TABLE 2

Symptoms and signs of postpubertal male hypogonadism

General and cognitive manifestations
Fatigue, lack of energy
Poor motivation
Impaired concentration and memory
Depressed mood
Irritability
Sleep disturbance
Reproductive manifestations
Decreased libido
Decreased morning erections
Erectile dysfunction
Decreased shaving frequency
Decreased body hair
Gynecomastia
Decreased size of testes
Infertility (decreased sperm production)
Other manifestations
Decreased bone mineral density, osteoporosis, fractures
Loss of muscle mass and strength
Increased body fat and body mass index
Hot flashes (with severe testosterone deficiency)