Results: A total of 85 patients with male hypogonadism attended
the endocrine clinic. Mean age of patients was 25±10 years. Clinical presentations were small
genitalia (65%), absent secondary sexual characteristics (53%), not attained puberty (47%),
infertility (53%), erectile dysfunction (41%) and loss of libido (29%). Seventy-three (86%)
patients had hypogonadotrophic hypogonadism (secondary hypogonadism) and 12 (14%) patients
had hypergonadotrophic hypogonadism (primary hypogonadism). Among the patients with
hypogonadotrophic hypogonadism 38 had idiopathic hypogonadotrophic hypogonadsim, 7 had
pituitary adenoma, 6 had empty sella syndrome, 3 had Kallman’s syndrome, and 1 patient had
haemosiderosis due to thalassaemia major; 18 patients did not undergo brain imaging.