I think hypogonadal, secondary or otherwise, means low hormones. So in this case if your hormone levels are normal but you have hypogonadal symptoms it's probably something to do with receptors, NO, or some other systemic dysregulation.
Like in my case, with T in the upper 400s, I'm not technically hypogonadal, yet I suffer from shrinkage. Upper 400s isn't an optimal level, but in a normal person it wouldn't make their dick shrink.
Yep, and I believe it's affecting ALL our receptors
For example, On a dry blood analysis Ive shown hypothyroid markers basically every time (for years now) despite keeping my t4 and free t3 levels in the perfect lab range.