Iron overload may lead to primary gonadal failure or
sometimes hypothalamic-pituitary dysfunction that results
in secondary gonadal failure (22). The diagnosis is made
in the setting of associated findings of hemochromatosis in
conjunction with an increased ferritin level and is generally
confirmed with a liver or bone marrow biopsy." (page 7 [pg445])
I was diagnosed as a carrier of Hemochromatosis (only elevated ferritin and the DNA for a carrier) and yet there was no indication of concern for the correlation between that and my hypogonadism. I had a pituitary MRI with normal results and my LH was slightly elevated so I was diagnosed primary and treated with TRT. I, myself, up until now had no idea that it was related. Those doctors....