Welcome to EndocrinologyNepal

Endocrinology is a branch of internal medicine which deals with disorders related to hormonal imbalance. It includes not only diabetes and thyroid disorders but also deals with various diseases like hypogonadism, erectile dysfunction, infertility, hirsutism, gynecomastia, PCOS, pubertal disorders, obesity, short stature, tall stature, pituitary disorders, Cushing's syndrome, Pheochromocytoma, parathyroid disorders and metabolic bone diseases.

Endocrinology भनेको हर्मोन को गडबडीबाट हुने रोग सम्बन्धि क्षेत्र हो I हर्मोनको गडबडीका कारण निम्न समस्याहरु हुन सक्छन :
१. मधुमेह (Diabetes)
२. सुगर कम हुने रोग (Hypoglycemia)
३. थाईराइद रोग (Thyroid disorders)
४. महिनाबारीमा गडबड र निसन्तान (Infertility)
५. महिलाहरुको शरीरमा धेरै रौँ उम्रने (Hirsutism)
६. स्तनबाट दुध चुहिने (Galactorrhea)
७. पुरुषहरुमा स्तन बढ्ने (Gynaecomastia)
८. शरीरको उच्चाई नबढी पुड्को हुने (Short stature) वा धेरै अग्लो हुने (Tall Stature)
९. लिङ्ग वा अन्दकोश सानो हुने (Hypogonadism)
१०. यौन इच्छामा कमि आउने वा सम्भोग गर्न गार्हो हुने (Erectile Dysfunction)
११. यौबन अवस्था चांडो देखिने (Precocious puberty) वा ढिलो गरि देखिने (Delayed puberty)
१२. हड्डी बारम्बार टुट्ने , हड्डी बंगिने (Rickets), हड्डी सुन्निन्ने वा हड्डी खिइने (Osteoporosis)
१३. शरीरको मोटोपना बढ्ने(Obesity)
१४. बारम्बार मिर्गौलाको पत्थरी हुने(Kidney stones)
१५. सानो उमेरमा नै रक्तचाप बढ्ने वा रक्तचाप अचानक बढेर टाउको दुख्ने , बान्ता हुने र पसिना आउने
१६. लिङ्ग निर्धारण गर्न गार्हो हुने (Disorders of sexual development)

About Dr Ansu Mali Joshi

My photo
Kathmandu, Nepal
I am an endocrinologist, practising at Kathmandu, Nepal. I did my DM Endocrinology from the prestigious All India Institute of Medical sciences, New Delhi in 2011. DM Endocrinology is a 3 year superspecialized degree which is done after doing 3 years of MD Internal Medicine. Currently I work at KATHMANDU DIABETES & THYROID CENTER PVT LTD (01-5521969).

Sunday, March 4, 2012

Men with Androgen Deficiency Syndromes (Hypogonadism) And Testosterone therapy

-Androgen Deficiency (AD) syndromes caused by low testosterone levels in the bloodstream are common in adult men.

-Signs and symptoms of AD include:
• Drop in sex drive (libido)
• Erectile dysfunction (ED—inability to get or keep an erection)
• Lowered sperm count and infertility (inability to have children)
• Breast enlargement or tenderness
• Reduced energy
• Increased irritability, inability to concentrate, and low mood
• Hot flashes (when testosterone levels are very low)

-When a decrease in testosterone is prolonged and severe, men may have loss of body hair, reduced muscle size and strength, brittle bones (osteoporosis), and smaller testicles.

How is low testosterone diagnosed?
-Generally, blood levels of testosterone of 300–1,000 ng/dL are considered normal, but these levels may be different in different laboratories.

-Morning measurement (when levels are highest) is recommended.

-Illness, malnutrition, and certain medications can reduce testosterone temporarily, so blood tests may need to wait until after you recover or stop taking such a medication.

-Levels should be measured more than once to make sure they really are low.

How to treat androgen deficiency?
-Experts recommend that testosterone treatment be given to men with low testosterone levels and symptoms or signs of AD.

-Depending on the reason for treatment, the goals may be different from case to case but may include improving and/or maintaining the signs of masculinity (e.g., deep voice, growth of beard, pubic hair), sex drive (libido), erections, muscle strength, and the amount of bone.

How will your doctor help you get to your testosterone therapy goals?
-Your doctor can prescribe testosterone in one of several forms:

a. injections (usually every 2 weeks)
b. patches (put on skin every day)
c. gels (put on skin every day)
d. buccal tablets (applied to the gums two times a day)

-A blood test for testosterone levels at various times during treatment is also recommended to see if levels are
in the normal range.

-During treatment, you should see your doctor about three to six months after you start treatment to evaluate whether you are improving and if you are having any problems or side effects.

7 comments:

  1. Is testosterone therapy available in Nepal? What about the cost? I heard that they are available OTC.

    ReplyDelete
  2. My Testosterone is panning to much

    ReplyDelete

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