hormones. hypoparathyroidism. more hormones.

[bathroomjoe710]

hello, i am a 20 year old male college student. perhaps someone in this forum can give me an explaination as to what may be going on with me. i have had several blood tests over the last few weeks, but i am still waiting for some of the results. currently i am both relieved and stressed. i am relieved because i have a physical explaination of all the symptoms i have been experiancing, but i am stressed because i still dont know the direct cause of my physical illness. earlier this week i was diagnoised with Secondary Hypoparathyroidism. this is a very rare condition, and with it being so rare it has been hard obtaining information about it from the web or even my primary doctor. my primary doctor told me that i am only his second patiant in all his years of practice to recieve this diagnosis. i see an endochronologist in 4 weeks to get a better understanding of what is going on with me. im sure i am going to need more blood work, as my PTH which was 5pg/mL, was not the only abnormal blood test. my FSH was low at 1.5mIU/mL the flag reference range is 1.6-8.0 mIU/mL. ideally, i was told, and have read that a male between the ages of 20-30 should have an FSH level of at least 1.9-2.2  mIU/mL. i have had my total testosterone tested 3 times. the first time it was 323, the second 532, and most recently 505ng/dL all of which are concidered low for a 20 year old male. as i mentioned before, i have yet to recieve all of my test results, i wont get them all in until next week tuesday. my symptoms include: thin hair on scalp, insomnia, psychosis, muscle weakness, and fatiuge. what could be potenial reasons for my abnormal blood results???

[bathroomjoe710]

yes!!! i feel i may be onto something! i dont recieve all my blood results until next week. but upon another glance of the blood results i have recieved i just noticed that my ALK phosphatase is in the very low range of normal. my ALK phosphatase level is 60 U/L and the flag reference range is 40-115. males under the age of 22 are supposed to have elevated ALK phosphatase. infact males under the age of 18 can have anywhere between 300-75 U/L of ALK phosphatase. i know this number should be higher concidering my serium calcium is in the high normal range. more then likly my phosphorus will be lower then my ALK phosphatase because of how the blood converts phosphorus with ALK,AST, and ATL. my ATL was 25 U/L with the flag range between 10-60. having higher calcium and lower phasphatase is not normal, and could be the reason for my hypoparathyroidism. i am sure i will know what is going with me when the results come in on monday or tuesday regarding my phosphrus, complete calcium, and magnesium levels.

[rumpled]

I think the range on calcium (you did not give the range - so it is very hard to tell) at my lab has a low end of 8 or 9, so you are looking ok as far as calcium - which is good - you do not want tetany.

Let us know about the other tests.

[bathroomjoe710]

i wont know my ionized calcium, phosphorus, or magnesium until some time next week. my serium calcium was tested twice. the first time it was 10.4 and most recently it was 10.0.

[rumpled]

I have hypoparathyroidism. Mine came from surgery so the source was easy. I had a 5.5 PTH. Was  your calcium abnormal - or alk phosphotase, or phosphorus?

FSH is a pituitary test. If that is low, then they need to, IMHO, run more pituitary tests - but if you go to a normal endo, they may not be pituitary savvy. Having a pituitary issue, loss of libido is pretty normal symptom so they need to look in that direction. There are a lot of tests that can be run - there are many forms of testosterone - bioavailable testosterone is the best test as it runs all of them - plus you need to run estradiol (men have estrogen too), dhea sulfate (a precursor hormone that becomes either T or E), and sex binding hormone to see how much is in your tissues.

For the HypoP - an ionized calcium and vitamin D would be good.

GPs are not good with endocrine testing - you need a good endo - get copies of your testing.

[bathroomjoe710]

http://en.wikipedia.org/wiki/Post-SSRI_sexual_dysfunction

[bathroomjoe710]

http://emedicine.medscape.com/article/122207-overview

[bathroomjoe710]

i forgot to include a i find very embaressing, i have also had moderate sexual problems which include both difficulty obtaining an erection and very little ejaculate.