Hello XXXXXXX,
Firstly, father hood is determined by your semen analysis.
Could you please attach reports of your semen analysis, and your hormone levels, by which hypogonadism has been diagnosed ?
This would help me a lot in assisting and guiding you further.
Looking forward to hearing from you soon.
Take care

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Hi again XXXXXXX,

There are two types of male hypogonadism: primary and secondary. Primary hypogonadism refers to a testosterone deficiency that stems from abnormal testicular function. Secondary hypogonadism is the result of problems with the pituitary gland or the hypothalamus, which controls the secretion of pituitary hormones. When messages from either of these sources become impaired, normal performance of the testicles is compromised.

There are numerous causes for primary hypogonadism such as undescended testicles, excess iron in the blood (known as hemochromatosis), an injury that causes damage to the testicles, mumps, and chemotherapy or radiation treatment. Klinefelter’s syndrome, which results in a male being born with an extra x chromosome, can lead to impaired testicular growth as well as problems in sperm production and is another cause of primary hypogonadism.

Secondary hypogonadism can be the result of pituitary disorders and inflammatory diseases that affect the pituitary gland. Also, Kallman’s syndrome, which affects the proper development of the hypothalamus, ultimately leads to a testosterone deficiency. Additionally, certain medications, like those used to help heartburn or control moods, can affect the level of testosterone produced by the body.

Sperm production cannot be stimulated in men who are infertile as a result of primary hypogonadism due to damage to the seminiferous tubules. On the other hand, sperm production can usually be stimulated to a level sufficient to restore fertility in men who are infertile as a result of secondary hypogonadism, ie, due to damage to the pituitary or hypothalamus.

Hence, your FSH and LH values will determine whether you have primary or secondary hypogonadism.

Accordingly, if the FSH and LH values are high, it is primary hypogonadism, and hormonal therapy will improve your symptoms, but not fertility. You will have to go for ART ( assisted reproductive technologies ) to bear children. With secondary hypogonadism, hormonal therapy might improve your fertility profile.

I hope I have clarified your doubt.

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Hello
Secondary hypogonadism can improve spermatogenesis at times with hormonal therapy.
Only Sustanon ( progesterone ) is not enough, and you need LH supplementation also to stimulate spermatogenesis.
Of course, an overall view of your various factors needs to be taken, which is best assessed by a physical examination and appropriate blood testing ordered by an XXXXXXX / Urologist.
Do not go for tests on your own, but consult a reputed XXXXXXX / Urologist.
The semen analysis shows azoospermia, as you have taken only testosterone replacement which is not enough for fertility.
Take care.

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