This chapter delves into the complexities of diagnosing testosterone-related problems in men, emphasizing the need to test various hormones like prolactin and thyroid levels to identify the underlying causes of symptoms. It explains the differences between primary and secondary hypo gonadism, discussing the roles of LH and FSH, and the use of compounds like HCG and SERMs to stimulate hormone production. The discussion also explores the impact of exogenous testosterone on fertility, options for maintaining fertility in low testosterone situations, and the importance of tailored TRT dosages for optimal results.

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