Endocrine Abstracts

A 32 year old emirati patient is evaluated in the endocrine clinic because of symptoms of hypogonadism in the form of reduced sexual desire and erectile dysfunction. On further history taking he confenssed that he was abusing anabolic steroids over the last 3 years but has stopped 3 months prior to his evaluation. On physical exam he appears musculinized, his BMI is 27 kg/m². He has acne on his face. Testicular size is around 15 ml bilateral. Has normal hair distribution on his body. Lab tests confirmed the diagnosis of hypogonadotrpoic hypogonadism on the account of two low serum testosterone levels 4.6 and 5.1 nmol/l measured after overnight fast early morning and low LH and FSH below 2 IU/ml. Evaluation of other anterior pituitray hormones showed having mild hyperprolactinemia but the rest were entirely normal. He underwent brain imaging in the form of pituitary MRI which shows that he is having partial empty sella. After discussion with te patient he agrees to take clomiphene citrate and after 6 months of therapy I was able to stop the medicine and his anterior pituitary hormones and testosterone returns back to normal. He is advised to stop abusing anabolic steroids and after another 6 months he is evaluted agin and he is fine his testosterone level is normal.