A case report of male infertility and gynecomastia in high altitude area: Clinical evaluation and management

Document Type

Case Report


Community Health Sciences; School of Nursing and Midwifery, Pakistan


Gynecomastiais a common abnormality of breast tissue among men. Itis the benign enlargement of male breast glandular tissue.In this report anarrative approachwasfollowed for the qualitative inquiry of three men from the high altitude areas of Pakistan. They presented with gynecomastia and infertility. These men were approached for clinical examination, lab investigations,and further management.Thesemenfindings ofthese patients showed oligospermia, azoospermia ornecrospermia. Serum Prolactin was found to be high and they were overweight with increasedbreast development. The Serum Prolactin, FSH, LH levels,andTestosteronelevels were measured in these patients with infertility.The laboratory investigations of our patients showed highprolactin and estrogen levels.All these men were reported stress due to erectile dysfunctionand infertility. The reasons of male infertility in the high-altitudeareas of Pakistan need to be explored further.

Publication (Name of Journal)

Pakistan Journal of Medical & Health Sciences