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Testicular hypofunction

ICD10CM code

Name of the Condition

  • Testicular Hypofunction
  • Also known as Testicular Insufficiency.

Summary

Testicular hypofunction is a condition where the testes produce insufficient amounts of hormones, particularly testosterone, resulting in various physiological effects and potential fertility issues. This condition can affect males of any age.

Causes

  • Genetic disorders such as Klinefelter syndrome.
  • Damage to the testes from infections (e.g., mumps orchitis).
  • Injury or trauma to the testicles.
  • Chemotherapy or radiation therapy.
  • Chronic health issues such as liver cirrhosis or kidney disease.

Risk Factors

  • Family history of hormonal or genetic disorders.
  • History of testicular trauma or surgery.
  • Use of anabolic steroids.
  • Chronic alcohol abuse.

Symptoms

  • Reduced libido or sexual drive.
  • Erectile dysfunction.
  • Decreased muscle mass and strength.
  • Development of breast tissue (gynecomastia).
  • Fatigue and weight gain.
  • Reduced facial and body hair.

Diagnosis

  • Blood tests to check hormone levels, particularly testosterone.
  • Semen analysis to evaluate fertility potential.
  • Genetic testing if a hereditary condition is suspected.
  • Ultrasound imaging to assess the testicles.

Treatment Options

  • Hormone Replacement Therapy (HRT): To augment testosterone levels.
  • Lifestyle modifications: Including a healthy diet and regular exercise to help manage symptoms.
  • Surgical interventions: In cases of structural problems with the testes.

    Each treatment aims to balance hormone levels, alleviate symptoms, and improve quality of life and fertility when possible.

Prognosis and Follow-Up

With appropriate treatment, individuals can often manage symptoms effectively. Regular monitoring by healthcare professionals is crucial to adjust treatment plans and monitor potential side effects of hormone therapy.

Complications

  • Osteoporosis due to reduced bone density.
  • Infertility if left unmanaged.
  • Psychological impacts, including depression or anxiety.

Lifestyle & Prevention

  • Maintaining a healthy lifestyle with regular exercise and a balanced diet.
  • Avoiding anabolic steroids and excessive alcohol consumption.
  • Protecting the groin area to prevent testicular injury.

When to Seek Professional Help

Seek medical attention if experiencing symptoms such as unexplained fatigue, sexual dysfunction, or physical changes such as breast tissue development in males.

Additional Resources

Tips for Medical Coders

  • Ensure accurate documentation of hormone levels and symptoms to support diagnosis.
  • Be aware of related codes for complications and comorbid conditions.
  • Avoid coding errors by confirming the specific condition as primary hypofunction or secondary to another condition.

Medical Policies and Guidelines for Testicular hypofunction

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