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

Topic Expert Review: Omar Saeed, Priya Bapat, Adam Millar (Endocrinologists)  

Primary Care review: Dr Curtis Handford, DFCM, St Michael's Hospital 

Plain language review: Katrina Grieve, St Michael's Hospital 

Reference:  

1. Shalender Bhasin, Juan P Brito, Glenn R Cunningham, Frances J Hayes, Howard N Hodis, Alvin M Matsumoto, Peter J Snyder, Ronald S Swerdloff, Frederick C Wu, Maria A Yialamas, Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline, The Journal of Clinical Endocrinology & Metabolism, Volume 103, Issue 5, May 2018, Pages 1715–1744, https://doi.org/10.1210/jc.2018-00229