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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 ||

 Small genital & genital Enlargement 


What is small genital
Causes of small genital
Diagnostic tests for Diagnosing cause of Small genital
Treatment Options for genital Enlargement
Response of Treatment

:

What is small genital? 

As we know average penile length is six inches (i.e. fifteen centimeter). When genital is somewhat smaller than this, is called small genital. And when it is too small than normal is called microgenital. This small genital size is found in approximately one percent of men .The small genital may occur as single disorder or in some persons it may be associated with thin genital. In some persons genital is very thin as in children. It makes them genitally unsure of himself and decreases their confidence. They feel inferiority complex in exposing themselves in public places as in swimming pools & sea beaches etc. Thus it must be consulted urgently, so that diagnosis and treatment can be started as soon as possible. For this you may consult at our Diabetes Thyroid  Hormone center for complete diagnosis & treatment. In majority cases proper diagnosis & hormone therapy of about one year duration leads to genital growth in size and normalization of genital in length & thickness. Thus you consult at our center where doctor have experience of treating such problems. In very-2 rare cases surgical intervention is needed in which case by microsurgery technique the genital enlargement is achieved in length (as well as in thickness i.e. girth if required). 

 

Causes of small genital: 

The following are the major causes of small genital & Thin genital: 

Male Hormones Disorder:

(1) Hypogonadotropic hypogonadism: (hypothalamic or pituitary deficiencies)
Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias, 
Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Trauma, post surgical, postiradiation, Tumour (Adenoma, craniopharyngioma, other), Vascular (pituitary infraction, carotid aneurysm), Infiltrative (Sarcoidosis, histiocytosis, hemochromatosis)
Autoimmune hypophysitis, drug-induced hyperprolactinemia, untreated endocrinopathies, Diabetics Glucorticoid excess, Hypopituitarisms, Cushings disease, Addisons disease. 
Isolated gonadotropin deficiency (non acquired): Pituitary, Hypothalamic 
Associated with multiple pituitary hormone deficiencies: Idiopathic pan hypo pituitarism (hypothalamic defects), Pituitary dysgenesis, Following inflammation, Infiltrative or destructive processes (autoimmune, hemosiderosis),
Fertile eunuch syndrome, Idiopathic hypopituitarism, 

(2) Hyperogonadotropic hypogonadism: testicular failure, development defect, drugs, trauma, congenital defect, congenital adrenal hyperplasia, Chromosomal defect, testosterone hormone biosynthetic defect, Mumps orchitis leading to testicular atrophy, Primary testicular defect-disorders of testicular differentiation or inborn errors of testosterone synthesis, Klinefelter syndrome, Other X polysomies (i.e. XXXXY, XXXY)
Rainbow syndrome, 
(3) Partial androgen insensitivity
(4) Growths Hormones Deficiency
(5) Thyroids hormones deficiency
(6) Idiopathic small phallus:
In many patients all the hormone growth factor & every thing else is normal, still they have small genitalia. This occurs due to Decreased capacity of penile tissue to grow. This occurs due to defective morphogenesis of the genital in utero so that its growing capacity decreases later in life. This is also one of the common causes of small & thin genital.
(7) Chordee
 

Diagnostic tests for diagnosing cause of small genital

First of all we take detailed history then do thorough examination of whole body system including genitalia. On history & examination we get certain clue for likelihood of some of the above causes. Then we perform those relevant tests in that particular patient. Thus by doing some of below mentioned tests diagnosis of cause of small genital is made.
The following are the list of investigations; need to be done in the cases of underdeveloped small/ or thin genital

These tests includes: 

Complete male hormone profile. 
Thyroids test
Serum prolactin
SHBG
Ultrasound of testis
Growths Hormones analysis
DHT Level

Other tests which may be required depending on likelihood of the any of above causes.

Dynamic test: HCG test: To judge functional capacity of testis whether testis has the capacity to function normally or not. In this test we inject single injection of gonadotropin as intramuscular injection then three day later the rise in concentration of male hormone is seen to assess whether testis has capacity to function normally or not.
Response to antiestrogen clomiphene

LH, FSH rise in response to gonadotropin releasing hormone tests.

Chromosomal analysis is done to see the genetic structure of testis, because there are many chromosome disorders, which lead to small genital.
Gene Analysis
Capacity of generation of active testosterone i.e. DHT is tested. This DHT generation test is abnormal in some cases of small genital / thin genital /underdeveloped genital.

Tests to locate testis as ultrasonography or C.T. Scan abdomen is needed if testis is not palpable.
MRI / CT SCAN head: if suspecting hypogonadotropic hypogonadism.

Serum inhibin is tested which tells that whether testis is functioning or not.

Serum Iron, T.I.B.C. & ferritin concentration tested for hypogonadism due to hemochromatosis.
Combined Pituitary hormone tests are performed when suspecting pituitary disorder.

Molecular genetic studies done in some special cases.

Serum estrogen increased whenever testicular function is decreased.
Serum DHT is low in some conditions when generation of dihydrotestosterone is decreased.

Assessment of androgen receptor is done when needed
Dynamic tests as:
All above tests need to be interpreted by expert of hormone diseases with good
experience. Based on above test results diagnosis of cause of small /or thin genital is made. Once the cause is found then treatment becomes very easy with good results.


