A 14-year-old male comes to his physician with infantile genitalia and the lack of development of any secondary sex characteristics.The patient is short in stature.Upon discussion of family history,it was discovered that several male relatives had similar defects in testicular development.Based on this information,laboratory results would indicate:

Question

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The patient's presentation is consistent with hypogonadotropic hypogonadism, which is characterized by decreased testosterone levels and elevated FSH/LH levels. The elevated FSH/LH levels are a result of the hypothalamus and/or pituitary gland failing to properly produce or secrete gonadotropin-releasing hormone (GnRH), which stimulates the production of FSH and LH. This condition may be genetic, as indicated by the family history of similar defects in testicular development.

A 14-Year-Old Male Comes to His Physician with Infantile Genitalia