Case presentation A 68-year-old man presented to a new endocrinologist for a regular checkup. He complained of decreased libido, erectile dysfunction with response to sildenafil, and weight gain during the past 2 to 3 years. He entered puberty at around 13 years of age and denied changes in body hair or gynecomastia. Social history Married Rarely consumes alcohol Quit smoking more than 20 years ago Family history Mother: Heart disease Father: Hodgkin’s disease Medical history Two fractures of the left foot at ages 22 and 29 years. At the age of 58 years, he was diagnosed with idiopathic secondary hypogonadism and was treated with testosterone injections for 7 years.
At the age of 65 years, he was diagnosed with prostate cancer . He received external beam radiation and was taken off testosterone supplements. Sexual Health Inventory for Men (SHIM) score 2/25. Later he was diagnosed with…
