M. leprae invades the testes, while ENL may cause orchitis. Thus males with
lepromatous leprosy often manifest mild to severe testicular dysfunction, with
an elevation of luteinizing and folliclestimulating hormones, decreased
testosterone, and aspermia or hypospermia in 85% of LL patients but in only 25%
of BL patients. LL patients may become impotent and infertile. Impotence is
sometimes responsive to testosterone replacement.
Source:
Harrison_s_Principles_of_Internal_Medicine_16th_Edition
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