Hypogonadotropic hypogonadism can rarely occur in a male endurance runner. This may be the male counterpart of the female athlete triad.
Typical patient: young male endurance runner, with intense exercise starting prior to sexual maturity
Presentations may include:
(1) infertility, erectile dysfunction or decreased libido
(2) osteopenia with fracture
(3) depressed mood
(1) low serum LH and FSH
(2) low serum testosterone
It is important to exclude other causes of hypogonadotropic hypogonadism.
Therapeutic options may include testosterone replacement or clomiphene citrate.
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