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microadenoma,low cortisol,low testosterone
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microadenoma,low cortisol,low testosterone

My doctor has been helping me and found I have two pituitary microadenomas, low testosterone(227 scale 249-836)low cortisol(4.9scale 6.2-19.4)  What now, still confused on what is wrongas pituitary number is in range.  any ideas?
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In general microadenomas dont cause any major problem and we just watch them as long as they are not functional. What that means is that we do surgery for resection of them when they produce hormones like steroids, growth hormone or prolactin.
I can review your imaging free of charge if you want.

Thank you
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How do you determine whether a pituitary microadenoma is secreting ACTH?
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I have a similar clival lesion and low cortisol below your levels.  what is a microadenoma?  thanks very much!
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do you also have central sleep apnea and stop breathing at night and cannot get restful sleep?
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If a pituitary tumor isn't producing excess hormones and isn't impinging on other arreas of the brain, what point is there in doing surgery?None, probably. However, if, instead of producing excess hormones, the pituitary is producing less than normal levels of hormones,  (partial or complete hypopituitarism), the  target hormones (e.g cortisol, testosterone, estrogen, progesterone) can be "replaced", as well as growth hormone, and, I suppose ,if necessary,  AVP (a posterior pituitary hormone). You may find your answers in www .endotest.org. Hormonal imbalance can make someone feel awful....potentially, Addison's disease can still kill if left untreated. An endocrinologist generally addresses such hormone problems, not a surgeon.

Even if the Pituitary "number" is in range (I'm not sure what that means), if the target organ numbers aren't, you can be sick. It's a feedback process.(e.g  HPA= hypothalamus, pituitary, adrenal).

A microadenoma is a tumor smaller than 1 cm.
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Daniel M Prevedello, MDBlank
The Ohio State University Medical Center
Columbus , OH
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