you are: DIAGNOSTICS

At children and teenagers the bone age is estimated. The slowed down ossification epifizov the tubular bones (brush), defining backlog of bone age from calendar, osteoporosis presence (especially in chest and lumbar vertebras) - these changes are peculiar to testikuljar th insufficiency which has come at early age.

Symptoms androgennoj insufficiency . For an estimation androgennoj organism functions extremely important are results of objective research of external and internal genitals, studying of degree of their development, conformity I will increase the sizes of a sexual member, jaichek, predstatelnoj glands, presence of anomaly of position jaichek, infringement trofiki testiku-ljarnoj fabrics (at varikotsele and kriptorhizme).

1. gipoplazija it is considered a sexual member indisputable if its sizes of less indicators of their bottom border in norm. On our data, the bottom border of the sizes neeregirovannogo a sexual member in norm in age aspect the following: its length at the age from 8 to 12 tet - 3,5 sm, 13 years – 4,5 sm, 14 years – 8 sm, 15 years – 9 sm, 16-18 years-10,5 of sm; its circle at the age from 8 till 12 years - 3 sm, 13 years - 4 sm, 14 years - 4,5 sm, 15 years-6 of sm, 16-18 years - 6 sm (fluctuations of the specified sizes in this or that party make 1,5-2 sm). gipoplazi a sexual member with the extended extreme flesh testifies about gipogenitalizme which can be one of signs secondary gipogonadizma.

2. Depigmentatsija moshonki, atonija it, the small sizes, insufficient development.

3. An atrophy or gipoplazija jaichek (the longitudinal size jaichka at the adult man is less 2,5 sm). Soft and too dense consistence specifies them on gnpogonadizm. gipoplazirovannye jaichki often are a symptom of a diverse pathology of omission jaichek, various anomalies of the form, the sizes and quantity jaichek, secondary go gipogonadizma on soil gipofizarnoj, nadpochechkovoj, | tireoidnoj pathologies, syndrome Klajnfeltera.

4. gipoplazija predstatelnoj glands, a crescent atrophy of gland - a sickle symptom. At androgennoj insufficiency predstatelnaja gland gets the form of the sickle opened up, i.e. The top segment of gland uploshchaetsja also sinks down, and bottom as though borders from the bottom party the formed hollow in the form of the platen. If diameter of the sunk down part to 2,5-3 sm, a sickle symptom is regarded as sharply positive (+ + +)-androgennaja function is lowered approximately in 3 times; to 1,5 sm - positive (++). - androgennaja function is lowered in 1,5-2 times; if it is even less - the initial symptom of a sickle (+)-is observed decrease reserve androgennoj functions. Absence predstatelnoj specifies glands in heavy developmental anomaly of man's genitals and if thus find out desolation moshonki, it gives the basis to assume presence at the patient anorhizma.

5. Spasmodic change any of phases konuljativnogo a cycle or sexual activity can be regarded (except for a psychogenic impotence) as a sign of hormonal infringements as phases kopuljativnogo a cycle are formed and normally proceed at not changed endokrinnom a background.

In the practical purposes clinical signs androgennoj insufficiency

As follows.