Possible treatments
Hypogonadism can start at any age but affects young children, adolescent boys, and men in different ways. Hypogonadism doesn’t often affect young children and can go away over time. However, low hormone levels during puberty can impact how a boy’s body develops sexually.
Teenage boys with hypogonadism:
- May not be showing the usual changes that happen as a child grows into an adult (delayed or absent puberty), like not growing facial hair or not having a deeper voice.
- May grow breasts, and their arms and legs may become very long and they usually have a small torso as they continue to grow.
- May have small testicles.
- May have less muscle and feeling weaker than usual.
- May not be showing the usual growth spurts.
- May have low energy or are often very tired (fatigue).
- May have less interest in sexual activity.
- May have learning difficulties or trouble focusing.
- May have mood changes.
Most of the time, delays in development are normal and will usually get better on their own as time goes by, but they can be tough emotionally and socially.
If you think your son might have hypogonadism, especially when there are male family members who had hypogonadism, reach out to a doctor who can run tests and help you figure out the next steps. It’s understandable to feel worried, but getting the right help early can make a big difference in his health and well-being.
This chapter contains general information about male hypogonadism. It is not a substitute for professional medical advice or treatment. Always consult your doctor or healthcare provider for guidance on your individual medical situation.
Last updated: May 2025