Expert Opinion on the Diagnosis and Management of Male Hypogonadism in India

Table 3

Diagnostic algorithm for late-onset hypogonadism.

Symptoms of hypogonadism (physical examination, history, and score)	Measure total testosterone	Low (<231 ng/dL)	Elevated LH and FSH	Exclude contraindications for testosterone	(i) Trial of testosterone; (ii) Monitor response
				Exclude pituitary and other causes
		Borderline (231–346 ng/dL)	Calculate free testosterone	Low (<52 pg/mL)	Check for elevated LH and FSH
				Normal	Seek other causes
		Normal (>346 ng/dL)	Seek other causes of the symptoms

Adapted from Kim et al., 2011 [19]. LH, luteinizing hormone; FSH, follicle-stimulating hormone.