How to Prepare for a Video Visit About Hypogonadism (Low Testosterone) - Evaluation

Audience: pediatric

Hypogonadism, or low testosterone, can affect growth and development in children and teens. A video visit with a healthcare provider can help evaluate symptoms and guide next steps. This guide explains how to prepare for such a telemedicine visit. You will learn what information to share, what questions to ask, and how telemedicine can support your child’s care. While telemedicine is helpful for discussing symptoms and planning tests, some parts of the evaluation may need an in-person visit. Preparing ahead will make the video visit smoother and more useful. Remember, this information is educational and not a diagnosis. Always follow your healthcare provider’s advice and seek emergency care if your child has serious symptoms.

Red flags — go in person / ER

• If your child has sudden severe bone pain or fractures, seek emergency care immediately.
• If your child shows signs of puberty starting very early or very late, tell your healthcare provider promptly.
• If your child experiences severe fatigue, unexplained weight loss, or other sudden health changes, contact a healthcare professional right away.

What telemedicine can do

• Discussing symptoms and medical history related to hypogonadism.
• Providing education about hormone development and puberty.
• Ordering initial blood tests and reviewing results.
• Planning follow-up care and referrals to specialists.

What telemedicine cannot do

• Performing a physical exam to assess puberty stages or testicular size.
• Administering blood tests or imaging studies.
• Managing emergencies or severe symptoms requiring immediate attention.
• Diagnosing complex or rare causes of hypogonadism without in-person evaluation.

What is Hypogonadism in Children?

Hypogonadism means the body is not making enough testosterone, the hormone that helps boys develop during puberty. This can cause delayed growth, lack of muscle, and other changes. It may happen for many reasons, including genetic conditions or problems with glands that control hormones.

How Telemedicine Can Help

A video visit lets you talk with a healthcare provider about your child's symptoms and medical history. The provider can ask questions, review growth patterns, and suggest tests like blood work. Telemedicine is a good way to start the evaluation without leaving home.

What to Prepare Before the Visit

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What to Expect During the Visit

The provider will ask about your child's health and development. They may review growth charts or ask about family health history. Sometimes, the provider will order blood tests or recommend an in-person exam to check hormone levels and physical signs.

When In-Person Care is Needed

If your child has severe symptoms like very slow growth, bone pain, or signs of other illnesses, the provider may advise an in-person visit. Physical exams and certain tests cannot be done through video and need a clinic or hospital setting.

Next Steps After the Video Visit

Follow the provider's instructions for any tests or referrals. Keep track of your child's symptoms and growth. Schedule follow-up visits, either by telemedicine or in person, as recommended. Contact your provider if new symptoms develop.

How to prepare for your tele-visit

• List your child's symptoms, including when they began and how they have changed.
• Gather growth records or charts if available.
• Prepare a list of current medications and supplements.
• Find a quiet, private place with a reliable internet connection for the video call.
• Write down any questions or concerns you want to discuss with the provider.
• Have your child's identification and insurance information ready if needed.

After your tele-visit

• Complete any blood tests or imaging studies ordered by the provider.
• Monitor your child's symptoms and growth as advised.
• Schedule follow-up appointments, either by video or in person.
• Contact your healthcare provider promptly if new or worsening symptoms occur.
• Keep a record of all treatments and test results for future visits.

FAQs

What causes hypogonadism in children?

Hypogonadism in children can be caused by genetic conditions, problems with the brain areas that control hormones, or other health issues. Sometimes it happens without a clear reason. A healthcare provider can help find the cause through tests and exams.

Can hypogonadism be treated?

Yes, many children with hypogonadism can be treated with hormone therapy or other medicines. Treatment helps support normal growth and development. Your healthcare provider will discuss the best options based on your child's needs.

Is a video visit enough to diagnose hypogonadism?

A video visit is a good first step to discuss symptoms and plan tests. However, a full diagnosis usually requires blood tests and a physical exam, which may need to be done in person.

What should I do if my child’s symptoms get worse?

If your child has new or worsening symptoms like severe pain, sudden changes in growth, or other health concerns, contact your healthcare provider promptly or seek emergency care if needed.

How can I help my child during puberty if they have low testosterone?

Working with your healthcare provider, you can support your child by following treatment plans, encouraging healthy habits, and providing emotional support. Hormone therapy may be recommended to help with puberty development.

Sources

1. Hypogonadism in Children — MedlinePlus, U.S. National Library of Medicine.
2. Delayed Puberty and Hypogonadism — American Academy of Pediatrics.
3. Evaluation of Delayed Puberty in Boys — Mayo Clinic.
4. Telemedicine: What You Need to Know — Centers for Disease Control and Prevention (CDC).

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care. Always follow your healthcare provider's instructions and seek emergency care if your child has severe or urgent symptoms.