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Obtaining morning levels of total testosterone (normal range = 240 to 950 ng per d L [8.3 to 33.0 nmol per L]) and follicle-stimulating hormone (FSH; normal range = 1.5 to 12.4 m IU per m L [1.5 to 12.4 IU per L]) can help differentiate between primary and secondary disorders.

LINDSAY, MD, Saint Louis University Family Medicine Residency, Belleville, Illinois KIRSTEN R.

Because sperm generation time is just over two months, it is recommended to wait three months before repeat sampling.8 A normal sample according to the 2010 World Health Organization (WHO) guidelines is described in .

If oligospermia or azoospermia is noted, hypogonadism should be suspected.

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