Treatment For genital Enlargement 


genital enlargement by Hormone Therap
y:Before starting treatment for enlargement of genital all above causes are investigated and proper diagnosis is made. Then we test whether genital enlargement is possible or not.. 

First We Test Whether genital Enlargement Is Possible Or Not. 

For this hormone therapy given for three months in form of male hormone injection, skin patches, or oral tablets. If genital enlarges in size i.e. it grows in size by more than 1.25 cm in these three months, it means genital of that patient has potential for further growth. Once it is decided by above test that genital has potential for further growth, in such patient further courses of hormone therapy is given. By few courses of hormone treatment genital enlarges by three to four inches. By this therapy genital girth also increases besides increase in length. This genital lengthening treatment is very effective in those patients's in whom initial genital increasing potential test shows that genital has capability for further genital growth. Thus all patients achieve fully normal genital i.e. good genital length & thick genital. As genital increases in size patient's confidence increases and feeling of well-being is achieved. 

How this treatment works: 

When we give below-mentioned hormones by any of the below-mentioned routes. The concentration of these hormones in blood circulation rises. This leads to binding of more hormones on androgen receptors of genital. After binding with receptors these hormones leads to certain changes in the genital tissue. This leads to multiplication of penile tissue leading to further growth. This continued multiplication of penile tissue leads to further genital growth. This continued multiplication of genital tissue under the effect of above mentioned hormone treatment continues till genital size normalizes. Usually in one-year time genital size as well as genital thickness i.e. girth normalizes. Unluckily most doctors have less knowledge about hormone treatment so that they neither investigate the patient nor give hormone or other medical therapy for penile growth. 

Treatment of Small genital

Various options of genital enlargement therapy are available for microgenital & small genital.This treatment can be either:
Hormone Therapy: availalable as pills, hormonal skin patches or injections

Surgical therapy: genital enlargement surgeries 


Hormone Treatment For genital Enlargement


We start medical treatment only when above tests shows that genital has capacity to enlarge. It is given in the form replacement of male hormone testosterone & other hormone as growth hormone, DHT hormone & growth factor replacement. These hormones can be given in the form of oral tablets, skin patches, ointments, gel or injections. 
As this treatment has no side effects, is economical and easy to take either as oral tablets, skin patches, or as gel or sometimes as injection of hormone.

The various Treatment options are: 

1) Male hormone testosterone replacement: The replacement of male hormone testosterone is one of the common treatments for genital enlargement. The various preparation of testosterone is:

a) Oral preparation, which is available in capsule form. It needs to be given one to three capsules daily. These have no side effects.

b) Tran dermal Testosterone given as scrotal patch. It is very effective & has no side effects. It can be also given as Testosterone gel, which can be applied on any part of the skin.

c) Sublingual Testosterone cyclodextrin is now available which is very fast acting & very effective is fast & better genital organ & secondary
Genital character development.

d) Local application of D.H.T. gel is new preparation for male hormone replacement. It is very effective for increasing penile size, & in cases of cure of genital development in boys. 

e) Injections of Testosterone esters: These include Testosterone enanthate & testosterone cypionate given intramuscular injections every 10 to 14 days.

f) Long acting testosterone as testosterone bucilate given once in 4 months.

g) Testosterones implants are now available which once injected remain effective for up to six months.

h) New human androgen receptor modulators they increase the effect of male hormone over androgens.

2) Growths Hormones Therapy: Growth hormone is given when somatotropin deficiency is found.

3) IGF-1 therapy: is given when somatomedin-c is subnormal.

4) DHT Therapy: is given in many patients. It is very effective in most patients. This treatment is also effective in many patients when all above treatment has failed. The other good thing about this is that it is available as skin gel so taking this is simple & has no side effects. This treatment is very effective in those in whom male hormone is unable to work due to inability to generate the final end product for testosterone efficacy due to 5 alpha reductase defects. In such patient replacement of final target hormone is replaced leading to good penile growth. In such situation even male hormone can be used in higher than usual doses leading to achievement of good penile enlargement. 

5) Gonadotropin therapy is also very effective in genital enlargement.

6) Gonadotropin Releasing Hormone Therapy is effective in many cases of under develop genitalia.

But unluckily many doctors do not take the problem seriously leading to patient not given proper treatment. Thus many patients remain having small size of genital & associated lifelong inferiority complex. 
 

Response of Treatment: 


When any of above treatment is started the response is very good & has no side effects. In one study when the above hormone started, genital size increases by 1.0 cm in first month & then 0.3 cm every month in later months. After few courses of above treatment genital enlarges by three to four inches in length & also in girth i.e. thickness. Thus the trial of treatment should be given to all adults with small genital before asking them to go for surgery. 

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

genital Enlargement Surgery 
Surgical Treatment is required when medicine are not effective then there are various surgical procedures are there which can lead to long & thick genital. At our centre our micro surgeon performs all genital enlarging or girth increasing surgery.

genital lengthening surgeries are performed by specialist surgeon (microscopic surgery) when genital is significantly small medicines have failed. Sometimes it is performed to improve the performance & satisfaction of man.

Three types of surgeries are performed. 

