very scared--please read

[mfk14]

Hello, I first saw an endocrinologist a couple years ago.  he told me I had hypothyroidism and SECONDARY (not primary) hypogonadism.  he did a TON of blood work and told me that it's NOT because of a pituitary tumor.  he said, "If I want to be really strict, I'd order an MRI".  He did something like $13,000 in bloodwork on me and there were no major results.  He was a wonderful doctor.  I no longer see him because I moved.  He also said, "I see hypothyroidism and secondary hypogonadism all the time in men who are chronically depressed.........it's a constellation."  (I have suffered from treatment-resistant depression for about 25 years.) He offered me Androgel, which I accepted and still use.  

So, I just had a conversation over the phone with a new endocrinologist in my new town in order to establish an appointment.  The first thing she said when I told her I suffer from secondary hypogonadism is, "Is this because of a pituitary tumor?"  I assured her my former endo did every test on God's green earth and always maintained the he knows I don't have a pituitary tumor, she said, "Well, it's coming from somewhere.  She scared the daylights out of me.  Then again, she doesn't know me from Adam and she sounded a little irritable, to be honest.  

Like I said, my former endo says he sees secondary hypogonadism in guys like me who are chronically depressed, have Hashimoto's, etc.  What do you have to say about this?  I am the biggest hypochondriac and I don't know if I want to see this new endo or not.  I could use some reassurance.  If anyone has information about the link of chronic depression, Hashimoto's, and secondary hypothyroidism, I'd love you for it.  I can't tolerate worrying excessively about anything superfluous right now.  Thanks a lot.  I should also mention that I got punched in the nose! - about a year ago, ended up in the emergency room, they gave me a CAT scan, which they said was "fine" or "okay".  

Thanks so much for the reassurance and bless you!

[jemma116]

Depression does not cause Hashimoto's disease.  
I agree with bonijokrauss that if you are not happy with this doctor, you need to see a different one, who can treat you properly.

Best wishes

[bonijokrauss]

I think you have gotten good medical advise from all of the responders. My advise to you about the doctor you spoke with is this. Find another one. If she sounded irritated and put out by your conversation, chances are she is going to be that way when you go see her, and you don't need that. We all need reassurance and compassion when we have issues, and if she isn't that way, it's just going to feed into your problem. Good luck and good health to you.

[jemma116]

Male hypogonadism means the testicles don't produce enough of the male sex hormone testosterone. This can be hereditary or from an illness like having mumps during puberty, or other infections, also from obesity and pituatry problems (but you have had the pituatry problem ruled out), as well as from age.

You can be prescribed with testosterone gel to rub on to your body.  My husband has this, he does not suffer from chronic depression.

If you have Hashimoto's disease, this is an autoimmune disorder, and your Hashimoto problem is likely to have been misdiagnosed as depression.

Hypothyroidism caused by Hashimoto's Thyroiditis is treated with thyroid hormone replacement.

You can find a lot of information on the web about Hashimoto's if you type that into your browser.

Hope you get sorted out very soon.

Best wishes

[Preciadp]

Yes, you can cave secodary hypogonadism without a pituitary tumor. It is called idiopathic hypogonadism. there seem to be some changes in the cells that make gonadotrophins (that drive the testes).

If a tumor or any other lesión was not found, what is left to be done is what you are already receiving, that is replacement therapy. This means Levothyroxin and androgens.

Neither of These abnormalities carry a bad prognosis or threat to life. You should be OK. Try not to worry, keep getting your medications and go on with
Your Life. You should Get tests ocasionally Just to check if your mesa. Does needs any adjuntamente.

Hope this helps