Review Question - QID 212373

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Male Infertility Etiology Endocrine and Systemic Disorders Genetic Disorders of Spermatogenesis Acquired Disorders of Spermatogenesis Post-testicular Defects and Disorders of Sperm Transport Kallmann syndrome Hemochromatosis increased deposition of iron in pituitary QID: 212373 (M2.OMB.18.1)

QID 212373 (Type "212373" in App Search)

A 26-year-old male engineer presents to a reproductive specialist due to the inability to conceive after 2 years of trying with his 28-year-old wife. He reports that he is healthy without any significant medical history, surgeries, or medications. He was adopted at 17 years-old. On exam, he is well appearing without dysmorphic features. He has a high pitched voice, absent facial hair, is 5 feet 8 inches tall, and has a BMI of 19 kg/m^2. On genitourinary exam, his testicles are descended bilaterally without varicoceles, and testicular volume is 8cc bilaterally. He has a stretched penile length of 6cm. He has labwork from his primary care physician that is significant for low LH, FSH, and testosterone. What is the most likely cause of his infertility?

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