenoma producing. Pituitary adenoma(s), gonadotrope; Pituitary adenoma(s), null cell, plasma/serum level amenorrhea , norexia nervosa, assays , critical illness, elevatedm menopause , endotheline , hypogonadis, life cylcle phases , lover transplant recipient, males, during prenatal postnatal development, measurement , during menstrual cycle, polycystic ovarian syndrome, response LHRH, cryptorchidism, women with renal failure, precocious puberty , production , by lymphocytes, properties , puberty, female, male, pulsatile patterns , hypothalamic chronic anovulation, recombinant, reference values , reinduction LH receptors, luteinization, renal metabolism , response gonadotropin-releasing hormone, secondary rise , follicle selection, secretion , age-related patterns , cytokines , gonadal steroids , inhibin , pregnancy , prelatic , regulation , spermatogenesis, structure , subunit structure ,. Alpha subunit; Beta subnit(s) synthesis , testicular function, laboratory evaluation , 45,X, Follicle-stimulating hormone (FSH) receptor(s), mutations , activation, inactivating, premature ovarian failure, related endocrine disorders, Follicular cysts, Follicular phase, menstrual cycle characteristics , luteinization, Folliculitis, perforating, diabetes, Folliculogenesis normal, preantral stages selectivity Folling disease. phenylketonuria Follinotropin beta (Follistim) actions , adverse effects side effects , dosage administration , indications , preparations , Follistatin apotosis granulose cells, folliculogenesis, gonadotropin secretion, placental, plasma/serum level , during menstraual cycle, buberty, Follistim. Follinotropin beta Food Drug Administration(FDA) androgens steroids, drug certification procedure, pregnancy categories drugs, Food intake. Feeding behavior dysregulation anorexia nervosa, central neuropeptides , regulation , foot diabetic. Diabetic foot microvasculature , Formen cecum, Forced-duction test, Forbrain basal encephaloceles , malformations , Formestane, breast cancer treatment, fornix/fornices hypothalamus, pathways connecting, memory, Foscarnet sodium effects endocrine function values, hypercalcemia caused by, therapy with, endocrinologic side effects , indications , Fosinopril. Angiotensin-converting enxyme(ACE) inhibition/inhibitor effects endocrine function values, founder effects endocrine function values, Founder effects, pseudovaginal prerineoscrotal hypospadias, Fournier gangrene, diabetes, FPIA. Fluorescence polarization inhibition assay Fracture(s) aging , anorexia nervosa, callus formation after, IGF-I , corticosteroid therapy , crush, multiple myeloma, distal radial. Colles fractures eldery, family history , risk future fractures, fragility, prediction , hip excess mortality rate , men, osteoporotic, prevention , risk factors , smoking , history , risk future fractures, osteogenesis imperfecta type I, osteomalcia, osteoporotic activity level , incidence , risk factors , postmenopausl sites , Patet disease bone, recurrent fibrogenesis imperfecta, renal osteodystrophy, risk age , biochemical markers , current, elderly, lifetime, osteoporosis, postmenopausal, prediction , premenopausal, risk factors , vertebral, juvenile osteoporosis, men, osteoporotic, prevention , risk fuure fractures, wedge, Framewoerk region, Frank method, Fraser syndorome, Free fatty acids (FFA). Fatty acid(s), free Free radical. Oxygen free radicals Free redical scavenging, by melatonin, Free-radical rhythm(s), Free testosterone index, Free thyroxine(FT4) index, calculation , diagnostic utility , hypothyroidism, nontyroidal illness, pregnancy, rational , reference values , TSH deficiency, Free triiodothyronine (T3) index, pregnancy, "French paradox," Fretts, Ruth C., Friedwald formula, Friedreich ataxia, glucose intolerance, , Frontal lobe, calcification , Frozen embryo transfer, Fronzen shoulder, diabetes, Fructokinase deficiency, Fructosamine assay , reference values , Fructose diabetes , energy intake from, intolerance, hereditary, purine synthesis, Fructose-1,b-biphosphate, phosphaofructokinase , regulation , Fructose-2,6biphosphate glucagons action, phosphofructokinase , Fructose-1,6-diphosphatase deficiency, Fructose intolerance, hereditary, Fructose-6-phosphate, Fructose-1-phosphate aldolase deficiency, Fructosuria, essential , FSH. Follicle-stimulating hormone Fucosidase deficiency, Fucosidosis clinical features , genetics , ocular manifestations , typesI, II, clinical features , Fuel consumption. Metabolism effects brain, effects muscle, Fuel homestasis, energy reservoirs , hormonal factors , regulation , Fuel metabolism, Metabolism after fasting, alcohol , disorders with cutaneous manifestations, neuromuscular manifestations , ocular effects , toxins , Fuel-sensing mechanisms, Fugiwara trait, Fulminant hyperthermia. Malignant hyperthermia Fumarylacetoacetate hydrolase deficiency, furmarylacetoacetate hydrolase deficiency, Gallbladder, contractility, diabetes , diabetes, gangrene , diabetes, response autonomic verve impulses, surgery, diabetes, mortality rate , Gallbladder cancer, epidemiology , Gallbladder


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