I have three questions I hope you can shed some light upon. Thank you in advance for your patience and that you share so much knowledge.
Please recall that I have a 4+/- cm adrenal tumor found incidentally.
The first question is this:
1) tests so far show hypercortisolism, however I have not received the result of (2) 11pm salivary swabs, so I don't know if I show a normal diurnal pattern. If my 11pm salivary cortisol results ARE normal, what weight does that carry in the whole picture. ?
2) How strong is the influence of high estrogen on cortisol level? I know that high estrogen causes a high cortisol level in a ""normal"" female, but would that influence still exist following dexamethasone suppression?
3) If I have a left adrenal tumor that is independently secreting cortisol, its almost certain that my right adrenal is near to, or completely non-functioning. So I understand the need to replace cortisol for several months after adrenalectomy and taper slowly down to stimulate the right adrenal to start functioning again.
Whew, finally, my 3rd question is: since the adrenal gland (cortex and medulla) secretes much more than cortisol, would I not also need to replace everything it secretes if my remaining gland is non-functioning???? ie. aldosterone, DHEA, other androgens????
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.