Testicular failure is the inability of the testicles to produce sperm or male hormones.
Testicular failure is uncommon. Causes include:
The following things increase the risk for testicular failure:
Men may also notice they do not need to shave as frequently.
A physical examination may reveal:
Further testing may show decreased bone mineral density and fractures. Blood tests may reveal low levels of testosterone and high levels of prolactin, FSH, and LH.
Testicular failure and low testosterone levels may be difficult to diagnose in older men because testosterone levels normally fall with age. The level of testosterone at which replacement therapy would be likely to improve symptoms and other outcomes is unpredictable and variable.
Male hormone supplements may successfully treat some forms of testicular failure. Men who take testosterone replacement therapy need to be carefully monitored by a doctor. Testosterone may cause overgrowth of the prostate gland and an abnormal increase in red blood cells.
Avoiding a specific drug or activity known to cause the problem may result in return of normal testicular function.
Many forms of testicular failure cannot be reversed. Hormone replacement therapy can help reverse symptoms, although it may not restore fertility.
Testicular failure before the onset of puberty will stop normal body growth, specifically the development of adult male characteristics.
Call for an appointment with your health care provider if you have symptoms of testicular failure.
Avoid higher-risk activities if possible.
Primary hypogonadism - male