Select the one best response:
A young couple, both in their 20s, have been trying for 2 years to have a baby. The male comes into the office and on workup has oligospermia, high LH, high FSH, and a normal karyotype. How do you treat him?
a. Do nothing
b. Testosterone injections
c. Check the partner for causes of infertility
d. Infertility counseling
The answer is b.
This patient presents with classic testosterone deficiency, as evidenced by the low sperm count and elevated gonadotropic hormones.