Low LH usually suggests reduced hypothalamic or pituitary drive, especially when sex steroid levels are also low. Causes include hypothalamic-pituitary disorders, hyperprolactinemia, functional suppression from undernutrition, excessive exercise / low energy availability, severe stress or systemic illness, and suppressive medications or exogenous androgens. In men, low or inappropriately normal LH with low testosterone suggests secondary hypogonadism.
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