Could Pituitary problem be what's causing this?

[Blue727]

I hope I'm in the right forum.  I woke up a little over 5 years ago (two weeks after I broke my nose) and complained that I felt dizzy and my eyes felt off.  For some reason my right eye sometimes looks and almost always feels as though it sits lower than my left.  Since that day I have always complained that my right eye feels different than my left, headaches behind my eyes and in the center of my head (just above my nose), my eyes feel like they don't track together, anxiety and depression have obviously gotten worse, shakiness, all the sudden I will start sweating profusely, hot flashes, chills, etc...

I had an MRI done without contrast about a year ago that didn't show much.  Two weeks ago I had an MRI with and without contrast that stated the following;   MRI of the head without and with contrast with special attention to the sella.  An approximate 4mm zone of lower T1 signal both before and after contrast within the right pituitary gland.  There is some asymmetry of the pituitary gland; however, this appears predominantly due to irregularity of the floor of the sella.  This focus of signal change could well be artifactual, however, an adenoma cannot be totally exluded.  There are a few tiny foci of increased T2 signal in the white matter of both cerebral hemispheres, which are nonspecific for areas of degeneration, ischemia, or demyelination.  No evidence of abnormal contrast enhancement.

The doctor said "I am 100% sure this is not causing your symptoms, as the only elevated test performed was your Prolactin."  My Prolactin came in at 20 with a high being 13.  I thought this was amazing, as I have stated over the last 5 years that it is my right side which felt off and it just so happens that the possible adenoma is on the right side of my pituitary.  

Over the last couple years my TSH, Free T3 and Free T4, have only been below the "normal ranges" one time, but are always at the lowest end of the scale when tested.  One doctor told me she believes I have a pituitary problem and then I find this out.

I am at a complete loss.  Sorry I didn't mention earlier, but I am a 28 year old male.

Thanks

[crwstar]

Hi there -

How are you? I can only go by my experience. I had an MRI which showed something up with my pituitary gland and was sent in to have another MRI to look specifically at the pituitary and at the same time I had an MRA. I was then sent to a endocrinologist by my request because everything I read said if its your pituitary to see someone who specializes in this area, at the time I was seeing a neurologist who did not know anything about pituitary adenomas but for some reason thought she would treat me. I found that when I went to a Dr's office that specialized in this area that I was treated so much better because the office staff did not trivialize what was going on with me.

Have you seen a endocrinologist? Also, alot of doctors believe there's no correlation between symptoms and adenomas of a certain size - this perspective in the medical community is not uncommon at all, as a matter a fact its the norm. Find yourself a good endocrinologist who will listen and has years and years of experience with pituitary adenomas.