(i) genital Lengthening Surgeries 
(ii) genital Girth increasing surgeries.
(iii) Chordee correction



Response of Treatment 


When any of above treatment is started the response is very good & has no side effects. In one study when the above hormone started, genital size increases by 1.0 cm in first month & then 0.3 cm every month in later months. After few courses of above treatment genital enlarges by three to four inches in length & also in girth i.e. thickness. Thus the trial of treatment should be given to all adults with small genital before asking them to go for surgery. 

Side Effects: It has no side effects if given in proper disease and in-patients when it is really indicated. This it is absolutely safe
 

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We get patients from all major cities in India & Abroad . In the following cities all the facilities for investigation & treatments including medicines are available as Delhi (North, South, East, Central, West, New Delhi), Ghaziabad, Faridabad, Noida, Gurgaon, Meerut, Saharanpur, Dehradun, Ferozepur , Aurangabad, Manesar, Rewari, Pataudi, Rohtak, Bahadurgarh,Bombay,  Bhiwani, Karnal, Panipat , Ambala, Ludhiana, Amritsar, Batala, Gurdaspur, Jalandhar, Patiala, Chandigarh, Calcutta,  Ferozepur Simla, Manali, Jammu, Udhampur, Poonch, Rajouri, Srinagar, Kargil, Aligarh, Mathura, Etawah, Lucknow, Kanpur, Allahabad, Varanasi, Kashi, Faizabad, Bareilly, Moradabad, Rampur., Dehradun, Uttarkashi, Meerut, Sitapur, Mathura,  Madras, Pilibhit, Nainital, Almora, Agra, Ferozabad, Jhansi, Alwar, Jaipur, Dausa, Ajmer, Beawar, Pali, Bhilwara, Chittorgarh, Kota, Dholpur, Churu, Ratangarh, Sikar, Bikaner, Jodhpur, Jalore, Rajkot, Porbandar, Jamnagar, Dwarka, Junagadh, Surendranagar, Bhav Nagar, Ambala, Ahmedabad, Gandhi Nagar, Godhra, Vadodara, Surat, Bilmora, Navasari, Mumbai, Sonapur, Kalbadevi, Girgaon, Dadar, Mahim, Dharavi, Juhu, Andheri, Kurla, Sahar, Pune, Thane, Palghar, Panaji, Panvel, Solapur, Pandharpur, Ahmednagar, Satara, Kolhapur, Ichalkaranji, Kalyan, Nasik, Dhule, Bhir, Nagpur, Bhandara, Amraoti, Khandwa, Indore, Ujjain, Ratlam, Mandsaur, Bhopal, Vidisha, Sagar, Guna, Shivpuri, Gwalior, Jabalpur, Bhilai, Raipur, Hyderabad, Zahirabad, Suryapet, Guntakal, Chittoor, Tirupati, Tirumala, Nandyal Vijayawada, Guntur, Goa,  Tenali, Nellore, Visakhapatnam, Vellore, Bangalore, Banglore, Ulsoor, Mysore, Srirangapatna, Hassan, Mangalore, Udupi, Manipal, Davanagere, Shimoga, Dharwad, Hubli, Bellary, Hospet, Bijapur, Belgaum, Chennai, Chengalpattu, Pondicherry, Tiruvannamalai, Kumbakonam, Thanjavur, Tiruchirappalli, Palani, Madurai, Sivakasi, Tirunelveli, Ambasamudram, Tenkasi, Nagercoil, Kanchipuram, Salem, Erode, Tirupur, Coimbatore, Pollachi, Kanyakumari, Ernakulam, Trivandrum, Calicut, Kottayam, Calcutta, Howrah, Purulia, Darjeeling, Siliguri, Gangtok, Bhubaneswar, Puri, Rourkela, Guwahati, Shillong, Imphal, Kohima, Agartala, Patna, Gaya, Bokaro, Jamshedpur, Ranchi, Madhubani.

