.

Shimia:
Thanks for your reply doc.
My periods are no more regular and I am TTC and I also have hair and acne on my chin. I was diagnosed with Pcos and only giving birth control pills.
I have ringing in my ears too
The Bell Palsy was nine years ago though the Prednisolone helped me. You wouldn't know I had Bell Palsy. Only indication is that when I eat sometimes, tears flow involuntarily from my right eye.

I would advice you see your doctor and arrange to be seen by an endocrinologist . Alternatively, see an endocrinologist your self preferably in a teaching hospital.
1) The diagnosis of Cushing's needs to be confirmed.
2) Other causes of Cushing, need to be excluded.
3) TTC has physical, emotional and endocrine components.
4) The PCOS need to be addressed beyond the birth control pills.
5) You need to be co- managed by a gynaecologist and an endocrinologist.
6) When was the last time you took Prednisolone? What's you Serum cortisol and plasma ACTH levels? What's your blood sugar level, and your blood pressure?

.

Good day doc,I have been diagnosed with gynecomastia for the last two years, and also been having sperm issues(motility and morphology issues). A doctor prescribed tamoxifen which I have been taking for the last two months. Will this improve my sperm profile characteristics? If not what would you advice,what could be the underlying issues and possible treatment?

Shimia:
My doctor dismissed my claims and told me to lose weight by eating less. He's the one that gave me birth control pills. I also feel I need more than that for Pcos treatment.
I took Prednisolone last for treatment of Bell's Palsy about nine years ago.
I have not done any Cortisol test. I just had this hunch. Also, my BP is mostly stable 120/80 anytime I check but I hardly check my sugar levels.
After reading the article on Cushing, I felt it ticked most of issues I have had,now and in the past.
I have always been bigger for my age at each point and now I weigh over 200 pounds.
I know e not just food. Sometimes when I fast, I get puffier and rounder as if I retained water. So I even avoid fasting.

Do you suggest any General Hospital in particular?How can I reach you beyond this platform?

Where do you live? So that I can recommend a government hospital with an endocrinologist for you.

bo1w0nda:
Good day doc,I have been diagnosed with gynecomastia for the last two years, and also been having sperm issues(motility and morphology issues). A doctor prescribed tamoxifen which I have been taking for the last two months. Will this improve my sperm profile characteristics? If not what would you advice,what could be the underlying issues and possible treatment?

Tamoxifen is an anti-estrogen therapy commonly used in breast cancer treatment; recent studies have suggested that it can also be used as an alternative to surgery to treat gynecomastia in men.

So who placed You on Tamoxifen and why?
Have you done a hormone profile?

The doctor(fertility doctor) placed me on tamoxifen...... Results of my hormonal profile are as follow :
Testosterone (Total)= 12.5nmol/L
S-Follitropin(FSH) = 6.9U/L
S-Lutropin(LH) = 10.2U/L
S-Prolactin = 16.6ng/mL

bo1w0nda:
The doctor(fertility doctor) placed me on tamoxifen...... Results of my hormonal profile are as follow :
Testosterone (Total)= 12.5nmol/L
S-Follitropin(FSH) = 6.9U/L
S-Lutropin(LH) = 10.2U/L
S-Prolactin = 16.6ng/mL

The reference range for total serum testosterone concentration in adult males differs between laboratories. An approximate range is 8 - 35 nmol/L.
Normal FSH levels will differ, Male: Before puberty - 0 to 5.0 IU/L.. Adult - 1.5 to 12.4 IU/L.
For males, the normal range LH is 1.24–7.8 IU/L.
The normal range for prolactin in your blood are: Males: 2 to 18ng/mL.
So your testesterone is low normal, your FSH and prolactin are normal, but your LH is elevated.
In men, high levels of LH in the blood are a sign of a problem with the testicles.
Here is my recommendation to improve your seminal fluid analysis (SFA):
1) vit c tablets, 1gram daily.
2) zinc tablet, 200mg daily.
3) Welman conception tablet, 1 daily.
4) vit D + Calcium tablet, 1 daily.
5) No alcohol or cigarettes. Eat lots of fruit, nuts and green vegetables. Watch your weight, blood sugar and blood pressure.

All for 3 months then repeat your SFA and compare it with what it used to be.

.

Thanks for your reply doc, highly appreciated.

Good morning Dr. I would love to seek your opinion on something. I started having feelings of anxiety and depression last year December. I didn't quite understand it at first but it persisted. I was experiencing fatigue, low mood, memory issues, slurred speech and other symptoms. I was depressed and always anxious. I did some research online and found out it could be depression or hypothyroidism.

