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Suggest Treatment For Pain In Groin And Low Testosterone Levels

Posted on Thu, 2 Apr 2015

Question: Up until the age of 31 I had no problem with erections at 53 I am in great physical shape no circulation issues 5 mg of norvas daily for around 3 yrs for mild blood pressure.Testosterone was found to be low 295 started on one pump every 2 days for about 3 yrs did not change issues I have had severe sciatica pain a few times in my 20s and in to my early 40s the only other injuries was a severe knee blow to my groin at age 30 or 31 at age 20 I had about 4 months of severe burning like pain in my groin that felt like it went thru me into the center of my brain it was the most miserable feeling many medical tests back then no problems found at about 6 month it resolved itself it WS gone one day i have always been physically active my employment has also been physical furniture mover truck driver in the military also I used to drink alcohol and only smoked when I drank and yes i have drank to the extreme when I was younger I lost interest and stopped 2 yes ago I use a cpap for mild apnea both my parents snored loudly before apnea even was known about possible hastened their deaths. Thanks XXXX

Answered by Dr. Shehzad Topiwala (26 minutes later)

Brief Answer:
Hormones

Detailed Answer:
Sorry to learn about your symptoms.

1 Testosterone of 295 is not severely low

But when I see someone like you in my practice, I investigate this level systematically as per current guidelines. This includes

a thorough physical examination

repeat check of blood Testosterone levels before 9 am

along with testosterone the following tests are also ordered by me:

CBC
CMP
TSH
Free T4
Prolactin
FSH
LH
Ferritin
SHBG
Free Testosterone (by a special method called Equilibrium dialysis)
25 hydroxy vitamin D

2 Only once it is amply clear that one has testosterone deficiency would I proceed to offering treatment options.

3 Now that you are already on testosterone, running these tests will not give a clear answer. So only some of these can be done now; others can be done only after you have been off testosterone for several months
CBC
CMP
Prolactin
TSH
Free T4
25 hydroxy vitamin D

4 I have noted you other medical history. I would recommend going about evaluating you in this manner as explained above

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar