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A 25-year-old man is evaluated for a 2-year history of infertility. He and his wife have been unable to conceive since marrying 2 years ago. Analysis of a semen sample provided 3 weeks ago during an infertility evaluation showed azoospermia. The patient has a strong libido and no history of erectile dysfunction. He has no other medical problems and exercises regularly. There is no family history of delayed puberty or endocrine tumors.
On physical examination, the patient appears very muscular. Temperature is normal, blood pressure is 142/85 mm Hg, pulse rate is 55/min, respiration rate is 14/min, and BMI is 22. Visual fields are full to confrontation. There is extensive acne but no gynecomastia or galactorrhea. Testes volume is 4 mL (normal, 18-25 mL) bilaterally. The penis appears normal.
Laboratory studies:
Follicle-stimulating hormone
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A 25-year-old man is evaluated for a 2-year history of infertility. He and his wife have been unable to conceive since marrying 2 years ago. Analysis of a semen sample provided 3 weeks ago during an infertility evaluation showed azoospermia. The patient has a strong libido and no history of erectile dysfunction. He has no other medical problems and exercises regularly. There is no family history of delayed puberty or endocrine tumors.
On physical examination, the patient appears very muscular. Temperature is normal, blood pressure is 142/85 mm Hg, pulse rate is 55/min, respiration rate is 14/min, and BMI is 22. Visual fields are full to confrontation. There is extensive acne but no gynecomastia or galactorrhea. Testes volume is 4 mL (normal, 18-25 mL) bilaterally. The penis appears normal.
Laboratory studies:
Follicle-stimulating hormone
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Laboratory studies:
Follicle-stimulating hormone
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In the case of anabolic steroids, the brain signals the testicles to slow down, or even stop producing testosterone when there is too much circulating.
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Sorry guys i coudn't get the other part of the question posted
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You are very correct- maryam2009. Answer Anabbolic steroids abuse
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If there is a "sign" where ur posting stopped .......just put that sign "in words" and it will let u post the rest of the part.
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Laboratory studies:
Follicle-stimulating hormone
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Well- still couldn't post the other part, however, answer is anabolic steroid abuse. very important question. ACP question of the week
