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ABSENT
GENITAL DEVELOPMENT |
Absence of Genital development occurs due to male hormone deficiency, which can occur due to many of the below mentioned causes. |
What is Normal Genital Development Symptoms & features Causes of Absent genital development Investigations & Diagnosis Treatment Response of treatment Side effects of treatment
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What is Normal genital Development :Normally in boys the genital development stars at the age of thirteen to fourteen years. The absent genital development occurs due to male hormone deficiency. The sign & symptoms of testosterone & other male hormone deficiency are as follows: Symptoms & features:
These includes absent genital development or underdeveloped genital organ
development like small genitals (genitalia) like small pennis, under
developed testis, shrunken scrotum. Symptoms and signs of male hormone
deficiency are less beard & moustache, poor development of body muscles,
small pennis, under developed scrotum & testis, 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. Testicular disorders (primary leydig cell dysfunction), Chromosomal (Klinefelter syndrome and variants, XX male gonadal dysgenesis), Defects in androgen biosynthesis, Orchitis (mumps, HIV, other viral, ) Myotonia dystrophica, Toxins (alcohol, opiates, fungicides, insecticides, heavy metals, cotton seed oil), Drugs (cytotoxic drugs, ketoconazole, cimetidine, spironolactone) Systemic illness
(uremia, liver failure), End-organ resistance (impaired androgen action) Chromosomal analysis is
done to see the genetic structure of testis, because there are many
chromosome disorders lead to hypogonadism. Tests to locate testis as ultrasonography or C.T. Scan abdomen is needed
if testis is not palpable. 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 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 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.. 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. For consultation & treatment (by appointment / or online) click How to Consult Us |
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). To Different Communities like Hindustani, Hindustan, Hindu, Christian, Muslim, Sikh, Parsee. The other cities are Ghaziabad, Faridabad, Noida, Gurgaon Gurugram, Meerut, Bombay, Chandigarh, Calcutta, Simla, Jammu, Srinagar, Aligarh, Lucknow, Kanpur, Allahabad, Varanasi, Dehradun, Madras, Kolkatta, Nainital, Agra, Jaipur, Bikaner, Jodhpur, Porbandar, Dwarka, Ahmedabad, Gandhi Nagar, Vadodara, Surat, Mumbai, Pune, Thane, Panaji, Nasik, Nagpur, Indore, Ujjain, Bhopal, Gwalior, Jabalpur, Raipur, Hyderabad, Goa, Visakhapatnam, Bangalore, Banglore, Bangalooru, Mysore, Mangalore, Manipal, Chennai, Pondicherry, Madurai, Kanchipuram, Coimbatore, Kanyakumari, Ernakulam, Trivandrum, Darjeeling, Gangtok, Bhubaneswar, Puri, Guwahati, Shillong, Imphal, Kohima, Agartala, Patna, Ranchi. |
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