Male Gynæcomastia: Testicular Atrophy

Abstract

Proceedings qf the Royal Society of Medicine 24 X-ray of skull shows a deep pituitary fossa, which is normal in size. All urinary investigations were normal. Volume of urine 1,360 c.c. per day. 17ketosteroids 3-3 mg. per litre or 4-5 mg. per day.Blood-count normal. Blood cholesterol 141 mg.%.He was referred by one of us (H. D.) to Mr. Broster's Endocrine Clinic where he was considered a suitable case for testosterone implant of 600 mg. which up to date he has refused.The delay in union of the epiphyses is consistent with the diagnosis of hypogonadism.Whether this is a so-called "primary" hypogonadism, or due to a defect elsewhere in the endocrine system, is debatable.