Low Testoterone Levels associated with mild headaches

Hello,

I'm 39 years old.  I have mild headaches associated with ejaculations.  And, my desire to have sex has grossly decreased due to testosterone deficiency.  My level is about 251.

A brief History:

Feb 1999: inguinal hernia repair (left side)
Dec 1999: starting feeling very weak; wasn't unable to jog (due to weakness); struggled to get motivated.  Each time I had sex it would be an effort accompanied by a mild headache and slight pain in my lower back (right side).
Jan 2000: my testoterone level tested (about 250)
Today: The problem still persist; no one knows why.  Could it be stress? Is it irrevesible?  Could it be associated with the hernia repair? I can get excited, but it takes a great effort, and the out come tends to be a disapointment. I can't endure as before (Dec 1999).  I have a HMO, but my doctor is puzzled.

Help.

Thanks

[CCF Neuro[P] MD, RPS]

Dear Bryant:

I am not sure why a low testosterone should make you weak.  Women who have little testosterone and not complain of weakness.  Many men who take testosterone inhibitors, protatic cancer treatment, do not complain of muscle weakness.  I suppose it is possible.  I would see a endocrinologist and see if other hormoes are low.

There is an entity called coitial headaches.  When a man or woman has a climax a headache results.  I would ask your neurologist about treatment.  This falls into the category of exertional headache.  Usually, these headaches will eventually resolve on their own.  Often taking an advil or comparible medication before sex will help.

Sincerely,

CCF Neuro MD

[Bryant]

Thank you for your time and service.

Have a great day.

[Rob]

Bryant, I too felt tired and had slight headaches.  My energy
level always seems to be low.  Recently, I had my testosterone
checked and was 80 on a normal range of 250 to 1050.  I had
a MIR of my head and they found a rare condition called an
'empty cella'.  The cella is a valley where the pituitary
gland normally rests.  In my case the brain fluid pushed
the pituitary out of its resting place.  Moreover, the
pituitary gland has been compressed and made somewhat dysfunctional.  I tried several endocrinologists and found one who had been of the faculty of Harvard's medical school.

I now take injections of testosterone and have much more energy.
But, I know that I will be taking suppliments for the rest of my life.  When taking injections every two weeks, I found that the
affect would wane after the first week and I would be tired the second.  Thus, I take my injections twice a week.

It is very important that you know for sure that your testosterone is low as their are complications should your levels get too high :  prostrate tumors as one problem, liver trouble and high triglicerides (triglycerides) as another.

Endocrine problems tend to be connected, so it might be a good
idea to have your thyroid checked.  Hope you get to feeling better.

[[e-mail]]

Hi Bryant,

I agree I would find a good endocrinologist and make sure they run ALL your pituitary hormones.  A decease in testosterone can be produced by an elevation in prolactin.  Decreased libido, impotence,headaches, weakness are all common symptoms of pituitary disease.  

Don't accept this a normal quality of life for a 39 y.o.  There is hope and it will get better.
T