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Coping and support
By Mayo Clinic staff- Prevent osteoporosis. If hypogonadism occurs during adulthood, make lifestyle and dietary changes to prevent osteoporosis. Regular exercise and adequate amounts of calcium and vitamin D to maintain bone strength are important to reduce the risk of osteoporosis. The Institute of Medicine recommends 1,000 milligrams (mg) of calcium and 600 international units (IUs) of vitamin D a day for men ages 19 to 70. That recommendation increases to 1,200 mg of calcium and 800 IUs of vitamin D a day for men age 71 and older. Talk to your doctor about dietary guidelines that are appropriate for you.
- Learn about erectile dysfunction or infertility. The conditions caused by hypogonadism can cause psychological and relationship problems. Know what to expect from these conditions and what to do if new or uncomfortable feelings develop between you and your partner.
- Reduce stress. Talk with your doctor about how you can reduce the anxiety and stress that often accompany these conditions. Many men benefit from psychological or family counseling. Support groups can help people with hypogonadism and related conditions cope with similar situations and challenges. Helping your family understand the diagnosis of hypogonadism also is important.
- Allow time to adjust. Adolescents with hypogonadism may feel as if they don't fit in. Testosterone replacement therapy will trigger puberty. When given at a slow pace that allows time for adjustment to physical changes and new feelings, the therapy decreases the chance of social or emotional problems.
References
- Snyder PJ. Causes of primary of hypogonadism in males. http://www.uptodate.com/home/index.html. Accessed Sept. 29, 2010.
- Snyder PJ. Causes of secondary hypogonadism in males. http://www.uptodate.com/home/index.html. Accessed Sept. 29, 2010.
- Snyder PJ. Clinical features and diagnosis of male hypogonadism. http://www.uptodate.com/home/index.html. Accessed Sept. 29, 2010.
- Snyder PJ. Testosterone treatment of male hypogonadism. http://www.uptodate.com/home/index.html. Accessed Sept. 29, 2010.
- Male hypogonadism. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec17/ch227/ch227b.html. Accessed Oct. 14, 2010.
- Medical guidelines for clinical practice for the evaluation and treatment of hypogonadism in adult male patients mdash; 2002 update. Endocrine Practice. American Association of Clinical Endocrinologists. www.aace.com/pub/pdf/guidelines/hypogonadism.pdf. Accessed Oct. 14, 2010.
- Testosterone therapy in adult men with androgen deficiency syndromes. Chevy Chase, Md.: The Endocrine Society. http://www.endo-society.org/guidelines/Current-Clinical-Practice-Guidelines.cfm. Accessed Oct. 25, 2010.
- Brunton SA, et al. Late-onset male hypogonadism and testosterone replacement therapy in primary care. The Journal of Family Practice. 2010;59(suppl):S1.
- Bassil N, et al. Late-life onset hypogonadism: A review. Clinics in Geriatric Medicine. 2010;26:197.
- Dietary Reference Intakes for calcium and vitamin D. Institute of Medicine. http://www.iom.edu/vitamind. Accessed Dec. 2, 2010.
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