Frag-Einen

Ask a doctor on the topic of Other questions to doctors

Unexplained testosterone deficiency?

I have had the problem for about 1 year.

Male, 27 years old, weight 78kg.

It all started with dizziness and hot flashes. Then came fatigue, weakness, and back pain.

When I went to the GP, anemia was initially diagnosed. After feeling worse after a vacation, a more extensive blood test was done. It was found that my testosterone level is at 0.35 ng/ml.

I was referred to an endocrinologist. They performed an MRI of my head to check the pituitary gland (nothing was found). Blood was drawn, results are attached. Blood results include (clinical findings, general laboratory diagnostics, parameters of pituitary function, bone metabolism parameters).

The endocrinologist cannot explain where the deficiency comes from. I was prescribed Testogel to use. I am supposed to come back for a check-up after a year.

It cannot be that without finding a cause, they simply prescribe Testogel and tell me to use it. When I asked about the consequences of using the gel, I was told there are none.

Can the causes be narrowed down based on the values, where the deficiency could be? Or can someone possibly tell me what other tests I can do to narrow down the cause? I am lost and feel like the endocrinologist is not taking me seriously!

My girlfriend and I were planning to start trying for a baby in the winter.

Current symptoms: Spine gets very hot (occasionally), hot flashes, muscle cramps (occasionally), tingling in the feet (rarely), feeling that the skin is burning (rarely), pulling sensation in the left groin area (occasionally), pain above the stomach and feeling like I'm about to faint after eating (rarely), occasional cervical spine problems (pinched nerve), dizziness during exercise.

Dr. med. Frauke Gehring

Hello,

Sometimes one hopes for more from medicine than it is able to achieve. The endocrinologist has carefully searched for any issues in your pituitary gland or adrenal glands, but simply found nothing. To be on the safe side, you should also have a urological examination to ensure that everything is okay with your testicles. Testosterone gel has no negative consequences if it only replaces what your body cannot produce on its own (similar to giving thyroid hormones if the thyroid gland is not functioning properly). It can be harmful if there is an unrecognized tumor in the reproductive organs that grows more rapidly due to hormones. That is why a urological examination is essential as a precaution, even if all blood values are perfect (except for the testosterone level). It can also be harmful if the testosterone level becomes too high, as this can lead to increased aggression, for example. However, the endocrinologist will have chosen the dosage to prevent this.

If the urologist also finds nothing, I believe that therapy with Testogel is appropriate to improve your symptoms. There are actually quite a few men who simply cannot find the cause of their testosterone deficiency. I have found an article that explains this well:

http://www.welt.de/welt_print/article2971363/Jeder-fuenfte-Mann-hat-zu-wenig-Testosteron-im-Blut.html

As you can see, you are in good company, and I hope that you will feel better soon with the therapy.

Best regards, Dr. Höllering (Specialist in Internal and General Medicine, Sexual Medicine)

fadeout
... Are you also interested in this question?
You can view the complete answer for only 7,50 EUR.

Experte für Other questions to doctors

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

Expert knowledge:
  • General medicine
  • Gynecology
  • Homeopathy / Naturopathy
  • Internal medicine
  • Neurology
  • Other questions to doctors
Complete profile