Females- present with menstrual irregularities amenorrhea, reduced sex drive libido, vaginal dryness, pain on intercourse, reduced fertility infertility, bone loss osteopenia osteoporosis, increased hair growth hirsutism Males- present with low libido, erectile dysfunction, reduced fertility infertility, bone loss, anemia and gynecomastia rarely Low sex drive independent of low sex steroid levels Inappropriate breast milk discharge galactorrhea common in females, rare in males <a href=
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