I saw a GP in March, He said my symptoms were similar to depression so I was placed on antidepressants. I told him I felt something else must have been causing it because I dont believe it just came out of nowhere. I took the drug for some months, I felt a bit better but I wasn't still okay. The drug was causing a lot of side effects, so I stopped taking it.

I'm planning on doing some thyroid function tests this week to confirm that. I have a feeling something is wrong with my thyroid. I'm still experiencing those feelings and thoughts but I hope the test will reveal more. Recently, I noticed a bit of lump in my throat.
I would love to know if my thyroid is causing these.

Kruize:
Good morning Dr. I would love to seek your opinion on something. I started having feelings of anxiety and depression last year December. I didn't quite understand it at first but it persisted. I was experiencing fatigue, low mood, memory issues, slurred speech and other symptoms. I was depressed and always anxious. I did some research online and found out it could be depression or hypothyroidism.

I saw a GP in March, He said my symptoms were similar to depression so I was placed on antidepressants. I told him I felt something else must have been causing it because I dont believe it just came out of nowhere. I took the drug for some months, I felt a bit better but I wasn't still okay. The drug was causing a lot of side effects, so I stopped taking it.

I'm planning on doing some thyroid function tests this week to confirm that. I have a feeling something is wrong with my thyroid. I'm still experiencing those feelings and thoughts but I hope the test will reveal more. Recently, I noticed a bit of lump in my throat.
I would love to know if my thyroid is causing these.

Thyroid disorders can cause a lot of mood changes, depression being inclusive.
To confirm any problem with the thyroid gland, you will need to do a Thyroid Function Test ( Thyroid hormone profile).
Based on the result, we decide what to do next.

.

Incandescent:
Thank you Dr for your contributions.

I recently put to bed three months ago & my body hasn't remained the same ever since. I had swollen feets while pregnant & it took a while for them to become normal. However my skin on my feet started with a little itch & has escalated to terrible looking scars & darkened itch, rough , black patches because of constant scratching. I itch sometimes that I even bleed in the process. I saw a gynaecologist & was administered skineal. It looked like everything was fine till after 2 weeks when my skin grew resistance to the skineal.

It's now always itchy. I have stopped f using hot water or soap ..I cry almost every night cos I have used different cream from hydrocortisone to antibacterial to meprasil, sudocream, calamine lotion etc.

After much personal research based on the symptoms, I began to suspect it has something to do with my thyroid.

I plan on seeing a dermatologist this week cos I'm frustrated but I'd just like to know what your thoughts are knowing how difficult it is to access dermatologist in this country.

Could there be any correlation between thyroid & skin issues

My blood sugar level is fine cos at some point, my doctor was suspecting diabetes

House pls share your thoughts. I can barely look at my leg skin twice cos it irritates me & is making me almost depressed.

Sorry for my epistle. I just had to let all out

@Desanta

Disorders of the thyroid gland can cause itching. However, there should be other symptoms or signs of thyroid disease. I think you should see a dermatologist (Available in every goverment teaching hospital), who would assess the skin lession and ask further questions to rule out thyroid disease.
If it will make you feel better, do a Thyroid Function Test to be sure that you don't have problems with your thyroid gland.

Desanta:

Disorders of the thyroid gland can cause itching. However, there should be other symptoms or signs of thyroid disease. I think you should see a dermatologist (Available in every goverment teaching hospital), who would assess the skin lession and ask further questions to rule out thyroid disease.
If it will make you feel better, do a Thyroid Function Test to be sure that you don't have problems with your thyroid gland.

Thank you so much. I would do as suggested

Desanta:
Ask your questions for free.
Questions on diabetes mellitus, Thyroid diseases or any other endocrine disorder.

Good Morning, for about a year I've been waking up feeling hot inside my body. All the insides of my ears, armpit, butt and feet are hot.

I've been having shortness of breath 24/7 and I have taken everything from dexa to cipro and asthma medicines and antibiotics and nothing worked.

I've also been having headaches and confusions that makes me unable to concentrate. I can't hold heated conversations I get dizzy. I also experience slurred speech from time to time.

I experience weakness in my limbs and anxiety as well.

Constipation and changes in my bowel movements.

Another symptom I've been experiencing that might indicate that I've been having something far more than a year is that my eyes have been yellow since I was a teenager. The part of the eyes that's white is very yellow in mine.
Another thing is when my beard grew in, they are very thin and they fall off just by touching them.
@Desanta

Babysho:

Good Morning, for about a year I've been waking up feeling hot inside my body. All the insides of my ears, armpit, butt and feet are hot.

