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Hypogonadism

Hypogonadism means the testes or ovaries do not make enough sex hormones. In men it is usually a matter of persistently low testosterone. It may appear at any age, though it becomes more common as men get older and is recognised more often in those with type 2 diabetes or obesity.

Medicine used to treat Hypogonadism

Testosterone Topical 1%

Testosterone

1%

Testosterone topical gel is supplied in sachets for hypogonadism and applied to the skin. It comes in a single strength; pack sizes vary. You can compare the price per sachet across options.

FromUS$8.24/ sachetView

Key points

  • Primary hypogonadism has its origin in the testes.
  • Secondary hypogonadism involves the pituitary gland or hypothalamus.
  • Replacement with testosterone is the principal treatment.

Causes and triggers

Testicular damage can follow trauma, mumps infection or a genetic condition such as Klinefelter syndrome. If signalling from the pituitary or hypothalamus is disrupted, a tumour, iron overload or long-term use of some medicines may be responsible. These cases are classed as secondary hypogonadism.

Symptoms

Low testosterone can reduce energy and libido, lower mood, and affect bone density and muscle mass.

Treatment

Testosterone replacement brings hormone levels back into the normal range. Fatigue and sexual function may improve gradually, with meaningful change often within a few months. Bone and muscle health are supported over time. Testosterone Topical 1% comes as a sachet containing testosterone. Pharmacy partners in India ship to Malaysia in discreet packaging.

Assessment and monitoring

A morning blood test for testosterone, LH and FSH distinguishes primary from secondary hypogonadism and guides treatment. During long-term replacement, checks should cover prostate health, haematocrit and hormone levels. Men with ongoing low energy, reduced libido, low mood, bone changes or muscle loss should seek medical assessment.

Further reading

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