We also get patients from following major cities of the world as Aalborg, Abadan, Abidian, Abudhabi, Abuja, Acapulco, Addis,  Ababa, Adelaide, Agadir, Agana, Ahvaz, Akueryai, Al Ain, Al Khobar, Alaska, Aleppo, Alexandria,       Alexandroupolis, Algiers, AlicanteAll, Areas, All Parts, All parts, Alma-Ata, Almada, AlofiAmatitlan, Ambato, Amman, Amsterdam, Andorra, Andrup, Ankara, AntanarivoAntigua, Antwerp, Apia, Aqaba, Areqioca, Arusha, Ashghabat, Asmara, Assab, Assuncion, Atbara, Athens, Auckland, Augra  Do Heroism Bacolod, Badalona, Baghdad, Baku, Bamako, Bander seribegaw, Bangkok, Barcelona, Barranquilla, Basseterre, Bedzin, Beijing, Belfast, Belgrade, Belize, Bengui, Benha, Benina, Bergen, Berlin, Bern, Bethlehem, Bhutan, Bimini, Birmingham, Bisho, Bissau, Bizerta, Bobo Dioulasso, Bogra, Bonaire, Bonn, Boras, Brasilia, Bratislava, Brazov, Brazzavila, Bremen, Bridgetown, Brisbane, Bristol, charest, Budape  st Buenos Aires, Bujumbura, Bulawayo, Bundung, Burgas, Buzau, Caacupe, Cairo, Cali, Canberra, Cap Haitien, Cape Town, Carecas, Castries, Cebu, Chengdu, Chicago, Chiclayo, chittagong, Christchurch, Christmas Island, CocosKeeling Island, Cologne, Colombu, Conakry, Conception, Contonou, Copenhagen Cordaba,  Cork, Coroval, Corprivertion, Craiova, Cuenca, Cumana, Curacao, Dacca, Dakar, Damascus, Damman, Dangregia, Dar Es Salaam, Defeera, Derbrecen, Dewaniya, Diego Suarez, Diriamba, Djibouti, Doha, Dramman, Dubai, Dublin, Durban, Dushanbe, Dusseldort, El Salvador, Entebbe, Erevan, Equitorial Guinea, Fade N'Gorma, Falun, Faroe Islands, Fes, Franarantsoa, Frankfurt, Freeport, Freetown, French Guiana, Frunze.Ft de France, Fujairah,  Gaborone, Garbrovo, Genda, Geneva, George Town, Georgetown, Ghent, Gibraltar, Glasgow, Gonaives, Gondomar, Granada Grand Beirut, Graz,Guadalajara, Guautemala City, Guayaquil, Gyongyas, Hajja, Hamar, Hamburg, Hamilton, Havana, Halsinki, Ho Chi Milk City, Hodeidah, Homs, HongKong, Honiara, Honolulu, Houston, Hyvinkaa, Ibadan, Ikeja, Incheon, Industira, Invercargill, Isfahan, Islamabad, Island tuvalu, Istanbul, Jakarta, Janawa, Jeddah, Jerusalam, Jimma, Jinia, Johannesburg, Jaba, Kaduna, Kampala, Kaoshiung, Karachi, Karor, Kathmandu, Khartoum, Khon Kean, Khulna, Kiev, Kigalibad, Kingston, Kingstown, Kismayo, kitwe, Kobe, Kolding, Kosice, Koudougou, Kowloon, Kristianstav, Kula Belait, Kuala Lumpur, Kuantan, Kumasi, Kuwait, Kyoto, La Paz, Lady Ville, Lea, Lagos, Lahore, Lahti, Larissa, Las Palmas, Lattaquieh, Leeds, Leipzig, Librevilla, Lima, Limassol, Linden, Lisbon, Liverpool, Ljubl-iana, Lome, London, Los Angeles, Luanda, Lubumbashi, Lugazi, Lungi, Lusaka, Luxembourg, Macao, Madani, Madrid, Majuro, Maldonado, Male, Malmo, Managua, Manama, Mancheter, Manila, Mansoure, Manta, Maputo, Maracay, Marrakech, Maseru, Mashad, Mayotte, Mbabane, Mbale, Medan, Medlin, Melbourne, Mendoza, Mexico city, Miami, Micronesia, Milano, Misrata, Mmabatho, Mogadiscio, Mombassa, Monrovia, MonteCarlo, Monterrey, Monte-video, Montreal, Moscow, Mosule, Mulanje, Mumbai, Muscat, Mutare, Mwanza, Nabeul, Naestved, Nagozi, Nairobi, Najat, Nanjing, Nassau, Nastriya, Nazareth, Ndjamena, New Amsterdam, New-York, Niamey, Nicosia, Norrkoping, Nottingham, Nouakehott, Noumea, Nukualofa, Oklahoma City, Omdurman, Oradea, Orodtheab, Oruro, Osaka, Oslo, Ostrava, Ottawa, Ouagadougu, Oulu, Panama-City, Paralimni, Paramaribo, Paris, Paysandu, Perth, peshawar, Philadelphia, Pingtung, Piraeus, Piura, Pl Villa, Plazen, Plovdiv, Plymouth, Poneloya, Port Au Prince, PortSaid, Port-Sudan, Potosi, Prague, Praia, Pretoria, Pt Lousi, Pt of Spain, Pt.Stanley, Pte Apitre, Pusan, pyongyang, Rabat, Ramalla, Rarstonga, Rawalpindi, Reykyavik, Riga,Rio De Janeiro, Riyadh, Road Town, Rodriquez Islands, Rome, Rosario, Roseau, Rota, Rotterdam, Rzeszow, Saba, Sabh, Sailburg, Salta, Samoa-American, San Francisco, San Jose, San Marcos, San Marino, San pablo, Sandnes, San-Jaun, Sanna, Senta Cruz(Graciosa), Santa Cruz, Santiago, Santo Doming, Sao Paulo, SaoTome Island, Semarang, Seoul, Serrekunda, Sert, Sfax, Shangai, Shariah, Singapore, Skopie, Sofia, Sopot, ST.Denis, St.Georges, St.Helena, St.Johns, St.Pitterbuze, Stockholm, Strydom Airport, Stuttgart, Suphanburi, Suva, Sydney, Szekesfehervar, Taegu, Taichung, Tainan, Taipei, Taiz, Tallinn, Tamatave, Tampere, Tanga, Tashkent, Tavira, Tbilisi, Tegucigalpa, Tehran, Tel-Aviv, Tema, Temburong, Teneriffe, The Hague, The Valley, Thessaloniki, Thohoyandou, Thomwood, Thonbiri, Thyolo, Timisoara, Tirane, Titograde, Tokyo, Toronto, Tripoli, Tsumeb, Tunisi, Turks Caicos, Tutong, Ulan-Batar, Vaduz, Valetta, Valparasio, Vancouver, Vatican City, Victoria, Victoria Falls, Vienna, Vientiana, Vigo, VilaDOporto, Villa Nueva, Villarica, Vilua, Vina Del Mar, Volgagrad, W.Berlin, Wallis & Futuna Island, Warsaw, Washington Dc, Wellington, Windhoele, Yaounde, Yaren, Yokohama, Yundum, Zagreb, Zahle, Zurich.

 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

antibody-lgO/lgA. Cardiolipin antibody IgG/lgA. Lupus anticoagulant, TSH and TORCH

BOH-Bad Obstetric History profile (Comprehensive):- (ANA, Phospholipid antibody-lgG/IgM, Cardiolipin antibody IgG/lgM, LAC, TSH, TORCH-13 and Karyotyping of Husband & wife both from peripheral blood), Bone densitometry, Bone marrow biopsy with Reticulm stain, Bone profile (Ca+P+Alkaline phosphatase+Proteins+Uric acid), Borrelia Burgdorferi antibodies (Lyme disease) screen, Breast Marker Profile (CA 15.3, CEA), Breast Prognosis profile (ER7PR, C-Er-B2, p53, Cathepsin D, Ki-67, DNA ploidy), Brucella antibodies, by agglutination, Brucella-IgG antibody, Brucella-IgM antibody, BTA-Bladder tumour associated analytes, BUN-Blood Urea Nitrogen, serum, C3 - Complement 3, serum, C4 - Complement 4, serum, CA-125 (Cancer Antigen-125), serum (Ovarian marker), CA-15.3 (Cancer Antigen 15.3), serum (Breast marker), CA-19.9 (Cancer Antigen 19.9) (Pancreatic marker), CA-242, CA-72-4, Cadmium, Calcitonin, Calcium, Calculus (Stone) analysis, Cancer Detection profile, Female {AFP, CEA, HCG, CA125, CA19.9, CA15.3, Calcitonin, Thyroglobulin, Pap smear (SOS HPV-DNA PCR) and CBC}, Cancer detection profile, Male (AFP, CEA, HCG, PSAfTotal & Free), CA15.3, CA19.9, Calcitonin, Thyroglobulin, CBC), Canine T3, serum (For Dogs), Canine T4, serum (For Dogs), Canine TSH, serum (For Dogs), Canine thyroid function tests (Canine T3, T4, TSH), Cannabis (THC) (Marijuana), urine (Qualitative), Cannabis (THC) (Marijuana), urine (Quantitative),

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.Shri Vinoba Bhave Civil Hospital, Silvassa, Dadra & Nagar Haveli

