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17th September 2024
A 29-year-old female presents to the endocrine clinic experiencing a reduced sexual drive
A 29-year-old female presents to the endocrine clinic experiencing a reduced sexual drive. She has a smoking history of 6 cigarettes a day and denies using any recreational drugs. On examination, she is 180 cm, has a BMI of 38 kg/m² and has gynaecomastia. On questioning, she complains of a lack of taste and smell after she contracted COVID five years ago. Investigations are shown below.
| FSH | 1.5 IU/l (0.5-14) |
| LH | 3.3 IU/l (1.0-11) |
| Testosterone | 5.5 nmol/l (8.5- 28.5) |
| MRI brain | Normal appearances of the brain including the pituitary gland |
Which is the underlying cause for the patient’s presentation?
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