I started by visiting a doc because i had fatigue and sloppiness symptoms that i could not
find an explanation to. At first i thought it was hypogonadism of some form so the doc took some simple bloodworks just to get the basics checked out.
[3 months ago]
S-Testosterone 11 (10-35)
S-SHBG 21 (13-71)
S-FSH 0.9 (1.4-18)
S-LH 2.8 (1.5-9.3)
Later i went to an endo to seek confirmation for my low T levels and just to get a real
full bloodwork, he checked for other stuff aswell. At this time i had cut down on fat intake
brutally and fasted the day before the test because the doc wanted to check for diabetes.
This is the most recent one from a different lab:
S-Testosterone 19 (10-35) nmol/L
S-SHBG 14 (13-71) nmol/L
S-FSH <1 (1.4-19) E/L
S-LH 2.6 (1.5-9.3) E/L
S-Prolactin 33 (3-19)** ug/L
S-Androstendione 5.2 (3.2-9.9) nmol/L
S-P4 1.3 (<2.0) nmol/L
S-DHEAS 5.2 (3.3-13.9) umol/L
S-Cortisol 665 (200-650) nmol/L
E2 was not checked, i asked why and he said it wasnt relevant. But it will be included in the next test which is in a week.
S-TSH 2.71 (0.20-4.00) mE/L
S-T4 free 15 (9-22) pmol/L
S-T3 free 5.4 (2.5-5.6) pmol/L
S-TPOab 0.5 (<5.6) kE/L
S-TGab 1.9 (<4.1) kE/L
S-TRab 0.9 (<1.0) E/L
Total T4 and T3 was not checked.
Cholesterol-HDL 1.0 (0.8-2.1)
Cholesterol-LDL 2.8 (1.2-4.3)
S-Albumin 41 (36-48) g/L
S-OH-Vitamin D 41 (25-105) nmol/L
And plenty of other that i dont know whether they are relevant or not, but all were in normal range.
Next step is an MRT to check for pituitary gland tumour specifically for prolactinoma.
Now i have two questions. First off, how is it possible that my FSH/LH levels stayed the
same but testosterone increased by 72%. Both my first and latest test were taken under the
same circumstances, both at 9am in the morning, at both times i felt like shit.
Lastly, i read that a prolactin level <100 is most likely not due to a pituitary tumor.
The doc said that this is most likely a miscalculation and that i shouldnt worry. But incase
it indeed is prolactinoma of any kind, in which way will it benefit me to reduce prolactin to normal levels by taking DAs. The reason i ask this is because the endo said it wouldnt make a difference unless its a tumor thats pressing against other parts of the pituitary gland and reducing their function.