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Parturition diabetes Laboratory (ies), genetic testing, resistries , Laboratory test(s). Endocrine test(s) drugs affecting, methodologic consideration with, Lacis cells. 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Pituitary adenoma(s), lactotrope fetal, hormone production by, hyperplasis , hypertrophy , pregnancy misplaced exocytosis , number , pregnancy, staining , ultrastructure , Lacto-vegetarian diet, Lactulose. Laxatives effects endocrine function values, Lacunae, syncytiotrophoblast, lamina dura, radiographic anatomy , Lamina terminalis, Lamivudine, effects endocrine function values, Landing disease. 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Long-acting thyroid stimulator Laurence-Moon-Biedl syndrome clinical features , cryptorchidism , glucose intolerance , hypothalamic-pituitary axis , microgenital , ocular manifestations , otolaryngologic findings , short stature , Lawrence-Seip syndrome, dermatologic findings , Lawrence syndrome, Laxatives, effects endocrine function values, Layzer, Robert B., LCAD. Long-chain acyl coenzyme A dehydrogenase LCAT. Lecithin: cholesterol acyltransferase L cells (intestinal), diffuse neuroendocrine system, LCHAD. Long-chain 3-ketoacyl coenzyme A thiolase LDL. Low-density lipoprotein Lead, pituitary effects , poisoning with, alcohol intake, dental / orofacial abnormalities due , gingival pigmentation with, reference values , Lean body mass critical illness, prognostic significance , Genital differences , wasting syndrome , Learning, hormones involved , Learning disabilities, Klinefelter syndrome, management , LeBlance Jacques, Lecithin surfactant system, synthesis , Lecithin: cholesterol acyltransferase (LCAT), activity , Alpa-LCAT activity , deficiency , apo A-I , apoprotein cofactors , Beta-LCAT, activity , deficiency , ocular effects , Lecithin / sphingomyelin (L / S) ratio, amnionic fluid, fetal lung maturation, Lectin(s), implantation, Lee, Peter A., Leflunomide, effects endocrine function values, Left ventricular hypertrophy acromegaly, hyperaldosternism, with pheochromocytoma, with pheochromocytoma, Legionella pneumophila pneumonia, hypophosphatemia , Leg lengthening, achndroplasis, Leg ulcer(s), inherited disorders aminoacid metabolism, Lei, Z.M., Leigh, Hoyle, Leiomyoma(s), MEN1, Leiomyosarcoma renin producing, thyroid, Length, measurement , children, Lens crystalline deposits , causes , disease , associated with cataracts, associated with corneal problems, dislocation , causes , opacities , causes , pathologic changes , endocrine / metabolic causes , subluxation , yellowish discoloration , causes , Lente Iletin I. Insulin, Lente Lenticonus, posterior, Lowe syndrome, Lentigo, multiple endocrine neoplasia, Lentivirus(es), as vector gene transfer, Leopard syndrome, clinical features , Leprechaunis, dermatologic findings , glucose intolerance , treatment , Leprosy male hypogonadism, testicular involvement , Leptin, actions , amenorrheic athletes, androgenic factor, anorexia nervosa, as antiobesity hormone, appetite, athletes, central nervous system effects , critical illness, deficiency , neurologic effects , development, eating disorders, energy balance, feeding behavior, insulin , neuropeptide targets , nutrition , obesity, physicochemical properties , placental plasma / serum level body fat, renal disease, production , puberty, reference values , regulation energy balance , secretion , by adipose tissue, circadian rhythm , factors affecting, pulsatile, Genital differences , ultradian rhythm , somatostatin gene expression, starvation, tissue distribution , Leptin receptor(s), abnormalities , long isoform (Ob-Rb), distribution , short isoforms, distribution , Leptin resistance, Leptotene stage, meiosis, LeRoith, Derek, Lesch-Nyhan syndrome, clinica presentation , etiology , mouse model , preimplantation diagnosis , treatment , Lescol. Fluvastatin Lethargy, oral contraceptives , Letrozole (Femara) adverse effects side effects , breast cancer treatment, dosage administration , indications , preparations , Letterer-Siwe disease, Leu-7 (HNK-1) antigen, Leucine Metabolism , defects , structure-isoleucine transaminase deficiency, Leucine-rich repeats (LRRs), glycoprotein hormone receptors, Leucocyte(s). Leukocyte(s) Leucovorin / 5-fluorouracil, effects endocrine function values, Leu-enkephalin. Enkephalin(s), leucine Leukemia dhilhood osteopenia due , growth hormone deficiency, parneoplastic syndromes with, radioidodine therapy-related, testicular tumors, thyroid involvement , type 1 Gaucher disease , Leukemia inhibitory factor (LIF) basophils mast cells, biologic response , cell source , deletion , effects growth development, development, mouse hCG synthesis, implantation, leptin secretion, lymphocyte-derived, tissue distribution , mouse, trophoblastic, Leukoyte(s), defects. 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Narcotic analgesics Levo-T. Levothyroxine sodium Levothyroxine sodium (Levothroid, Levoxyl, Synthroid, Eltroxin, Love-T). Levothyroxine sodium Leydig cell(s), adult, agenesi, pseudohermaphroditism, cytology, fetal, function, diagnostic test , luteinizing hormone , hypoplasia, female, insufficiency, prepubertal, orchitis, radiation effects , seminiferous tubulesand, spermatogenic cycle, ad testicular tumors, testosterone secretion by, natriuretic peptides , Leydig cell tumor(s), with gonadotropin-independent precocious puberty, LH. Luteinizing hormone Li, Jonathan J., Li, Sara Antomia, Libido definition , excessive stimulation , with androgen replacement therapy, glucocorticoids , hypothalamus , hypothyroidism , loss cirrhotic males, depression, endocrinopathy, hypogonadism , jectable contraception , men with renal failure, oral contraceptives , Sheehan syndrome, women with renal failure, Lichenoid eruptions, with sulfonylurea therapy, Lichen planus, diabetes, Lichen sclerosus androgen replacement therapy , diabetes, Licorice apparent mineralocorticoid excess produced by, effects endocrine function values, neuromuscular effects , Liddle syndrome, pathophysiology , treatment , Lid lag, Lidocaine, effects endocrine functions values, LIF. Leukemia inhibitory factor Life expectancy age at diagnosis diabetes , demographic effects , postmenopausal, Lifestyle changes hypertriglyceridemia management, weight loss, insulin resistance, osteoporosis, Life table analysis, Li-Freaumeni syndrome, cancers associated with, Ligase chain reaction, Light-chain nephropathy, Light -dark cycle circadian rhythms, plasma melatonin levels, Lignac-Fanconi syndrome, ocular effects , Lignin, vitamin D deficiency, Limbic system appetite regulation, dysfunction , emotion, glucocorticoid effects , growth hormone secretion, hypothalamus, pathways connecting, Limbus, radiographic anatomy , Limited joint mobility (LJM) diabetes, treatment Lincomycin, effects endocrine function values, Lincosmides, effects endocrine function values, Lindane, toxic effects , Lindeman, Robert D., Lindsay, Robert, Linear sebaceous nevus syndrome osteomalcia with, rickets , Lining cells, LINKAGE (computer program), Linkage, definition , Linkage analysis, diagnosis using, requirements , principles , Linoleic acid, Linsidomine dysfunction, Liothyronine sodium (Cytomel, Triostat). Thyroid hormone(s) dosage administration , Liotrix (Thyrolar). Thyroid hormone (s) actions , adverse effects side effects , dosage administration , indications , Lipase(s), plasma,. Hepatic lipase; Lipoprotein lipase Lipemia Postprandial, syndorome X, testosterone assay, Lipemia retinalis, causes , Lipid(s) abnormalities , I diabetes, nonpharmacologic management , treatment , aging , biliary, sevetion , diabetes, insulin therapy , complex, endocrine effects , complex, endocrine effects , exercise , exogenous (dietary), transport , functions , hydrophobic metabolism , acromegaly, antioxidants , cirrhosis, critical illness, cytokines , diabetes, disorders cutaneous manifestations , ocular effects , otolaryngologic effects , enxymes , lipoprotein cofactors , glucocorticoids , growth hormone deficiency, , hyperthyroidism, hypothyroidism, pyruvate dehydrogenase , renal disease , steroidal contraceptives , vitamin C , renal failure, women, androgens , polar, redistribution among cells, apolipoproteins , toxins , transport , apliporoteins , disorders , Lipid-lowering therapy, adverse effects side effects , agents , diabetes, primary prevention trials , efficacy , , indications , mechanism action , primary preventiontrials , Lipidosis, familial, ocular manifestations , Lipidol, iodine content , Lipitor. Atorvastatin Lipman, Timothy O., Lipoatrophic diabetes congenital, hirsustism , dermatologic findings , Lipoatrophy focal, insulin therapy, insulin therapy, partial, acquired, congenital, total, acquired, dermatologic findings , Lipocortin(s), glucocorticoids , Lipodystrophia centrifugalis abdominalis infantilis, Lipodystrophy, acquired, cephalothoracic, clinical features , congenital, drug-induced, Dunnigan variety , face-sparing, generalized, HIV protease inhibitor-induced, insulin resistance , insulin therapy , localized, with other dysmorphic features, partial (progressive cephalothoracic), peripheral, , progressive dermatologic findings , ocular manifestations , treatment , Lipogenesis acylation stimulating protein , de novo, hepatic, , Lipohypertrophy, insulin therapy, Lipolysis, accelerated, diabetic ketoacidosis, chorionic somatomammotropin , critical illness, eicosanoids , glucocortricoids , growth hormone , , hormones-sitmulated, eicosanoids , IL-6 , Parathyroid hormone , plasma, dialysis patients, pregnancy, tumors necrosis factor , Lipoma(s), MEN1, Lipomatosis benign symmetric. HIV-associated fat redistribution (HAFR) diffuse, ovular manifestations , Lipomucoplysaccharidosis, ocular manifestations , Lipopolysaccharide,. Endotoxin prostaglandin production, Lipopolysaccharde-binding protein (LBP), inflammatory response, Lipoproteis(s),. High-density lipo-proteins; Intermediate-density lipoproteins; Low-density lipoprotein; Surfactant; Very low-density lipoproteins, diabetes, treatment , atherogenic, Beta-pleated sheet , catabolism , thyroid hormones , aschlesterol source, classification , exchange or transfer apolipoproteins among, functions , inflammatory response, metabolism , acromegaly, diabetes, glucocorticoids , growth hormone ad, growth hormone , growth hormone deficiency, hyperthyroidism, hypothyroidism, thyroid hormones , physiochemical characteristics , plasma, apoprotein content , characterization , classes , density , dietary factors affecting, electrophoretic mobility , particle size , specialized, synthesis , plasma/serum level cardiovascular disease, glucocorticoids , measurement , pregnancy, thyroid function progesterone adndrostenedione production, reference values , structure , maintenance , water-soluble lipid pseudomicelles , synthesis , thyroid hormone binding , ultracentrifugation , Lipopratein(a), apoproteins , assays , cardiovascular risk assessment, density , electrophoretic mobility , excess, familial, functions , lipids , metabolism , origins , plasma/serum level , acromegaly, anabolic steroids , diabetes, elevated definitions , drug therapy , estrogen , growth hormone , hypothyroidism, nephritic syndrome, postmenopausal estrogen treatment , Beta-Lipoprotein(s) deficiency , ocular effects , plasma / serum level , abnormal, ocular effects , Lipoprotein disorder (s), diabetes, familial, ocular effects , patients evaluation , treatment , Lipoprotein lipase (LPL), activity , diabetes, dialysis patients, , hyperthyroidism, apo C-II , appetite regulation, cellular distribution , deficiency , ocular effects , pregnancy, lplasma post-heparin, syndrome X, synthesis , TNF-Alpha , tumor recrosis factor , Lipoprotein receptor(s), hepatic, Lipostatic hypothesis, appetite regulation, Lipotropin (LPH) Beta LPH, human / serum level after adrenalectomy, chronic pain, normal secretion , regulation , synthesis , Y-LPH, synthesis , Lipoxin(s), Lipoxygenase, activity , critical illness, arachidonic acid metabolism, epidermis, products , insulin secretion, 5-Lipoxygenase-activating protein (FLAP), Liquid