A detailed history, physical examination and
hormonal evaluation are required to diagnose male
hypogonadism. In certain cases, further tests are needed
to define the aetiology and the extent of Hypothalamic
Pituitary Gland axis dysfunction. These include pituitary
imaging studies, genetic studies, bone densitometry,
testicular ultrasonography, testicular biopsy, hormonal
dynamic testing and semen fluid analysis in those
patients desiring fertility.