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RecruitingNCT07752511Updated Nov 6, 2026

Anticipated Stigma, Illness Identity, and Quality of Life in Male Hypogonadism

An observational study in Hypogonadism, Male, Endocrine Disease and Hypertension, sponsored by Hacettepe University. Recruiting at 2 sites in Turkey (Türkiye). Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Hacettepe University · Observational

Updated Nov 6, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
90
Ages
18 Years and older
Sex
Male
01

Study summary

This study aims to systematically compare the levels of anticipated illness stigma and illness identity among men diagnosed with hypogonadism to those of men with other chronic endocrine conditions (e.g., diabetes mellitus, hypothyroidism, and hypertension). Furthermore, it examines whether these psychosocial variables predict quality-of-life deterioration specifically within the hypogonadism cohort.

Read the detailed description

Hypogonadism is a chronic endocrine condition characterized by subnormal serum testosterone levels. Unlike other chronic metabolic conditions, hypogonadism directly threatens core attributes of male gender identity, including sexual function, physical capacity, and reproductive potential. While biological manifestations and medical management are well documented, the psychosocial dimensions of hypogonadism, specifically anticipated stigma and illness identity, remain insufficiently explored in clinical research.

Anticipated stigma involves cognitive expectations of negative reactions, judgment, or discrimination from interpersonal, occupational, and healthcare environments. In conditions where illness poses a direct threat to gender role identity, anticipated stigma may be heightened compared to non-identity-threatening chronic conditions such as diabetes or hypertension. Furthermore, the degree to which an individual integrates the diagnosis into their self-concept (illness identity) may interact with anticipated stigma to exacerbate health-related quality-of-life impairments.

This study systematically evaluates anticipated stigma and illness identity in men with hypogonadism in comparison to age-matched controls with other chronic endocrine conditions treated in the same clinical setting. The primary objective is to determine whether anticipated stigma levels differ significantly between these groups and to examine the predictive capacity of anticipated stigma and illness identity on disease-specific symptom burden and quality-of-life outcomes within the hypogonadism cohort.

02

Conditions studied

  • Hypogonadism, Male
  • Endocrine Disease
  • Hypertension

Keywords

  • Hypogonadism
  • Anticipated Stigma
  • Illness Identity
  • Quality of Life
  • Chronic Endocrine Diseases
  • Psychosocial Factors
03

In context

Eunuchism

75 studies on the registry are indexed under Eunuchism; 21 are open to participants now.

This study's planned enrollment of 90 is close to the median of 100 across 17 observational studies indexed under Eunuchism.

Browse Eunuchism studies →

Lead sponsor

Hacettepe University is the lead sponsor of 1,007 studies on the registry; 214 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Male patients aged 18 years and older who are routinely followed up at the endocrinology outpatient clinic of Malatya Training and Research Hospital. The population comprises two distinct subgroups: men with a biochemically confirmed diagnosis of hypogonadism and age-matched men diagnosed with other chronic endocrine or metabolic conditions (diabetes mellitus, hypertension, or hypothyroidism) without hypogonadism.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Cases:

  • Male, aged 18 years or older.
  • Biochemically confirmed hypogonadism (total testosterone \< 300 ng/dL with at least one clinical symptom).
  • Regular follow-up at the endocrinology outpatient clinic.
  • Fluent in reading and understanding Turkish.
  • Signed .

Controls:

  • Male, aged 18 years or older.
  • Diagnosed with diabetes, hypertension, or hypothyroidism under regular endocrinology follow-up.
  • Total testosterone ≥ 300 ng/dL.
  • Age-matched to a participant in the case group (±5 years).
  • Fluent in reading and understanding Turkish.
  • Signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Active psychiatric diagnosis (e.g., active psychosis, bipolar disorder).
  • Chronic inflammatory or rheumatological diseases affecting body composition (e.g., chronic kidney disease, IBD, rheumatoid arthritis, SLE, ankylosing spondylitis).
  • Uncontrolled co-existing endocrine conditions or severe complications (e.g., > 8.0%, diabetic neuropathy/nephropathy/retinopathy, non-euthyroid state).
  • Cognitive impairment or dementia precluding questionnaire completion.
  • Klinefelter syndrome.
  • Literacy limitations preventing completion of self-report measures.
  • Additional control exclusion: Diagnosis or clinical suspicion of hypogonadism.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
90 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Hypogonadism Group (Case)

    Male patients aged 18 years or older with biochemically confirmed hypogonadism (total testosterone \< 300 ng/dL with at least one clinical symptom) undergoing regular follow-up in the endocrinology clinic.

  • Control Group (Other Chronic Endocrine Diseases)

    Male patients aged 18 years or older diagnosed with diabetes mellitus, hypertension, or hypothyroidism without hypogonadism (total testosterone ≥ 300 ng/dL), matched by age (±5 years) to the case group and under regular follow-up in the same endocrinology clinic.

06

What researchers measure

Primary outcomes

  1. Chronic Illness Anticipated Stigma Scale (CIASS) Score

    Measures anticipated stigma across three subscales (friends/family, work, healthcare workers) on a 5-point Likert scale.

    Time frame: Baseline (Single session, day 1)

  2. Brief Illness Perception Questionnaire (Brief IPQ) Score

    Assesses cognitive and emotional representations of illness. Higher total scores indicate a more threatening illness perception.

    Time frame: Baseline (Single session, day 1)

Secondary outcomes

  1. Aging Males' Symptoms (AMS) Scale Score

    Evaluates the severity of symptoms related to aging/hypogonadism across somatic, psychological, and sexual domains.

    Time frame: Baseline (Single session, day 1)

  2. Hospital Anxiety and Depression Scale (HADS) Score

    Measures anxiety and depression symptom severity via 14 items (7 anxiety, 7 depression).

    Time frame: Baseline (Single session, day 1)

07

Study locations

2 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2026 (actual). Primary completion is estimated for Oct 2027, 12 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 4, 2026
First posted
Aug 7, 2026
StartActual
Oct 20, 2026
Primary completionEst.
Oct 20, 2027
CompletionEst.
Oct 30, 2027
Last update
Nov 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Nov 6, 2026
Sites
2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • Bingöl University Faculty of Physical Therapy and Rehabilitation · Bingoel, Turkey (Türkiye)no status→Recruiting
  • Malatya Training and Research Hospital · Malatya, Turkey (Türkiye)no status→Recruiting
Nov 6, 2026
Start date
Oct 1, 2026→Oct 20, 2026 (actual)
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    Not yet recruiting→Recruiting
    2 sites changed recruiting status (2 now recruiting)
    Show 2 sites
    • Bingöl University Faculty of Physical Therapy and Rehabilitation · Bingoel, Turkey (Türkiye)no status→Recruiting
    • Malatya Training and Research Hospital · Malatya, Turkey (Türkiye)no status→Recruiting
    Start date Oct 1, 2026→Oct 20, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07752511
Responsible party
Aybüke Fanuscu (Assistant Professor, Bingol University) — Principal investigator
First posted
Aug 7, 2026
Start date
Oct 20, 2026
Primary completion
Oct 20, 2027 (estimated)
Completion
Oct 30, 2027 (estimated)
Last update
Nov 6, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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