chromatography with electrochemical detection (LCED), catecholamine measurement, Liquid Pred. Prednisone, therapy with Liquid protein diets, Lisinopril. Anogiotensin-converting enzyme (ACE) inhibition/inhibitor effects dosage administration , indications , insulin pump therapy, pharmacology , pregnant diabetics, preparations , therapy with, elderly, toddlers, Lithane. Lithium carbonate Lithium, contraindicatins , pregnancy, effects endocrine functions values, goitrogenic effects , hypercalcemia, hypermagnesemia caused by, hyperparathyroidism with, insulin secretion, PTH hypersecretion caused by, radioiodine therapy thyroid cancer, SIAD, silent thyroiditis, thyroid function parameters, vasopressin secretion, Lithium carbonate (Eskalith, Lithane, Lithobid, Lithonate, Lithotabs) actions , adverse effects side effects , antithyroid effect , dosage administration , hypercalcemia with, indications , preparations , teratogenicity , therapy with Graves disease, adverse effects side effects , dosage administrations , maintenance dose , mechanism action , VIPoma, Lithium citrate actions , adverse effects side effects , dosage administration , indications , preparations , Lithobid. Lithium carbonate Lithonate. Lithium carbonate Lithotabs. Lithium carbonate Lithotripsy nephrolithiasis, struvite stones, Livedo reticularis, bromocriptine-related, Liver. Fatty liver adenomas . Adenoma(s), hepatic cirrhosis . Cirrhosis, hepatic de novo lipogenesis, , diabetes , dysfunction anorexia nervosa, with defects carnitine metabolism, with diabetes insipidus, pregnancy, with fatty acid oxidation defects, eicosanoids endocrinopathy estrogens , failure acute, glucose homeostasis , protein administration , guidelines , fatty infiltration , chronic phase critical illness, feminization , fibrosis cholesterol ester storage disease, diabetes, type III glycogen storage disease, free fatty acid metabolism , function, dimorphism , gluconeogenesis , glucose homeostasis, glucose metabolism , glycogen deposition , diabetics, glycogen metabolism , glycolysis, growth hormone , hormonal carcinogenesis , animal models hormone receptors , distribution , 25-hydroxylation vitamin D , hypothalamic-pituitary-gonadal axis , insulin metabolism , ketoconazole , ketogenesis, lactogenic receptors , melatonin metabolism , necrosis, hypoglycemia causes by, neoplasms androgens , contraception , estrogens , oral contraceptives , parathyroid hormone metabolism , phosphorylase kinase, deficiency , progestin-only implants , response autonomic nerve impulses, Genital hormone-related neoplasms , pathogenesis , size with defects carnitine metabolism, hepatic glycogen phosphorylase deficiency, hypoglycemia infancy childhood, phosphorylase kinase deficiency, type III glycogen storage disease, somatogenic receptors , somatostatin receptors , steroid hormone metabolism , thyroid disorders, transplantation endocrine function, gastrinoma, triglyceride depositions , type III glycogen storage disease, Liver cancer. Hepatoblastoma; Hepatocellular carcinoma; Hepatoma oral contraceptives , Genital steroids , Liver disease acute, thyroid hormone homeostasis, alcoholic, hypothalamic-pituitary-gonadal axis , androgen-induced, bone metabolism, calcium metabolism, chronic advanced, hypercalcemia with, thyroid hormone homeostasis, cortisol secretion , diabetes, estrogen-induced, glucocorticoid therapy, glucocorticoid therapy, growth hormone homeostasis, hypoglycemia due , obstructive, osteomalcia I, osteomalcia , serum hormone changes , with sulfonylurea therapy, tesicular failure, thyroid function parameters , Liver function tests, Graves disease, Liver-spleen scan, isotopic, gastrinoma, Livosi, Virginia A., Load(s), endocrine systems, Lobo, Rogerio A. LoCHOLEST. Cholestyramine Locke, Rebecca J., Locus ceruleus, Locus heterogeneity, Loestrin, Logothetis, Christopher, LOH. Loss heteroxygosity LOI. Loss imprinting Lomefloxacin ad spermatogenesis, Lomustine, effects o endocrine function values, Long-acting thyroid stimulator (LATS), assay , Long bone(s). Bone(s), long Long-chain acyl coenzyme A dehydrogenase (LACAD), deficiency ,myopathy , Long-chain 3-ketoacyl coenxyme A thiolase (LCKAT), Long-Term Intervention with Pravastatin , Ischemic Disease (LIPID), Long-term potentiation, Loop diuretics. Diuretic(s), loop Looser zones hypophosphatasia, osteomalcia, renal osteodystrophy, Lo / Ovral, hirsutism, Lopid. Gemfibrozil Loral artery, Loratadine. Antihistamines effects endocrine function values, Lorazepam. Benzodiazepine(s) Lordosis, female rats, Loriaux D. Lynn, Losartan, effects endocrine function values, Loss heterozygosity (LOH), Loss imprinting (LOI), Lovastatin (Mevacor),. 3-Hydroxy -3-methylglutaryl-coenzyme A (HMG-CoA) reductase actions , adverse effects side effects , combination drug therapy with cyclosporine, with fibric acid derivatives, with gemfibrozile, diabetic dyslipidemia, dosage administration , effects endocrine function values, indications , lipid-lowering effects , preparations , Low-birht-weight infant(s) maternal smoking , osteopenia prematurity , Low-density lipoprotein (LDL), age-related changes , androstenedione production, aphresis, apoproteins , binding sites , fetal adrenal, cardiovascular disease, Genital differences , cholesterol , clearance , composition , type 2diabetes, cord blood, deficiency , definition , density , diameter , syndrome X, electrophoretic mobility , fetal steroidogenesis, fetaltestosterone synthesis, formation , fractional clearance hypothyroidism, functions , half-life , hepaticd uptake , estrogens , lipids , metabolism , diabetes, origins , ovarian steroidogenesis, oxidized L-arginine pathway, endothelium, physicochemical characteristics plasma/serum level acromegaly, anabolic steroids , atherosclerosis risk, calculation , cirrhosis, coronary artery disease, animal models , decision points initiation diet drug therapy, diabetes, dietary factors affecting, direct assays , drugs affecting, alevated, alone, treatment , causes , indiabetes, diagnosis treatment.


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