Male Menopause, Andropause: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99).

  • Klinefelter syndrome – genetic disorder with mostly sporadic inheritance: numerical chromosomal aberration (aneuploidy) of the sex chromosomes (gonosomal anomaly) occurring only in boys or Men occurs; in the majority of cases characterized by a supernumerary X chromosome (47, XXY); clinical picture: large stature and testicular hypoplasia (small testis), caused by hypogonadotropic hypogonadism (gonadal hypofunction); usually spontaneous onset of puberty, but poor pubertal progress.
  • Cryptorchidism – absent testis, incomplete testicular descent (inguinal testis, sliding testis, pendulous testis, testicular ectopy).

Endocrine, nutritional and metabolic diseases (E00-E90).

  • Hemochromatosis (iron storage disease) – genetic disease with autosomal recessive inheritance with increased deposition of iron as a result of increased iron concentration in the blood with tissue damage.
  • Hypergonadotropic hypogonadism (gonadal hypofunction associated with increased gonadotropins) due to testicular damage (testicular damage)
  • Hypogonadotropic hypogonadism (gonadal hypofunction associated with decreased gonadotropins; e.g., Kallmann syndrome; idiopathic).
  • Hyperprolactinemia – unphysiological increase in prolactin levels.
  • Kallmann syndrome (synonym: olfactogenital syndrome): genetic disorder that can occur sporadically, as well as be inherited in an autosomal dominant, autosomal recessive, and X-linked recessive manner; symptom complex of hypo- or Anosmia (decreased to absent sense of smell) in conjunction with testicular or ovarian hypoplasia (defective development of the testis or ovaries, respectively); prevalence (disease frequency) in males 1: 10,000 and in females 1: 50,000.

Infectious and parasitic diseases (A00-B99).

  • HIV infection in childhood

Psyche – nervous system (F00-F99; G00-G99).

  • Substance abuse
  • Brain lesions in the area of the sella turcica – bony region where the pituitary gland (pituitary gland) is located

Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99).

Injuries, poisonings, and other sequelae of external causes (S00-T98).

Further

  • Excessive endurance sports