Abhishek Shrivastava Experienced Endocrinologist with a demonstrated history of working in the hospital & health care industry. Skilled in Diabetes, Primary Care, Clinics, Medicine, and Thyroid. Strong healthcare services professional with a masters in endocrinology and metabolism focused in Endocrinology from royal college of physicians and university of south wales.
Abstract
The prevalence of hypothyroidism overtly ranges from 5% to 11%. Hypothyroidism effects almost all parts of the body. Though Hypothyroidism is less common in males as compared to females but deficiency of thyroid hormone affects almost all metabolic organs of the body, which includes changes in growth hormone, steroid metabolism, sexual function, antioxidative function. Thyroid hormone is known to effect Sex Hormone Binding Globulin (SHBG) and Overt hypothyroidism is associated with low testosterone or hypogonadism due to low levels of SHBG, which by many studies is reversible with thyroid hormone(levothyroxine) replacement therapy. It is studied that men with overt hypothyroidism have low response to (LH) or (GnRH) replacement as compared to significant response to (hCG). It is also studied that testosterone concentrations are reduced in men with overt hypothyroidism and thyroid hormone replacement improves overall testosterone concentrations.