How do I install the Icsm Hypogonadism Diagnosis Confirmation skill?

Run npx skillmds@latest add dromlakhani/icsm-hypogonadism-diagnosis-confirmation in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Icsm Hypogonadism Diagnosis Confirmation safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Icsm Hypogonadism Diagnosis Confirmation?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Icsm Hypogonadism Diagnosis Confirmation free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Icsm Hypogonadism Diagnosis Confirmation?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Icsm Hypogonadism Diagnosis Confirmation by dromlakhani

Name: Icsm Hypogonadism Diagnosis Confirmation
Rating: 4.5 (4 reviews)
Author: dromlakhani

Icsm Hypogonadism Diagnosis Confirmation

This skill confirms the diagnosis of male hypogonadism by requiring both characteristic clinical symptoms and consistently low total testosterone levels on two separate morning measurements. It is triggered when a clinician evaluates a patient with suspected hypogonadism and wonders whether low testosterone and symptoms are present or if the diagnosis should be confirmed.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Confirm diagnosis of male hypogonadism

STEP 1 — Gather Information

Collect a focused history for hypogonadism symptoms: sexual (low libido, decreased nocturnal/morning erections, erectile dysfunction) and non‑specific (fatigue, low energy, depressed mood, hot flushes, decreased vigor). Obtain a morning fasting total testosterone (tT) sample between 07:00–11:00 h using a reliable assay.

STEP 2 — Rule In / Rule Out

Are any hypogonadism‑suggestive symptoms present? If no, rule out hypogonadism and consider alternative explanations. If yes, proceed to testosterone measurement.

STEP 3 — Classify or Stratify

Is the initial tT <12 nmol/L (≈350 ng/dL)? If ≥12 nmol/L, rule out hypogonadism. If <12 nmol/L, repeat tT on a separate day (morning fasting). If the repeat tT is ≥12 nmol/L, rule out hypogonadism; if both measurements are <12 nmol/L, proceed to diagnosis.

STEP 4 — Decide

Diagnose male hypogonadism and initiate evaluation for underlying etiology (primary, secondary, functional) while discussing potential benefits and risks of testosterone therapy.

Clinical Guardrails / Mimics / Pitfalls

Do not diagnose based on a single low testosterone result; avoid screening asymptomatic men; do not draw samples during acute illness or non‑fasting states; remember that obesity, insulin resistance, and altered SHBG can affect total testosterone interpretation; prevent overdiagnosis by requiring both symptoms and biochemical confirmation.

Concrete Clinical Example

A 48‑year‑man reports reduced libido, morning erections, and fatigue. Initial tT at 09:00 h fasting is 10.8 nmol/L; repeat tT four weeks later is 11.2 nmol/L. Both values are <12 nmol/L and symptoms are present, so male hypogonadism is confirmed.

Source: Male hypogonadism: recommendations from the Fifth International Consultation on Sexual Medicine (ICSM 2024), Mohit Khera et al., 2025, https://doi.org/10.1093/sxmrev/qeaf036

---name: icsm-hypogonadism-diagnosis-confirmationdescription: This skill confirms the diagnosis of male hypogonadism by requiring both characteristic clinical symptoms and consistently low total testosterone levels on two separate morning measurements. It is triggered when a clinician evaluates a patient with suspected hypogonadism and wonders whether low testosterone and symptoms are present or if the diagnosis should be confirmed.---# Confirm diagnosis of male hypogonadism## STEP 1 — Gather InformationCollect a focused history for hypogonadism symptoms: sexual (low libido, decreased nocturnal/morning erections, erectile dysfunction) and non‑specific (fatigue, low energy, depressed mood, hot flushes, decreased vigor). Obtain a morning fasting total testosterone (tT) sample between 07:00–11:00 h using a reliable assay.## STEP 2 — Rule In / Rule OutAre any hypogonadism‑suggestive symptoms present? If no, rule out hypogonadism and consider alternative explanations. If yes, proceed to testosterone measurement.## STEP 3 — Classify or StratifyIs the initial tT <12 nmol/L (≈350 ng/dL)? If ≥12 nmol/L, rule out hypogonadism. If <12 nmol/L, repeat tT on a separate day (morning fasting). If the repeat tT is ≥12 nmol/L, rule out hypogonadism; if both measurements are <12 nmol/L, proceed to diagnosis.## STEP 4 — DecideDiagnose male hypogonadism and initiate evaluation for underlying etiology (primary, secondary, functional) while discussing potential benefits and risks of testosterone therapy.## Clinical Guardrails / Mimics / PitfallsDo not diagnose based on a single low testosterone result; avoid screening asymptomatic men; do not draw samples during acute illness or non‑fasting states; remember that obesity, insulin resistance, and altered SHBG can affect total testosterone interpretation; prevent overdiagnosis by requiring both symptoms and biochemical confirmation.## Concrete Clinical ExampleA 48‑year‑man reports reduced libido, morning erections, and fatigue. Initial tT at 09:00 h fasting is 10.8 nmol/L; repeat tT four weeks later is 11.2 nmol/L. Both values are <12 nmol/L and symptoms are present, so male hypogonadism is confirmed.**Source:** Male hypogonadism: recommendations from the Fifth International Consultation on Sexual Medicine (ICSM 2024), Mohit Khera et al., 2025, https://doi.org/10.1093/sxmrev/qeaf036

Frequently asked questions