He was 28 now, and growing a beard. They had injected human chorionic gonadotrop
ID: 99089 • Letter: H
Question
He was 28 now, and growing a beard. They had injected human chorionic gonadotropin (hcG) for two years in an attempt to produce sperm, but it hadn't worked. He was big, 6'6", and weighed 275 lbs. His hands and feet were especially large: he wore 2x gloves and size 18 shoes. Eric couldn't wait to get the wires out of his mouth. His jaw had been hurting, especially the joint on the left side. The dentist thought he might have TMJ (temporal mandibular joint dysfunction), and referred him to a dental surgeon. The surgeon had expanded his upper jaw by splitting it into five pieces, pulling the pieces into place, and screwing in small metal plates to hold everything together. The wires were to let everything heal, and 10 weeks of a mouth wired shut had been more difficult than he had thought. However, he was looking forward to getting rid of the frequent headaches. Why was he growing facial hair? Why did he need jaw surgery?Explanation / Answer
1. Human chorionic gonadotropin (HCG) is a normal hormone that doctors recommend as an injectable drug. HCG improves fertility by escalating sperm production in men and heartening egg release in women. It also assists treat sex hormone-linked situations, such as descended testes in young men and immature sexual traits in girls. Depending on its exploit, HCG considers to be whichever an endocrine drug or a fertility drug.
Here the tests are not as positive as in case of male idiopathic hypogonadotrophic hypogonadism patients. HCG treatment has a valuable effect on gonadal function and penile enlargement in those. That suggests that primary sexual characteristics are not developing in such patient however, the secondary sexual traits like beard can develop. The patient has low level of testosterone and it is not exceeding through hccg injections. That is because hcg is regulatory of testosterone in males. Moreover, if it is not functioning, the pituitary gland of the patient might have defect.
2. Surgery has positive effect on reducing pain. However, surgery is normal in such condition. That is because the joint is very painful and cannot treatable with medicines. The most frustrating fact is that even surgery is also cannot treat the temporomandibular joint dysfunction. The surgery requires either degeneration or remodeling of the joint structure.
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