The chicken or the Egg?

I'm not sure when I actually became hypogonadic. I think I was about 25. I went through puberty, etc. OK, but suddenly at 25 I started gaining weight and began to lose interest in a social life. I had all the signs of depression. My first encounter with an endocrinologist was about 6 years later, when my thyroid started acting up. At that time I questioned him about measuring my Testosterone levels, and he blew me off, saying, "if you have to shave, your hormones are OK".

Another 8 years went by and I started getting short of breath all the time. This time I was told I had asthma. After a year of meds and no results, I was so bad I could hardly walk out to my car without getting breathless. I finally insisted on seeing a specialist. After numerous tests and a nasty surgery to remove a chunk of my lungs, (the only way to get a sure diagnosis), they finally told me I have Sarcoidosis, an immune system disorder where your body basically attacks itself - usually in the lungs. They put me on prednisone, which I'm still on, but there was still something else wrong and I knew it.

One day a friend told me he had been diagnosed with osteoporosis. They had linked it to low Testosterone. For some reason, A light bulb went off and I just KNEW that was my problem. I made an appointment with his endo and told her my story and basically insisted that she test me for everything. The results - Testosterone level 136, FSH and LH very low. Classic secondary hypogonadism. I made her do more tests and we found out I was diabetic, had osteoporosis, and had a high IGF-1 level. Lovely!

Anyway, the doctors have no idea what got me to this state, but I firmly believe it started with low Testosterone levels, which screws up the immune system, which led to all the other mess.

Editor's note
Although this story is printed anonymously by request, I am sure the reading of it will demonstrate the need to look more closely at ill health in men.

Nick

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