Would love your opinion on this for some relief before my endocrinologist appointment! It's gonna be at least another couple weeks before I get in and would seriously appreciate any insight anyone has!
I was/am suffering from bouts of extreme depression, anxiety, low libido, and fatigue. Got my bloodwork done and my testosterone was at the level of a 70 year olds, my iron/ferritin was right at the bottom end, and my cortisol was very high!
I have done multiple AM cortisol blood tests and always come in at the top of the range, and a 24 hour 4 point saliva test in which my numbers were also very high. The graph was almost a straight line across the board (rather than the normal cortisol curve which starts high and progresses downwards). Here's the most important piece - I did two 24 hour cortisol urine tests. The first came in at 430 and the second came in at 540, with the range being 100-380. I also missed a urine collection with each test, so each number would've been higher.
A cortisol level of 540 with a range of 100-380 seems quite unnatural to me, but I also believe that numbers with Cushing's are usually like 4 times the normal range, apparently.
Does this suggest a pituitary adenoma or something different?
Thank you very much!