Szarvas F
Abteilung für Innere Medizin, Stadtischen Krankenhauses Szeged.
Z Gesamte Inn Med. 1988 Aug 1;43(15):423-5.
For the adequate therapy and prognosis the division of the forms of male hypogonadism is of practical significance. The clinical picture is determined by 4 factors (dimensions): 1. On the basis of the vertical dimension hypogonadism can be hypothalamic, hypophyseal, testicular or peripheral in its origin; 2. Depending on the impaired testicular functions (single or both), hypogonadism can be selective or total; 3. Depending on the severity of the lesion hypogonadism can be complete or incomplete; 4. the time-factor indicates the beginning of the lesion (pre- or postpuberal). The duration of the lesion is also of clinical significance. For the division of male hypogonadism, two etiopathogenetical groups can be suggested: Group I: "Classical" male hypogonadism. Hypothalamus-hypophysis-testis system primarily damaged; Group II: "Consecutive" male hypogonadism. Hypogonadism induced by other diseases.
对于男性性腺功能减退症各种形式的划分，对于恰当的治疗和预后具有实际意义。临床表现由4个因素（维度）决定：1. 基于纵向维度，性腺功能减退症的起源可以是下丘脑性、垂体性、睾丸性或外周性的；2. 根据受损的睾丸功能（单侧或双侧），性腺功能减退症可以是选择性的或完全性的；3. 根据病变的严重程度，性腺功能减退症可以是完全性的或不完全性的；4. 时间因素表明病变开始的时间（青春期前或青春期后）。病变的持续时间也具有临床意义。对于男性性腺功能减退症的划分，可以提出两个病因学组：第一组：“经典型”男性性腺功能减退症。下丘脑-垂体-睾丸系统主要受损；第二组：“继发性”男性性腺功能减退症。由其他疾病引起的性腺功能减退症。
