Pituitary Tumors :: Low Testosterone Levels


Jan 27, 2016

I had a pituitary tumor removed several years ago.   I had a follow up MRI last month and an appointment with my neurosurgeon. All is well. I did inform the Doctor I have been tired lately so he ordered blood work to check hormone levels.   Turns out my testosterone level is low. Actually looked at my bloodwork records just prior to tumor removal and all hormone levels were WAY OFF - They have all seemed to come back to normal levels with the exception of my testosterone.   My surgeon is referring me to a endocrinologist.   Working on making an appointment now. Has anyone else experienced a low testosterone level after this tumor removal and if so what course of action did you have to take? I am 46 now and I understand testosterone levels do begin to drop a bit in males once reaching the age of 40.

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TSH 0.70 mIU/L (0.27 - 4.2) 

Prolactin 397 mIU/L (86 - 324) 

Testosterone 21.3 nmol/L (7.6 - 31.4) 

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I guess the question I'm asking is is it possible to have raised Prolactin/Prolactinoma and normal looking testosterone levels? 

Should I speak to my doctor anyway?  

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I'm a 30 year old active female with a history of prolactin/pituitary problems.

- When I was 17 I was diagnosed with a pituitary macro adenoma. I responded well to cabergoline so no surgery was carried out to shrink the tumour.

- When I was 19 my MRI showed a small bleed to the tumour which caused it to shrink completely.

- when I was 21 I was taken off cabergoline and my prolactin levels remained normal for a few years.

- when I was 25 I noticed familiar symptoms, breast discharge and fatigue so went back to my consultant. My prolactin levels creeped back into the abnormal range and I was put back on cabergoline. MRI showed no tumour.

- 3 months back into treatment I found that cabergoline was making me incredibly tired and low so my consultant switched me to Quinagolide (norprolac) which worked and gave me no nasty side effects.

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- I recently had another MRI to see if there had been any changes. My MRI was once again clear.

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