I've been having shortness of breath 24/7 and I have taken everything from dexa to cipro and asthma medicines and antibiotics and nothing worked.

I've also been having headaches and confusions that makes me unable to concentrate. I can't hold heated conversations I get dizzy. I also experience slurred speech from time to time.

I experience weakness in my limbs and anxiety as well.

Constipation and changes in my bowel movements.

Another symptom I've been experiencing that might indicate that I've been having something far more than a year is that my eyes have been yellow since I was a teenager. The part of the eyes that's white is very yellow in mine.
Another thing is when my beard grew in, they are very thin and they fall off just by touching them.
@Desanta

Have you done any test?


You need to do the following test ASAP:

1) Liver function test and serum proteins.

2) Thyroid function test ( Thyroid hormone profile).

Desanta:


Have you done any test?


You need to do the following test ASAP:

1) Liver function test and serum proteins.

2) Thyroid function test ( Thyroid hormone profile).

Please sir, what's the possible cost of thyroid function test?

In 2007, I was diagnosed with thyrotoxicosis when headache refused to go, hand tremors, and little swelling of my thyroid gland in the neck. I was referred to UCH but I didn't continue the consultation because I couldn't afford abou 12 tests including TFT. The headache lingered till 2012 before it couldn't disturb me again but I abused painkillers like aspirin which led to malignant duodenal ulcer I'm still battling with till today. The swelling on neck is still the same today.

The problem now is that I'm always having dry mouth and frequent urination and tests revealed I have no STD. Headache still intermittent. I'm also not diabetic.

I studied animal health in the university and I suspect this is hypercalcemia and I know hypercalcemia is linked to thyroid problems.

If you advise I pursue thyroid treatment, what is the latest cost of TFT? THANKS.

Thyroid function test is about 7k.
You may need to do a serum calcium test and serum proteins in addition just to be sure of what we are dealing with.

Desanta:
Thyroid function test is about 7k.
You may need to do a serum calcium test and serum proteins in addition just to be sure of what we are dealing with.

Hello Desanta
For a while now i have been having this continuous feverish symptoms. Like every month i must battle with malaria. Sometimes it affects me so much i loose weight. I have done STD tests and nothing. Even urinalysis. The last time i did a blood test for protein level, doctor said it was okay. For over two years now, my Fasting sugar has been 98.

I don't know if its this thyroid thing. It's really affecting my mood. Yes i was experiencing slurred speech and my hands do shake sometimes. Keeping balance is a challenge sometimes and when i feel feverish it is worse.

Please what tests do i go for because these doctors don't even know what to tell me

Daum:



Hello Desanta
For a while now i have been having this continuous feverish symptoms. Like every month i must battle with malaria. Sometimes it affects me so much i loose weight. I have done STD tests and nothing. Even urinalysis. The last time i did a blood test for protein level, doctor said it was okay. For over two years now, my Fasting sugar has been 98.

I don't know if its this thyroid thing. It's really affecting my mood. Yes i was experiencing slurred speech and my hands do shake sometimes. Keeping balance is a challenge sometimes and when i feel feverish it is worse.

Please what tests do i go for because these doctors don't even know what to tell me

Do a Thyroid function test.
Sorry for the late reply. I've been off nairaland for a few weeks.

Desanta:
Ask your questions for free.
Questions on diabetes mellitus, Thyroid diseases or any other endocrine disorder.

pls help me with this result LH 2.8mlU, FSH 1.0mlU, prolactin 22ng/ml, testosterone 584ng/ml and the comment is Hypergonadotropic. I'm a 40yrs old man

barecy4real:
pls help me with this result LH 2.8mlU, FSH 1.0mlU, prolactin 22ng/ml, testosterone 584ng/ml and the comment is Hypergonadotropic. I'm a 40yrs old man

Do you mean Hypergonadotropic hypogonadism?

Hypergonadotropic hypogonadism is defined by lowered Testosterone levels (although serum Testosterone concentrations might be above the lower limit of the normal range) and significantly elevated levels of LH and FSH.

Your results show marginally deranged Prolactin and FSH, which should not cause hypogonadism. A lot of other things including stress ( physical, emotional, spiritual or poor health), and life style can give this kind of result.

Desanta:


Do you mean Hypergonadotropic hypogonadism?

Hypergonadotropic hypogonadism is defined by lowered Testosterone levels (although serum Testosterone concentrations might be above the lower limit of the normal range) and significantly elevated levels of LH and FSH.

