Testosterone Crisis - Need Help

  • Posted by a hidden member.
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    May 22, 2011 12:35 PM GMT
    This is really embarrassing. I have been feeling like I'm near death or something lately. I mean, it's really fricking bad! It's hard for me just to make it through the day sometimes.
    My doctor ran about a million blood test, and it came back that I have low testosterone.
    I'm 31!!!!! Oh shit!
    Not just a little low either, really low!
    Normal is from 400 - 1200, and 400 you should start noticing some problems.
    Mine was at 124!
    WTF
    I'm pissed and scared and confused.
    She can't figure out what's wrong. I don't do roids, not vegeterian or anything.... I don't know what to do.
    She wants me to start taking drugs for this, but I have heard that then your body stops whatever testosterone product you have completely.
    Help.
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    May 22, 2011 3:22 PM GMT
    If you have a doctor why cant you ask her that question? I dont think its "really embarassing". You had a potential problem, you identified it and now youre on your way to fix it. Sounds smart.
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    May 22, 2011 3:32 PM GMT
    Get a second opinion if you're not satisfied with the way your current doctor is handling the problem.
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    May 22, 2011 4:00 PM GMT
    unfounded7 saidGet a second opinion if you're not satisfied with the way your current doctor is handling the problem.


    Yes Exactly!
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    May 22, 2011 4:28 PM GMT
    Hypogonadism is the most common cause of low testosterone. Primary hypogonadism means, for whatever reason, your testicles don't produce enough testosterone in response to a signal from your pituitary gland's gonadotrophs (cells that produce leutinizing hormone, LH, and follicle stimulating hormone, FSH). It is LH that tells your testicle's Leydig cells to produce testosterone. If your Leydig cells don't respond to a normal LH signal, you have primary hypogonadism. There are lots of reasons this may happen, but in our practice chronic illness, particularly HIV infection, is one of the main causes. As mentioned below, aging can also cause less efficient production.

    If your LH level is low, your pituitary's gonadotroph cells aren't working well. This is called secondary hypogonadism. Secondary hypogonadism can occur for a number of reasons. Causes include but aren't limited to chronic illness, pituitary tumors that favor other pituitary cells and crowd out the gonadotrophs, or use of testosterone supplementation which will ultimately shut down the LH message from the pituitary gland through negative feedback. Since you've already said you don't supplement testosterone, negative feedback is likely not the problem. Your doctor should rule out secondary hypogonadism by checking levels of LH and FSH in your blood. If you have primary hypogonadism (i.e. your testicle's Leydig cells don't work well), your LH level will be high as your pituitary gland tries to 'wake up' your nuts.

    You can also have tertiary hypogonadism which is very rare. The brain's hypothalamus produces a hormone called gonadotropin releasing hormone (GRH) which tells the gonadotrophs in your pituitary to release an appropriate amount of LH and FSH. Brain injury, chronic illness, medications can decrease GRH levels.

    Check your LH and FSH levels. That will let you know whether your problem is primary vs secondary. I doubt it's tertiary, but she can also check a GRH level. If you have primary hypogonadism, you'll just have to supplement (assuming you're symptomatic with low libido, low energy, depression). She can prescribe gels, injections, patches or compounded creams. You'll get your mojo back quickly.
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    May 22, 2011 4:47 PM GMT
    rightasrain saidHypogonadism is the most common cause of low testosterone. (etc)

    Excellent exposition! I suffer from low testosterone myself, but due to aging.

    But is the OP's GP the best qualified to determine all this? Is there a specialist to whom she should refer him?

    BTW, I sent you a direct RJ e-mail on another medical issue, from an RJ thread that's a bit urgent. Having read this I think you might have some advice. Thanks
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    May 22, 2011 5:08 PM GMT
    Art_Deco said
    rightasrain saidHypogonadism is the most common cause of low testosterone. (etc)

    Excellent exposition! I suffer from low testosterone myself, but due to aging.

    But is the OP's GP the best qualified to determine all this? Is there a specialist to whom she should refer him?

    BTW, I sent you a direct RJ e-mail on another medical issue, from an RJ thread that's a bit urgent. Having read this I think you might have some advice. Thanks


    Any MD/PA/NP who paid attention in school should be able to troubleshoot the issue, but an endocrinologist would be the go-to specialty.
  • Sparkycat

    Posts: 1064

    May 22, 2011 5:54 PM GMT
    I tested with a low testosterone level. My diagnosis is hypogonadatropic hypogonadism. No big deal. I give myself a shot of testosterone once a week. Although I'm not doing it, the T can be supplemented with HCG (human chorionic gonadropin) to prevent testicular atrophy. Fortunately, my testicles are still pleasingly plump.
  • KissTheSky

    Posts: 1981

    May 22, 2011 5:58 PM GMT
    DRPaladin saidThis is really embarrassing. I have been feeling like I'm near death or something lately. I mean, it's really fricking bad! It's hard for me just to make it through the day sometimes.
    My doctor ran about a million blood test, and it came back that I have low testosterone.
    I'm 31!!!!! Oh shit!
    Not just a little low either, really low!
    Normal is from 400 - 1200, and 400 you should start noticing some problems.
    Mine was at 124!
    WTF
    I'm pissed and scared and confused.
    She can't figure out what's wrong. I don't do roids, not vegeterian or anything.... I don't know what to do.
    She wants me to start taking drugs for this, but I have heard that then your body stops whatever testosterone product you have completely.
    Help.


    If you're reluctant to talk to her about your concerns, maybe you should get a male doctor, who you can be frank with (and vice versa). Good luck...
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    May 23, 2011 1:34 AM GMT
    Thanks very much rightasrain for all the info. It's very complicated unfortunately, like almost everything in the body. Sigh.
    Why can't something in life just be simple for a change!
    LolĀ 
    She's a good doctor, I just dont trust the medical world at all these days.
    I don't want to end up with micro-nuts or something.
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    May 23, 2011 3:20 AM GMT
    See an endocrinologist. It's nothing to be ashamed of, you most likely didn't directly cause it anyway.