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PART 16: Endocrinology and Metabolism
SECTION 1   Endocrinology

346 Disorders of the Testes and Male Reproductive System
Shalender Bhasin / J. Larry Jameson

Figure 346-1  Pubertal events in males. Sexual maturity ratings for genitalia and pubic hair and divided into five stages. (From WA Marshall, JM Tanner: Arch Dis Child 45:13, 1970.)
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Figure 346-2  Human pituitary gonadotropin axis, structure of testis, seminiferous tubule. E2, 17β–estradiol; DHT, dihydrotestosterone.
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Figure 346-3  The biochemical pathway in the conversion of 27-carbon sterol cholesterol to androgens and estrogens.
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Figure 346-4  Androgen metabolism and actions. SHBG, sex hormone–binding globulin.
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Figure 346-5  Evaluation of gynecomastia. T, testosterone; LH, luteinizing hormone; FSH, follicle-stimulating hormones; hCGβ, human chorionic gonadotropin β; E2, 17β-estradiol.
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Figure 346-6  Evaluation of hypogonadism. GnRH, gonadotropin-releasing hormone; LH, luteinizing hormone; T, testosterone.
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