Thyroid or Pituitary Problem

[notredame]

I am a male, age 42 and I have recently been diagnosed with an "emerging" Hypothyroid condition.  My TSH results over the past 2 years have gone from 1.8 to just recently 5.8.  Free T4 has gone the other way in the same period, now coming in at .91 ng/dl from about 1.5 2 years ago.  Not sure that it is related in any way, but DHEA has been low the entire time (70 ug/dl).  Cortisol/IGF/Testosterone/Prolactin all in the normal range (midpoint or below).

My question is...could this be related to a pituitary tumor as opposed to being primarily a Thyroid condition?  I am very symptomoatic:
*Insomnia
*Low energy
*Facial Flushing/Thin Skin
*Bruising/slow to heal
*Dry/Gritty/Red eyes
*Sore hands and feet
*Thinning hair
*Brain "fog"
*Anxiety

One other datapoint, my parents have both been diagnosed hypo-thyroid (in their 70's).

Thanks

[stella5349]

Do you or your doctor have any reason to think there would be a pitutiary issue?


Any trama to the head or "off" scale LH tests - or liver issues?

[FTB4]

It would be up to an Md to determine the state of your pituitary, although by my own condition, it looks to be Thyroid, your pituitary send a signal to your thyroid (This is the TSH) When your TSH level rises its an indication your thyroid is not producing enough hormones, hence the drop in Free T4, So the higher the TSH the more Hypo you become. Tsh is a rule of thumb and most experienced  thyroid doctors (Endo's) go by Free T3 and T4 these are the actual hormones your thyroid secretes. I am not up on the T3 T4 readings like other members here, I am sure they will respond also. The American Board of Endocrinologists advise to follow newNormal Tsh levels as .3 to 3.0  The older standard was 05 to 5.0                               Good Luck FTB4