The classical forms of hypogonadism are comprised of primary testicular failure or insufficient testicular stimulation due to the lack of pituitary gonadotropins. Typical causes of primary hypogonadism are Klinefelter's syndrome, anorchia or acquired disturbances of testicular function. Secondary hypogonadism is characterized by insufficient production of pituitary gonadotropins, due either to pituitary failure or defects at the hypothalamic level.
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Now, is that a sexist remark or not? It is definitely a good thing to ejaculate in a vagina. In fact it is about the nicest thing I can do for my penis. Testosterone leads to better libido in a man than a woman since women don't have as much testosterone as men. Is low libido and impotence the same thing? Impotence is defined as the inability to have a strong erection enough to last through sexual intercourse while a person can have a strong libido but still have impotence.
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