Endocrine, nutritional, and metabolic diseases (E00-E90).
- Acromegaly (Giant Growth)
- Diabetes mellitus (diabetes)
- Lipid metabolism disorders such as hypercholesterolemia or hypertriglyceridemia.
- Hyperprolactinemia (elevated serum prolactin levels).
- Hyperthyroidism (hyperthyroidism)
- Hypogonadism – gonadal (testicular) hypofunction with resulting androgen deficiency (lack of male sex hormone).
- Hypothyroidism (hypothyroidism)
- Addison’s disease (primary adrenocortical insufficiency).
- Graves’ disease – form of hyperthyroidism caused by autoimmune disease.
- Cushing’s disease – group of diseases that lead to hypercortisolism (hypercortisolism; excess of cortisol).
Cardiovascular system (I00-I99).
- Arterial occlusive disease (AVD) or peripheral arterial occlusive disease (PAOD): progressive narrowing or occlusion of the arteries supplying the arms/ (more commonly) legs, usually due to atherosclerosis (arteriosclerosis, hardening of the arteries).
- Hypertension (high blood pressure)
Liver, gallbladder and bile ducts – pancreas (pancreas) (K70-K77; K80-K87)
- Liver dysfunction, unspecified
Psyche – nervous system (F00-F99; G00-G99).
- Anorexia nervosa (anorexia nervosa)
- Alcohol consumption, chronic
- Contact disorders
- Multiple sclerosis (MS)
- Neurological diseases, unspecified
- Psychiatric disorders such as anxiety disorders or depression
- Psychological conflicts
- Sexual inclinations deviating from the norm
Factors influencing health status and leading to health care utilization.
- Stress
Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99)
- Renal dysfunction, unspecified
Laboratory diagnoses – laboratory parameters considered independent risk factors/causes.
- Hyperprolactinemia (elevated serum prolactin levels).
- Testosterone
Operations
- Orchiectomy, bilateral (removal of both testicles).
Medication
- Antidepressants
- Selective serotonin reuptake inhibitors (SSRIs, selective serotonin reuptake inhibitors) – citalopram, escitalopram, fluvoxamine, fluoxetine, sertraline.
- Antihypertensives
- Angiotensin II antagonists (synonyms: AT-II-RB; ARB; angiotensin II receptor subtype 1 antagonists; AT1 receptor antagonists, AT1 antagonists; angiotensin receptor blockers (ARB), “sartans“) – candesartan, eprosartan, irbesartan, losartan, olmesartan, telmisartan, valsartan.
- Beta blockers (atenolol, betaxolol, bisoprolol, carvedilol, celiprolol, metoprolol, nadolol, nebivolol oxprenolol, pindolol, propranolol
- Clonidine
- Methyldopa
- Reserpine
- Anxiolytics
- Hair restorer (finasteride)
- Lipid-lowering agent
- Clofibrates (bezafibrate, fenofibrate, gemfibrozil).
- Gastrointestinal therapeutics (cimetidine, metoclopramide).
- Neuroleptics
- Prostate drugs (finasteride, dutasteride)
- Psychoanaleptics
- Sympathetic mimetics
- Tranquilizers
- Cytostatic drugs (estramustine, methotrexate, Revlimid)
Other possible differential diagnoses
- Declining interest in sexuality
- Partnership problems
