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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27426
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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Could I have a hormones problem?

Resolved Question:

Could I have a hormones problem?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi. We've talked before but can you be more specific with your question?
Customer: replied 2 years ago.

Hi. I've ordered a test which checks for

DHEAs
FSH
LH
SHBG
Testosterone
Free Androgen Index

Would this test show up a hormones problem?

Expert:  Dr. Chip replied 2 years ago.
They would definitely cover everything as regards ***** ***** levels and any problems there, yes.
Customer: replied 2 years ago.

What types of hormone problems occur in young adults men? What are the conditions which would cause it? As I discussed with you, I had testosterone test before but it was 12 nmol. The bottom level of normal. I feel this is very low for someone my age, but seems differing oppinions on this. So, Im hoping this blood test will reveal more details if it's too low. I do have a variety of symptoms which come with low testosterone too - but it could be depression so hard to know at the moment.

Expert:  Dr. Chip replied 2 years ago.
Well as far as testosterone it could be primary--in the testicles themselves--or secondary--a pituitary problem. The tests you had would distinguish between the two if--and I say if--you really have a problem which you may not.
Customer: replied 2 years ago.

OK, I took the test at 3pm (the time I woke up). I get results soon. I will let you know the results.

Expert:  Dr. Chip replied 2 years ago.
I'll be glad to discuss them with you Jake. Please remember to rate my service here
Customer: replied 2 years ago.

Thanks. If my results come back OK, what do you think my symptoms are a result of? I've had thyroid checked - it seemed ok.

Expert:  Dr. Chip replied 2 years ago.
Potentially depression but also could be a cortisol problem. Talk to you later
Customer: replied 2 years ago.

OK thanks, ***** ***** with results once they arrive.

Expert:  Dr. Chip replied 2 years ago.
I'll be here but don't forget the rating
Customer: replied 2 years ago.

Hi, here is the blood test results:

http://oi62.tinypic.com/9lh3ll.jpg

Expert:  Dr. Chip replied 2 years ago.
OK Jake--you can probably see as well as I can that everything is in the normal range except for the DHEA which is a bit elevated.
Customer: replied 2 years ago.

Yes, are my results OK for a 26 year old? And what about the DHEA?

Expert:  Dr. Chip replied 2 years ago.
Yes they are fine and the DHEA isn't really significant. Basically your problem isn't a testosterone problem and most likely we're talking depression here
Customer: replied 2 years ago.

OK, good. I notice DHEA higer levels are responisble for acne. Could that be why I get acne outbreaks? And, will that one lower over time - making acne go?

Also, my testosterone is higher than before, but still not massivley high, I read that after 30 it will go lower every year, which makes me worry as it would fall low fast?

Expert:  Dr. Chip replied 2 years ago.
I don't think it's elevated enough to cause acne problems Jake. We all experience a drop in testosterone as we age but I really don't think you should worry about the future--you will just experience the slow drop we all do. Take care and remember to rate my service to you
Customer: replied 2 years ago.

Thanks. If the DHEA will drop with age then my acne could go?

And testosterone can go up and down daily? fluctuate? So mine could be quite high in the morning (the time I didnt take it)? And also my testosterone would be much higer with less stress and more exercise? Please advise with this.

Expert:  Dr. Chip replied 2 years ago.
That's possible but acne isn't always a hormonal problem. And testosterone levels do fluctuate. Stress and lack of exercise definitely can lower testosterone levels.
Customer: replied 2 years ago.

Thanks. I also consume 40 units of alcohol per week, can this lower testosterone?

Expert:  Dr. Chip replied 2 years ago.
Yes it can so the best thing would be to cut way back on that or just be totally abstinent from alcohol
Customer: replied 2 years ago.

How long would a break need to be to raise alcohol levels etc? Thinking of taking a break a few weeks before Christmas as usually drink more over Christmas.

Expert:  Dr. Chip replied 2 years ago.
I'd say at least two months. Jake--we really need to close this page with a rating
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 27426
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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