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Fertility issues after pituitary surgery

I  am a 36 year old guy . Just a pituitary surgery 5 weeks ago . I had a non -secreting  adenoma.The surgery went well  and i was on 7.5mg of prednisone and after  my 1 month check -up the Endo said i need to get of the prednisone . So now i am down  to 5 mg a day  and i due to go for  my cortisol  blood work tomorrow.

The Edno said they need to replace my  sex hormone , looks like that's the only one missing  but sexually i feel more active now  like  if i see people making out on tv  , i kinda get turned on and i am enjoying sex  more and it's easy for me  to ejacucalate.
So my question is will i be able to have kids without the hormone replacement?  From my research, Testosterone Replacement  Therapy (TRT) will shut down  production in the testes and hence no sperm will be made.
I am not sure if my FSH ,LH are coming back ,it's only been 5 weeks  .

My semen volume is up a bit from  pre-op

Thank you
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Avatar universal
Usually one has to try the normal way a certain amount of time (unless of course, they know there is an existing issue) and then you and your partner would go to a clinic.

I would not know of a way other than adoption.
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Avatar universal
Thanks  , my next appointmentis April19 . I will make sure i will aska bunch of questions. But fr now i am on only on 5mg of prednisone . There was no metion of TSH , i guess it's fine , i don't wake up to pee at night anymore.

So my question is can you have kids without  going to the fertility clinic?
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Avatar universal
You had a non-secreting tumor and the ONLY hormones effected were the gonadal axis? That I find is really strange. Did you get a copy of your pathology? A non-secreting tumor is typically very large and effects a lot of hormones via mass effect, as well as your eyes. One is usually rendered panhypopit or hypopit afterward - so something is not adding up.

Are you working with a neuro-endocrinolgist and are you are a pituitary center? Do you write down your questions ahead of time? Take someone with you that you can allow to hear all this stuff - sometimes they will pay more attention when someone else is there. I once adopted another mother when a doc was being a jerk.

They should be testing you for a lot of things - and testing you 3 weeks after, well, of course you are going to be low - your pit was just wacked. You have to get more testing - and test everything.

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Avatar universal
well, i did some bloodwork  3 weeks post-op and my endo said my sex hormones were low , my neuro said they will always be low . I have  a neuro and endo who work in partnership. But to be honest these guys everytime i go and see them  , i feel short-changed . I don't really get the info  or answers i need.
It looks like my thyroid  and growth hormone were not much affected because pre-op they mainly mentioned  my testosterone.

Right now my endo is trying to wean me from predno and  maybe i will go for another fsh/lh  test .

Helpful - 0
Avatar universal
Is the doctor just saying this - or has he run testing?

Typically,  you would need thyroid replacement after surgery and/or growth hormone. The FSH/LH is not the first to go but the last.

I would get a copy of your testing and see what is going on. How you are feeling is a pretty good indication of how you feel and why mess with that?

Just the fact that the guy put you on pred post surgery is enough to tell me the guy is maybe not super skilled - that is not what most docs use. HC is more like what the body makes and is also easier to wean from.

Is your endo a neuro-endo?
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