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Warning-sign checks

Male 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, confusion, fainting, or repeated vomiting.

    Rarely, this can signal bleeding into or pressure around the pituitary gland.

    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 develop after a head injury, cancer treatment, testicular injury, or use of anabolic steroids.

    Sudden testicular pain or swelling needs urgent assessment because testicular torsion and infection require timely care.

    During testosterone treatment, urgent assessment is needed for chest pain, severe shortness of breath, one-sided leg swelling, new weakness on one side, or difficulty speaking.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment for persistent low sex drive, loss of morning erections, unexplained fatigue, reduced muscle strength, breast enlargement, fertility concerns, or signs of delayed puberty.

    These symptoms are not specific to hypogonadism, but they can be assessed properly.

    These symptoms can have several causes and should not be managed through routine follow-up.

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