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Warning-sign checks

Hypogonadism: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Get emergency help for a sudden, severe headache with vision loss, double vision, vomiting, confusion, fainting, or weakness.

    Rarely, this can indicate bleeding into the pituitary gland.

    Sudden severe testicular pain or swelling is also an emergency.

    It is not a usual symptom of hypogonadism and may be caused by testicular torsion, which needs immediate assessment.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice if symptoms begin after a head injury, cancer treatment, reproductive-organ surgery, or a new medicine.

    Also ask for review if prescribed hormone treatment is not helping or is causing unwanted effects.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if you have persistent loss of sexual interest, erectile problems, absent or irregular periods, hot flushes at an unexpectedly young age, fertility concerns, or signs that puberty is delayed.

    These symptoms are not usually emergencies, but they deserve assessment.

Every sign above is quoted from the sofidex article on Hypogonadism. If you are not sure, err upward — it is always reasonable to be checked.