Hi,
I hope that somone with experience in Cortisol can help me on this.
I have been diagnosed as secondary hypogonadism 1 year ago, I have low LH and T. About 3 months ago I discovered that I have elevated Cortisol level:
- 24hr urine Cortisol test was performed and it came high.
- After that ACTH was tested and it was high too.
- Dexamethasone suppression test was performed, the result was good and Cortisol was very low.
- A complete pituitary MRI was performed, the Pituitary is normal and there are no tumour or adenomas.
- My doc said that although my Cortisol lab tests are high, but I don't have the clinical symptoms of high Cortisol (like in Cushing's Syndrome).
This is very puzzling! what is causing this high Cortisol although pituitary and adrenal glands are both normal? (adrenal gland was not scanned but the High ACTH suggests that the problem is from pituatry side not from the adrenal)
Do you think that elevated Cortisol levels can be the main reason for a low LH in a secondary hypogonadism?
Edit: My Age is 34
I hope that somone with experience in Cortisol can help me on this.
I have been diagnosed as secondary hypogonadism 1 year ago, I have low LH and T. About 3 months ago I discovered that I have elevated Cortisol level:
- 24hr urine Cortisol test was performed and it came high.
- After that ACTH was tested and it was high too.
- Dexamethasone suppression test was performed, the result was good and Cortisol was very low.
- A complete pituitary MRI was performed, the Pituitary is normal and there are no tumour or adenomas.
- My doc said that although my Cortisol lab tests are high, but I don't have the clinical symptoms of high Cortisol (like in Cushing's Syndrome).
This is very puzzling! what is causing this high Cortisol although pituitary and adrenal glands are both normal? (adrenal gland was not scanned but the High ACTH suggests that the problem is from pituatry side not from the adrenal)
Do you think that elevated Cortisol levels can be the main reason for a low LH in a secondary hypogonadism?
Edit: My Age is 34
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