ABSTRACT
CASE STORY 42-year-old man referred from the Department of Oncology for hormonal evaluation. Two years earlier treated for seminoma in the left testis. No metastases were detected. However, biopsy from the right testis showed carcinoma-in-situ, which was subsequently treated by localized irradiation, 16 Gray given to the testis in eight fractions. Following the cancer treatment, the patient observed profound changes in the mood and also developed a tendency for sweating and hot flushes. He noted reduced libido and sexual function. He was referred to a psychologist for a “post cancer syndrome.” Hormone analysis a couple of months later revealed a serum testosterone of 3.2 nmol/L (normal range: 10-30 nmol/L), SHBG of 56 nmol/L, and LH of 17 IU/L (normal range: 1-10 IU/L). Replacement therapy with testosterone enanthate injections, 250 mg every third week, was initiated. The patient came to the outpatient clinic 3 months later. He was whistling and glad and felt psychologically complete in his habitual shape.
