A 24 year old man presented with a history of hay fever which had been treated with antihistamines he relates diminshed smell. he continues to grow slowly and pubertal development has been slow the man denies erections or nocturnal emmissions
Management
testosterone replacemnet therapy, sexual maturity, later desired fertility, GnRH palsatile therapy produced a normal sperm count in 4 months and the mans wife became pregnant.
What is the level of the defect
What is the significance of the body measurement
what are the diagnostic considerations
what tests might be obtained to make the diagnosis
what constitutes normal fertility
What will you counsel this man when he asks if he can have children
PE Eunuchoidal Man, AppearingYoung er than Age
Height 72 in.
Arm span 75 in.
Weight 180 lb
Blood pressure 130/82 mm Hg
Hair, Spare facial, axillary, and pubic
Genitalia Penis, 3.1 cm (small)
Testes Soft, 1 cm × 1.5 cm × 1.5 cm(normal, >4.5 cm × 3 cm × 3 cm)