Male Hypogonadism

Discharge Criteria from Endocrinology:

1. Work-up for hypogonadism is complete and etiology identified
   1. Noting that Idiopathic hypogonadotropic hypogonadism (IHH) is a diagnosis of exclusion, in which with the exact etiology is unknown
2. Adequate clinical and biochemical response to testosterone replacement, on a stable dose for 1 year, without active complications (i.e. no prostate concerns, no erythrocytosis).

Do not discharge:

1. Actively pursuing fertility in the next 1-2 years 
2. Other endocrinopathies or genetic syndromes (i.e. Klinefelter Syndrome)

​​​​​Resources: 

• Letter to primary care provider
• Letter to patient

Reviewed by topic experts Omar Saeed and Priya Bapat