The clinical appearance of a patient with hypogonadotrophism (reduced LH and FSH) varies depending on whether onset is before or after puberty.
|
Parameter
|
Prepubertal Onset
|
Postpubertal Onset
|
|
body hair
|
decreased or absent, female pubic hair distribution
|
decreased, male pubic hair distribution
|
|
body proportions
|
eunuchoid
|
normal male but decreased bone and muscle mass
|
|
facial hair
|
reduced, terminal type
|
present but slow beard growth
|
|
libido
|
decreased to absent
|
decreased
|
|
penis length
|
< 5 cm
|
normal
|
|
prostate
|
small
|
normal
|
|
scrotal skin
|
smooth without rugae
|
rugae present
|
|
testicular size and volume
|
infantile to small
|
normal to atrophic (if long-standing)
|
|
voice
|
high-pitched (falsetto)
|
normal pitch
|
