What is included in the physical exam of hypogonadism in males?

Updated: Apr 03, 2019
  • Author: Maria G Vogiatzi, MD; Chief Editor: George T Griffing, MD  more...
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Answer

Considerations in the physical examination of males with hypogonadism include the following:

  • Evaluation of the testes: This is the most important feature of the physical examination; determine whether both testes are palpable, their position in the scrotum, and their consistency; testes size can be quantitated by comparison with testicular models (orchidometer), or their length and width may be measured

  • Examination of the genitalia for hypospadias

  • Examination of the scrotum to see if it is completely fused

  • Evaluation of the extent of virilization

  • Staging of puberty: Use the Tanner criteria for genitalia, pubic hair, and axillary hair

  • Examination for signs of Klinefelter syndrome (eg, tall stature, especially if the legs are disproportionately long, gynecomastia, small or soft testes, and a eunuchoid body habitus)


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