- 08-12-2008, 08:35 AM
How is it diagnosed? I am a 26 year old male overweight with gyno, ed, fatigue, my testicle feel soft.......I tested my hormones about 3 months ago and here are the results
Dhea(NL) 458ng/DL Ref range142-1410
Testosterone, total (DSL) 346Ng/DL Ref range 190-1037
Estradiol (DSL) 32 PG/ML None given
Cortisol 14.8 Ug/DL None given
I retested a month ago
FSH 5.7 Miu/ml Ref range 1.3-19.3
Lh 3.7 Miu/ml Ref range 1.2-8.6
Total testosterone 230 ng/dl Ref range 190-1037
Free testosterone 51.3pg/ml Ref range 35- 155
Shbg 12 nmol/l Ref range 7-49
Prolactin 15.7 ng/ml Ref range 2.6-13.1
Estradiol 55 pg/ml Ref range <207 (they changed the method of testing)
Does this mean I have hypogonadism? I am seeing an endo and he said all my levels are fine. He wants me to retest and see him again in about a month. I asked him if there is a problem with my pituitary and he said he is not convinced so he wants to retest. He said the prolactin could be high because of breast stimulation when he examined my gyno. That sounds kind of weird is it true? I got the blood test done the next day. I know my balls are okay because i got my wife pregnant less than a year ago and she might be pregnant again. Sometimes I have eye pain and blurry vision. The eye pain is hard to describe, but putting pressure on my eyes helps relieve it. Sometimes I get headaches and feel a little dizzy, but I have been under a lot of pressure lately. He said my fsh and lh are in range, but to me they look low. I mean if they are in fine then wouldn't my testosterone be fine? Meaning the low normal range is okay? Should I seek treatment now or loose weight. What is my best bet besides a endo? A Urologist? I am very limited on doctor choices where I live. What is a DO?
- 08-12-2008, 11:16 AM
Couple of observations:
You're not OK. Your profile is out of whack. Why? Maybe MDs and DOs (Osteopaths) can help you figure it out. If not, there's a lot of help right here on this board available from people who decided to take their endocrine profile under their own control and start feeling and looking better. Read up on this board for at least an hour a day for a couple of weeks and start getting educated.
If you really want to get treated properly, set up an appointment with Dr. John Crisler DO (google for contact info). You can trial and error this kind of thing on your own (lots of us do) but he'll approach the problem with better diagnostics and treatment options. For instance, I can't get my own injectable test or HCG no matter how hard I look, but he can.
Welcome to our community. You're definitely in the right place!
- 08-12-2008, 02:07 PM
You might want to consider an MRI with eye pain and blurry vision. This could be a syptom of a pituitarty adenoma. Pituitary adenomas will cause low testosterone.
08-12-2008, 06:03 PM
08-12-2008, 06:05 PM
08-12-2008, 06:18 PM
You may want to consider getting your diet and exercise in order now...regardless. A 6' male does not become 290lb simply because he has low range testosterone.
When was the first test taken. What has your lifestyle been since? Do you exercise?
What's your cholesterol and BP like? How about diabetes or pre diabetes. Not uncommon for a guy your size.
I would take your doctors advice and retest later but you need to get your self quite a bit more fit regardless of what your testosterone levels are.
Having high cholesterol, pre-diabetes or high blood pressure causes hardening of the arteries, which decreases blood flow to the testicles to damage the testicles and lower testosterone. High blood pressure and high cholesterol lower testosterone, so men with low testosterone are at increased risk for heart attacks. That means that every impotent man should have blood tests for cholesterol and diabetes, the two leading causes of heart attacks as well as impotence. The tests your doctor should order include HBA1C, lipid panel, C-Reactive Protein (CRP), homocysteine, Lp(a), prolactin and testosterone. By the time a man has low levels of testosterone, he may already have significant arteriosclerosis.
08-12-2008, 08:52 PM
08-12-2008, 09:07 PM
08-12-2008, 10:03 PM
08-12-2008, 11:24 PM
08-13-2008, 12:22 AM
do you feel like you are going crazy with hypogonadism, if so I probably have it, I am just awaiting a testosterone blood test
Do you have an increased appetite with lower testosterone? Because I know I have the opposite of that meaning I can eat a bowl of cereal and be fine all day, where as I have read different things saying your appetite is increased with a lower testosterone
08-13-2008, 03:22 AM
08-13-2008, 03:25 AM
08-13-2008, 03:31 AM
08-13-2008, 04:31 AM
I dont know, I had a blood test yesterday they said they were going to check for testosterone, I assume they will check for all these things
I know something is wrong with me, I just need the blood tests to confirm it, I am going through an absolute hell on earth now and to top it off my **** isnt working, getting a boner is the least think it is capable, even when I urinate I feel almost a delay
this is a ****ing nightmare I am going through, I cant take it anymore
08-13-2008, 08:33 AM
08-13-2008, 03:58 PM
08-13-2008, 04:00 PM
08-13-2008, 05:06 PM
08-13-2008, 06:52 PM
08-17-2008, 07:51 PM
Good advice on the sleep. The same happens with me, and then I abuse eye drops when my vision gets bad. It's because of dry/tired/strained eyes.
Also, the MRI won't hurt, but it may not be related to the pituitary gland if your LH / FSH are midrange. Still, they should elevate when your test drops, which they don't seem to be doing. You can get checked via MRI for prolactinomas (secreting pituitary adenoma) which can cause low T. You have high prolactin....
Clean healthy diet and excercise, getting in shape, also good advice.
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