The evaluation starts with a complete and comprehensive sexual and medical history, including reproductive history, family history, significant trauma to the pelvis, testicles or head, sexual performance, libido, occupation, systemic diseases, intake of alcohol, smoking, recreational drugs, medications, steroid abuse, previous chemo radiotherapy, pubertal development, testicular descent, surgical history involving the scrotum and inguinal regions, exposure to toxic chemicals such as pesticides, loss of body hair, shaving frequency, sexually transmitted infections STIs, tuberculosis, mumps, scrotal infections such as epididymitis, prior biological children produced, maternal exposure to DES, anosmia associated with Kallman syndrome, breast enlargement and galactorrhea, precocious puberty at 9 years of age or earlier, etc <a href=
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