{"id":5344,"count":2,"description":"Manlig hypogonadism \u00e4r dokumenterad l\u00e5g testosteronniv\u00e5 \u2014 bekr\u00e4ftad av morgon-serumtestosteron &lt; 8,0 nmol\/L vid minst tv\u00e5 tillf\u00e4llen, med karakteristiska symptom (tr\u00f6tthet, l\u00e5g libido, erektil dysfunktion, nedst\u00e4mdhet, muskelf\u00f6rlust, anemi, bensk\u00f6rhetsf\u00f6rlust). Testosteronsubstitutionsbehandling (TRT) \u00e5terst\u00e4ller fysiologiska niv\u00e5er och f\u00f6rb\u00e4ttrar dessa utfall. Fertilitetsbevarande alternativ (klomifen\/enklomifen\/hCG) undviker testikul\u00e4r nedreglering och infertilitet orsakad av exogent testosteron \u2014 relevant f\u00f6r yngre m\u00e4n som fortfarande vill ha barn. MedsBase Hypogonadism-katalog inneh\u00e5ller de topikala TRT-alternativen, levererade av <strong>WHO-GMP certifierade tillverkare<\/strong>.\n\n<strong>Topisk testosterongel.<\/strong> Topisk 1% testosterongel applicerad dagligen p\u00e5 ren, torr hud (axlar, \u00f6verarmar, mage) \u2014 vanligtvis 50\u2013100 mg gel dagligen beroende p\u00e5 basniv\u00e5 och m\u00e5l-serumtestosteron. Stabila serumniv\u00e5er uppn\u00e5s efter 7\u201314 dagar; l\u00e5g niv\u00e5 kontrolleras 2\u20134 timmar efter applicering eller 24 timmar senare (beroende p\u00e5 protokoll) f\u00f6r att bekr\u00e4fta tillr\u00e4cklig substitution. Finns som <a href=\"https:\/\/medsbase.com\/sv\/androtas-gel-75gm\/\">Androtas Gel 75 g<\/a> och <a href=\"https:\/\/medsbase.com\/sv\/androtas-gel-5gm\/\">Androtas Gel 5 g<\/a>.\n\n<strong>Applicering och kontakts\u00e4kerhet.<\/strong> Applicera en g\u00e5ng dagligen, l\u00e5t torka i 5\u201310 minuter, tv\u00e4tta h\u00e4nderna noggrant. T\u00e4ck appliceringsst\u00e4llet f\u00f6r att undvika hud-mot-hud-\u00f6verf\u00f6ring till kvinnor eller barn \u2014 oavsiktlig \u00f6verf\u00f6ring till kvinnor orsakar virilisering; \u00f6verf\u00f6ring till barn orsakar tidig pubertet. Undvik simning eller dusch under 4\u20136 timmar efter applicering.\n\n<strong>Fertilitetsbevarande alternativ \u2014 se relaterade kategorier.<\/strong> Yngre m\u00e4n som fortfarande vill ha barn b\u00f6r \u00f6verv\u00e4ga hCG (HUCOG, Puretrig, Eutrig HP \u2014 se v\u00e5r <a href=\"https:\/\/medsbase.com\/sv\/fertility-supplements-for-men\/\">Fertilitetssupplement f\u00f6r m\u00e4n<\/a> kategori) eller klomifen\/enklomifen (Clomiford, Clomisign, Enclomisign) ist\u00e4llet f\u00f6r TRT \u2014 dessa stimulerar endogen testosteronproduktion utan att st\u00e4nga ner testikul\u00e4r funktion och spermatogenes.\n\n<strong>Viktigt.<\/strong> TRT is appropriate only for documented hypogonadism with confirmed low testosterone and characteristic symptoms \u2014 not for normal-range testosterone with non-specific symptoms or for performance enhancement. Baseline assessment before starting: serum testosterone (morning, fasting, ideally repeated on a separate day), LH\/FSH (to distinguish primary from secondary hypogonadism), prolactin (rules out prolactinoma), PSA (baseline), haematocrit (TRT raises Hct \u2014 risk of polycythaemia), DEXA scan in selected cases. Monitoring: testosterone level + Hct + PSA at 3 and 6 months then annually. Contraindications: prostate cancer (active or treated within 5 years), male breast cancer, severe untreated sleep apnoea, uncontrolled heart failure, polycythaemia (Hct &gt; 54%), planning fatherhood (use hCG \/ clomiphene instead). Cardiovascular safety signals from older studies were reassuring on more recent meta-analysis \u2014 but discuss risks with your endocrinologist.\n\nAll MedsBase Hypogonadism products ship from <strong>WHO-GMP certifierade tillverkare<\/strong> med diskret f\u00f6rpackning och omfattas av v\u00e5rt <a href=\"https:\/\/medsbase.com\/sv\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a>.","link":"https:\/\/medsbase.com\/sv\/hypogonadism\/","name":"Hypogonadism","slug":"hypogonadism","taxonomy":"product_cat","parent":3142,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat\/5344","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product_cat\/3142"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/sv\/wp-json\/wp\/v2\/product?product_cat=5344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}