I'm am new to this site and think it could be very beneficial to me. It all started one year ago, when I started having episodes of light headed and brain fog. I was also experiencing anxiety attacks and heart palpatations, I was also feeling tired alot, depressed, anhedonia, decreased sex drive, and some decrease in erection hardness. I also believe during this time I began to experience muscle weakness and increase in abdominal adipose tissue. My main concern during all of this has been the "brain fog" my head just doesn't feel right.
During this time I had a brain mri that showed pansinusitis, I was treated with antibiotics and in oct a sphenoidotomy, but still my symptoms persist. I have had head ct, chest ct, stress echo, cbc, cmp, tsh, and all of these tests have been normal.
The only medicine I used to take was ambien 10mg, and I was on this nightly for several years. I decided that this was the problem and stopped 4 mos ago but the brain fog persists.
So last week I have serum tesosterone run and it is 320. Further testing a week later show serum tesosterone 286, free T 46, prolactin 8, fsh 13, Lh 5. I am going to see my endocrinologist friend on friday so any input before I go would help. Also I am wondering if long term ambien use could have cause these symptoms. I am currently not taking any medication otc or rx and yes I still have severe insomnia.
I do not know if ambien could cause this. Many men have this, more than anyone knows, and for most of them there is no known cause. So it is certainly possible something in the drugs we take could have something to do with it. Additional tests would include estradiol, total estrogen, vitamin D 25 OH and an iron panel (iron, ferritin, TIBC, saturation %) to rule out hemochromatosis. If nothing show up you may want to have an MRI of your pituitary to rule out an adenoma.
Also, you might want to try a clomid test...take 25 mg clomid per day for 1-2 weeks and then retest LH, FSH, total T and see if they change significantly.
What is your age? Your T is low so there is a problem there (some doctors may say you are in the normal range) especially considering the presence of symptoms of low T that you are having.
I just turned 40, and I have had two normal head mri's, no evidence of pituitary adenoma. My thyroid panel and iron studies have all been normal. I recently got my total estrogen and e2 levels back and they are normal, cortisol, and DHEA are also normal. I am waiting on the SHBG results.
I saw my endo yesterday and we decided to try tesosterone enanthanate 100mg q 2weeks and 500u hcg every 3 days. I know this will be trial and error for awhile, but what do you think?
I would rather see you take the T weekly but otherwise it looks like a good endo to me. Hard to find one that gives HCG. Can you post his name and city? We are not allowed to post phone numbers or adresses.
It also sounds like you have checked out just about everything you can check. You are right at the age I was when this all started.
Thanks to access to medical information, a lab, and this site, I was pretty well informed when I went to see my endo.
He is located in Idaho Falls, Idaho and his name is David Liljenquist M.D. He is very well informed and treats many patients with low T.
Last edited by Mod-S4; 03-22-2009 at 08:41 AM.
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Just a couple of quick questions for you. How long did it take for the testosterone and hcg to kick in? And is the half life of Te about 6 days? If so, then a weekly dose of T probably would be better right?
I swear I felt better the very next day after my first T shot, but by day 3 didn't seem to feel as good. What do you think?
Thanks again slupa
I think the half life of T cyp is more like 2 weeks. So, it takes several weekly shots to reach your peak levels. By the third weekly shot you should feel its maximum effects. HCG is a different story. It's effect can vary a lot from person to person. Some don't respond as well to it as others and also the amount (if any) of testicular atrophy present will effect this. The more atrophy the longer it will take to regenerate the leydig cells if they are able to be regenerated.