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What Causes Persistent Migraine With Aura And Loss Of Libido?
Question: What is the significance of my abnormal hormone results?
I am a 29 year old male without any current medical conditions. Over the course of the last year I have been experiencing many physical symptoms which my primary doctor has attributed to be "psychosomatic" in nature. I have been battling migraines "with aura," giddiness, and changes in visual perception. Over the last 6 months I have noticed a decrease in sexual functuon and decided to have my testosterone tested at a private lab. They also tested some of my endocrine function. The results were: Testosterone: 342 (low), LH: 9.2 (high), FSH: 6.3, TSH: 2.140, Cortisol: 12.2, Prolactin: 29.6 (high).
I am a 29 year old male without any current medical conditions. Over the course of the last year I have been experiencing many physical symptoms which my primary doctor has attributed to be "psychosomatic" in nature. I have been battling migraines "with aura," giddiness, and changes in visual perception. Over the last 6 months I have noticed a decrease in sexual functuon and decided to have my testosterone tested at a private lab. They also tested some of my endocrine function. The results were: Testosterone: 342 (low), LH: 9.2 (high), FSH: 6.3, TSH: 2.140, Cortisol: 12.2, Prolactin: 29.6 (high).
Brief Answer:
Please repeat a Testosterone, LH and Prolactin
Detailed Answer:
Good day,
Noted your concern.
I agree that your Prolactin is a little high. The result of testosterone is not so low. Testosterone values fluctuate in a person so widely and hence, we need a second sample in fasting state. Most endocrinologists consider a low testosterone value as less than 300. Your value is low normal. Are you on any medications like Omeprazole ( acidity pills) which can raise prolactin values? Stress indeed is a cause of mild rise in prolactin levels.
I would recommend that you repeat the Prolactin, Testosterone s well as LH once again.Preferably a morning fasting sample. Many a times, hormones fluctuates due to external factors and we would like to have a secoond sample, especially for testosterone.
TSH is normal, LH is little high and the cortisol is normal(provided it is an 8 AM cortisol value).
I have few questions. What is your weight and height? How is your sleep? Do you snore? Alcohol and smoking status?
I would appreciate if you could answer these questions.
regards
Binu
Please repeat a Testosterone, LH and Prolactin
Detailed Answer:
Good day,
Noted your concern.
I agree that your Prolactin is a little high. The result of testosterone is not so low. Testosterone values fluctuate in a person so widely and hence, we need a second sample in fasting state. Most endocrinologists consider a low testosterone value as less than 300. Your value is low normal. Are you on any medications like Omeprazole ( acidity pills) which can raise prolactin values? Stress indeed is a cause of mild rise in prolactin levels.
I would recommend that you repeat the Prolactin, Testosterone s well as LH once again.Preferably a morning fasting sample. Many a times, hormones fluctuates due to external factors and we would like to have a secoond sample, especially for testosterone.
TSH is normal, LH is little high and the cortisol is normal(provided it is an 8 AM cortisol value).
I have few questions. What is your weight and height? How is your sleep? Do you snore? Alcohol and smoking status?
I would appreciate if you could answer these questions.
regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am 6'4, 210 lbs. My sleep is fine, I don't snore. I do suffer from daily migraines and chronic fatigue. I usually still feel tired even after a full night's sleep though. I drink a glass of wine maybe once a week at most. I smoke almost a pack everyday.
Brief Answer:
Free testpsterone ( by calculation)
Detailed Answer:
Thank you. Your weight is appropriate for height . You don't seem to have snoring and obstructive sleep apnea ( these are important causes of tiredness, and low testosterone). In that case, I would strongly recommend to do a fasting ( between 7 to 9 am) serum Testosterone, SHBG, Albumin, Prolactin and LH.
We can calculate free Testosterone levels based on your SHBG, Albumin and Testosterone levels. Free testosterone is more appropriate to assess testosterone levels.
Free testpsterone ( by calculation)
Detailed Answer:
Thank you. Your weight is appropriate for height . You don't seem to have snoring and obstructive sleep apnea ( these are important causes of tiredness, and low testosterone). In that case, I would strongly recommend to do a fasting ( between 7 to 9 am) serum Testosterone, SHBG, Albumin, Prolactin and LH.
We can calculate free Testosterone levels based on your SHBG, Albumin and Testosterone levels. Free testosterone is more appropriate to assess testosterone levels.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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