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What Causes Tiredness?

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Posted on Mon, 7 Jul 2014
Question: So I hit puberty at 10 by 12 I was 5-7 full facial hair and since thirteen nothing has changed. I am now 21 and have trouble getting out of bed and am very depressed and stressed. I was wondering if I should get tested for low testosterone this early in my life?
doctor
Answered by Dr. Binu Parameswaran Pillai (21 minutes later)
Brief Answer:
Few questions

Detailed Answer:
Hello,
Good day.
Seems like your puberty accelerated fast and then became stable. What is your height now? There are many reasons for getting depressed and stressed including few hormonal conditions.

Regarding Testosterone deficiency, i would like to ask few questions.
1) How is your facial and chest hair growth. What is your shaving frequency?

2) How is your libido ( sexual thoughts) and do you have difficulty getting or maintaining an erection?

3) Any weight gain/loss ?

If you have poor erection and has decreased libido along with your depression, it may be worthwhile checking, Fasting blood glucose, Free T4, TSH, Prolactin and fasting Testosterone ( between 8-9 am).

Regards

Binu


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (3 minutes later)
I am now 5-8....My facial hair and chest hair growth is still very patchy and the same amount as when I was 13....it seems like it is easy for me to get an erection but very hard to maintain...in the last 2 years I have gain probably 20 pounds
doctor
Answered by Dr. Binu Parameswaran Pillai (25 minutes later)
Brief Answer:
Hi

Detailed Answer:
Hi,
You have gained considerable weight in last 2 years. This itself can cause tiredness. However, i do agree that people who have low testsoterone tend to gain weight, especially around hips and abdomen.

If you can get a normal erection, but difficulty maintaing, it may be worthwhile screening for Testosterone deficicency. However, the most common cause of this is anxiety/depression/smoking/alcoholism rather than true testosterone deficicnecy. I see only 1 in 20 patients screened for such symptoms actually have true testosterne deficiency.

You will need a FBS, FAsting Testosterone ( total), Prolactin, Free T4 and TSH.

Good luck

Binu
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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What Causes Tiredness?

Brief Answer: Few questions Detailed Answer: Hello, Good day. Seems like your puberty accelerated fast and then became stable. What is your height now? There are many reasons for getting depressed and stressed including few hormonal conditions. Regarding Testosterone deficiency, i would like to ask few questions. 1) How is your facial and chest hair growth. What is your shaving frequency? 2) How is your libido ( sexual thoughts) and do you have difficulty getting or maintaining an erection? 3) Any weight gain/loss ? If you have poor erection and has decreased libido along with your depression, it may be worthwhile checking, Fasting blood glucose, Free T4, TSH, Prolactin and fasting Testosterone ( between 8-9 am). Regards Binu