Your results show marginally deranged Prolactin and FSH, which should not cause hypogonadism. A lot of other things including stress ( physical, emotional, spiritual or poor health), and life style can give this kind of result.

the problem is that I'm overweight and i find it difficult to loose weight and I have enlargedl breast, low sex drive, I'm always tired and nervous . What treatment option do u recommend. Cuz the doctor said I have high prollactin, he recommended parlodel and I've taken it but didn't see any effect.

barecy4real:
the problem is that I'm overweight and i find it difficult to loose weight and I have enlargedl breast, low sex drive, I'm always tired and nervous and my male organ is below average including the testicles. What treatment option do u recommend. Cuz the doctor said I have high prollactin, he recommended parlodel and I've taken it but didn't see any effect.

You need to see an endocrinologist. You will need to answer some questions and some measurements of your body will be taken. Thereafter, some investigations and treatment can be carried out.

Desanta:


You need to see an endocrinologist. You will need to answer some questions and some measurements of your body will be taken. Thereafter, some investigations and treatment can be carried out.

thanks doc, but do u know any good one in anambra state. Pls which supplement tablet would u recomend for me for now pending when I'll see the endocrinologist. Some years ago I met an urologist in onitsha he did the measurement and recommended hormone test with other tests. When the results came out he said its nothing serious he recommended vitamin e 1000 IU and hontamin genseg capsule with regular exercise, I was a bit okay but after some time I got tired of taking those drugs. Pls help me out there's nothing u ask me that I can't give u answers to. I'm married with 3 boys and expecting the fourth one. But I'm not happy cuz of the low sex drive and tiredness.

barecy4real:
thanks doc, but do u know any good one in anambra state. Pls which supplement tablet would u recomend for me for now pending when I'll see the endocrinologist. Some years ago I met an urologist in onitsha he did the measurement and recommended hormone test with other tests. When the results came out he said its nothing serious he recommended vitamin e 1000 IU and hontamin genseg capsule with regular exercise, I was a bit okay but after some time I got tired of taking those drugs. Pls help me out there's nothing u ask me that I can't give u answers to. I'm married with 3 boys and expecting the fourth one. But I'm not happy cuz of the low sex drive and tiredness.

I'm happy you are not dealing with infertility.
These are my recommendations:
1) Wellman original, 1 tablet daily.
2) Zinc tablets 50mg twice a day with food.
3) Vitamin C tablets 1000mg daily ( As a single tablet or in divided doses).
4) Vitamin D tablets 1000 IU daily.
5) CoQ10 tablet 100mg daily.
Use the above for a minimum of 3 months you will definitely feel better.

Desanta:

I'm happy you are not dealing with infertility.
These are my recommendations:
1) Wellman original, 1 tablet daily.
2) Zinc tablets 50mg twice a day with food.
3) Vitamin C tablets 1000mg daily ( As a single tablet or in divided doses).
4) Vitamin D tablets 1000 IU daily.
5) CoQ10 tablet 100mg daily.
Use the above for a minimum of 3 months you will definitely feel better.

thanks doc will get them immediately

Hi doc. What could be the cause of foamy urine.
I've foamy urine sometimes early in the morning and during the day I don't experience it.
Sometimes my urine output is small compare to the amount of water I took over 24hrs and sometimes it's more.
Does days that my urine output are small, the color is concentrated and when it's more, it's very clear.
I've done urinalysis and kidney function test almost 3 years ago when the symptoms started and it all came normal
Now I'm experiencing such and I don't know if something is actually wrong with me
I started noticing the foamy urine about 2 weeks now. Though it doesn't come up everyday. I've urinated twice this nite. The first is foamy, the second isn't foamy.
What can I do?

Hello desanta
I have insomnia caused by taking estradiol
What test would you require I do to check my hypothalamus

dierich:
Hi doc. What could be the cause of foamy urine.
I've foamy urine sometimes early in the morning and during the day I don't experience it.
Sometimes my urine output is small compare to the amount of water I took over 24hrs and sometimes it's more.
Does days that my urine output are small, the color is concentrated and when it's more, it's very clear.
I've done urinalysis and kidney function test almost 3 years ago when the symptoms started and it all came normal
Now I'm experiencing such and I don't know if something is actually wrong with me
I started noticing the foamy urine about 2 weeks now. Though it doesn't come up everyday. I've urinated twice this nite. The first is foamy, the second isn't foamy.
What can I do?

Do a 24 hours urine collection for protein estimation and GFR
Also do do a serum E/U/Cr.
If they are also normal you are good. Otherwise you will need to see a Nephrologist.